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清醒猫冠状动脉闭塞期间的心脏交感神经活动和心率

Cardiac sympathetic nerve activity and heart rate during coronary occlusion in awake cats.

作者信息

Ninomiya I, Matsukawa K, Honda T, Nishiura N, Shirai M

出版信息

Am J Physiol. 1986 Sep;251(3 Pt 2):H528-37. doi: 10.1152/ajpheart.1986.251.3.H528.

Abstract

Responses in efferent cardiac sympathetic nerve activity (CSNA) and heart rate (HR) to a 100-s anterior descending coronary artery occlusion were measured in cats under awake, atropinized, anesthetized, or anesthetized and atropinized states. In the conscious state, at 20 and 90 s of occlusion, CSNA increased by 23% and then decreased by 7%, respectively, whereas HR decreased by 5 and 17%, respectively. With atropinization and/or anesthesia, the initial increase in CSNA was inhibited and the later decrease in CSNA was enhanced, whereas the bradycardia was diminished. HR changed in proportion to CSNA responses with high correlations, i.e., r = +0.89, +0.90, +0.96, and +0.91 for the four states, respectively. In the conscious state, the CSNA-HR relation line shifted toward bradycardia, but this shift was blocked by atropinization and anesthesia. This finding suggested that, in the conscious state, cardiac vagal nerve activity (CVNA) increased immediately and did not decrease during occlusion. At the early stage of occlusion, HR response (bradycardia or tachycardia) was determined by the relative contribution of enhanced CSNA and CVNA. At the later stage of occlusion, bradycardia was induced by a combination of decreased CSNA and enhanced CVNA. In anesthesia and/or atropinization it was induced mainly by the decreased CSNA.

摘要

在清醒、阿托品化、麻醉或麻醉并阿托品化状态下的猫中,测量了传出性心脏交感神经活动(CSNA)和心率(HR)对100秒前降支冠状动脉闭塞的反应。在清醒状态下,闭塞20秒和90秒时,CSNA分别增加23%,然后下降7%,而HR分别下降5%和17%。阿托品化和/或麻醉后,CSNA的初始增加受到抑制,CSNA的后期下降增强,而心动过缓则减弱。HR与CSNA反应成比例变化,相关性很高,即四种状态下的r分别为+0.89、+0.90、+0.96和+0.91。在清醒状态下,CSNA-HR关系线向心动过缓方向移动,但这种移动被阿托品化和麻醉所阻断。这一发现表明,在清醒状态下,心脏迷走神经活动(CVNA)立即增加,在闭塞期间并未下降。在闭塞早期,HR反应(心动过缓或心动过速)由增强的CSNA和CVNA的相对贡献决定。在闭塞后期,心动过缓由CSNA下降和CVNA增强共同引起。在麻醉和/或阿托品化状态下,心动过缓主要由CSNA下降引起。

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