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犬左星状神经节刺激诱发室性心动过速时冠状窦去甲肾上腺素浓度

Coronary sinus norepinephrine concentrations during ventricular tachycardia induced by left stellate ganglion stimulation in dogs.

作者信息

Nadeau R, Lamontagne D, Cardinal R, de Champlain J, Armour J A

机构信息

Centre de recherche, Hôpital du Sacré-Coeur de Montréal, Québec, Canada.

出版信息

Can J Physiol Pharmacol. 1988 Apr;66(4):419-21. doi: 10.1139/y88-070.

Abstract

Coronary sinus catecholamine overflow was measured in open-chest dogs, anesthetized with sodium thiopental and alpha-chloralose, during left sympathetic stimulation. Uniform ventricular tachycardias were induced in 9 out of 16 dogs during either left stellate ganglion or left ventrolateral cardiac nerve stimulations. Significant increases in norepinephrine (8.1 ng/mL, plasma) and epinephrine (0.19 ng/mL, plasma) overflows were obtained after 30 and 90 s of stimulation, respectively. Maximum norepinephrine overflow was significantly higher in dogs with ventricular tachycardia than in those without it (16.0 vs. 7.4 ng/mL, p less than 0.05). This suggests that the induction of ventricular tachycardia in the normal myocardium is related to the amount of local secretion of norepinephrine during nerve stimulation.

摘要

在开胸犬中,用硫喷妥钠和α-氯醛糖麻醉后,在左交感神经刺激期间测量冠状窦儿茶酚胺溢出。在16只犬中,有9只在刺激左星状神经节或左心室外侧心神经时诱发了均匀性室性心动过速。分别在刺激30秒和90秒后,去甲肾上腺素(血浆中8.1纳克/毫升)和肾上腺素(血浆中0.19纳克/毫升)溢出量显著增加。有室性心动过速的犬最大去甲肾上腺素溢出量显著高于无室性心动过速的犬(16.0对7.4纳克/毫升,p小于0.05)。这表明正常心肌中室性心动过速的诱发与神经刺激期间去甲肾上腺素的局部分泌量有关。

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