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心力衰竭中心脏电微电流应用新范式下的心肌水肿再探讨

Myocardial Edema Revisited in a New Paradigm of Cardiac Electrical Microcurrent Application in Heart Failure.

作者信息

Rame Jesus Eduardo, Müller Johannes

机构信息

Department of Medicine, Jefferson Heart Institute, Philadelphia, Pennsylvania, USA.

Department of Bioelectricity and Medical Research, Berlin Heals, Berlin, Germany.

出版信息

Bioelectricity. 2021 Sep 1;3(3):171-175. doi: 10.1089/bioe.2021.0021. Epub 2021 Sep 9.

Abstract

Undisturbed bioelectricity is a prerequisite for normal organ function. This is especially true for organs with high electrical activity such as the heart and the nervous system. Under clinical conditions, however, this can hardly be determined in patients with disturbed organ function and is therefore largely ignored. Here, based on clinical data, we will discuss whether the direct application of an external electric current (in the physiological μA range) together with an electrical field to hearts with impaired pump function can explain the functional improvement of the hearts by edema reduction triggered by electro-osmosis.

摘要

未受干扰的生物电是器官正常功能的前提条件。对于心脏和神经系统等电活动较高的器官而言尤其如此。然而,在临床情况下,对于器官功能紊乱的患者,这一点很难确定,因此在很大程度上被忽视了。在此,基于临床数据,我们将讨论对于泵功能受损的心脏,直接施加外部电流(处于生理微安范围内)并结合电场,是否能够通过电渗引发的水肿减轻来解释心脏功能的改善。

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