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交感神经张力对麻醉犬迷走神经诱导的心率和房室结传导的相位变化的影响。

Effects of sympathetic tone on vagally induced phasic changes in heart rate and atrioventricular node conduction in the anesthetized dog.

作者信息

Salata J J, Gill R M, Gilmour R F, Zipes D P

出版信息

Circ Res. 1986 Apr;58(4):584-94. doi: 10.1161/01.res.58.4.584.

Abstract

We examined the effects of stellate ganglia stimulation on the phase-dependent chronotropic and dromotropic responses to brief vagal bursts in open-chest anesthetized dogs. Stellate stimulation affected the phasic vagal effects on heart rate by shortening the latent period, shifting the phase at which maximum decrease in heart rate occurred to earlier phases, and reducing the maximum decrease in heart rate. These effects were due primarily to an increase in the basic heart rate. No significant sympathetic-parasympathetic interaction occurred for heart rate, indicating that accentuated antagonism did not occur with brief vagal bursts. Stellate stimulation primarily decreased the amplitude of the phasic vagal effects on atrioventricular nodal conduction, regardless of the underlying heart rate, and a significant sympathetic-parasympathetic interaction was associated with this effect. The peak of the phase-dependent vagal effects on heart rate and atrioventricular nodal conduction were phase-shifted with one another. From these findings, we postulate the small changes in sympathetic tone might shift the predominant phase-dependent vagal effect from one on heart rate to one on atrioventricular nodal conduction. Furthermore, our results suggest that dynamic vagal control of heart rate and atrioventricular node conduction involves both phase-dependent and phase-independent factors. Sympathetic activity appears to affect only the phase-independent factor(s) in the control of heart rate, whereas it affects both phase-dependent and phase-independent factors in the control of atrioventricular node conduction.

摘要

我们研究了星状神经节刺激对开胸麻醉犬短暂迷走神经爆发时相依赖性变时性和变传导性反应的影响。星状神经节刺激通过缩短潜伏期、将心率最大降幅出现的时相提前以及降低心率最大降幅,影响了迷走神经对心率的时相性作用。这些效应主要归因于基础心率的增加。心率方面未发生显著的交感 - 副交感神经相互作用,表明短暂迷走神经爆发时未出现增强的拮抗作用。星状神经节刺激主要降低了迷走神经对房室结传导的时相性作用的幅度,无论基础心率如何,且这种效应存在显著的交感 - 副交感神经相互作用。心率和房室结传导的时相依赖性迷走神经作用的峰值彼此发生了相移。基于这些发现,我们推测交感神经张力的微小变化可能会使主要的时相依赖性迷走神经作用从对心率的作用转变为对房室结传导的作用。此外,我们的结果表明,心率和房室结传导的动态迷走神经控制涉及时相依赖性和非时相依赖性因素。交感神经活动似乎仅在心率控制中影响非时相依赖性因素,而在房室结传导控制中它同时影响时相依赖性和非时相依赖性因素。

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