Fritsch J M, Eckberg D L, Graves L D, Wallin B G
Am J Physiol. 1986 Dec;251(6 Pt 2):R1086-90. doi: 10.1152/ajpregu.1986.251.6.R1086.
A variety of methods has been used experimentally to increase baroreceptor activity and provoke transient, vagally mediated cardiac slowing in humans. We studied baroreceptor-cardiac reflex physiology in eight resting volunteers by measuring R-R interval changes during and after spontaneous brief elevations of arterial pressure, preceded by bursts of muscle sympathetic nerve activity. Arterial pressure was measured with a catheter in a brachial artery, and muscle sympathetic activity was measured with a microelectrode positioned transcutaneously in a peroneal nerve. R-R intervals were related to preceding systolic pressures with linear regression analysis. When systolic pressures were correlated with R-R intervals of the next cardiac cycle, slopes (+/- SE) averaged 12.4 +/- 2.2 ms/mmHg and correlation coefficients averaged 0.81 +/- 0.09. Baroreflex slopes were inversely related to base-line systolic pressures. These results are similar to those obtained when baroreceptors are stimulated experimentally; they suggest that elevations of arterial pressure, which are preceded by bursts of muscle sympathetic activity, trigger with one heart-beat latency highly linear increases of efferent vagal-cardiac nerve activity.
人们已经通过多种实验方法来提高压力感受器的活性,并在人体中引发短暂的、由迷走神经介导的心脏减慢。我们通过测量八名静息志愿者在动脉压自发短暂升高期间及之后的R-R间期变化来研究压力感受器-心脏反射生理,动脉压升高之前伴有肌肉交感神经活动的爆发。用置于肱动脉的导管测量动脉压,用经皮置于腓神经的微电极测量肌肉交感神经活动。通过线性回归分析将R-R间期与之前的收缩压相关联。当收缩压与下一个心动周期的R-R间期相关时,斜率(±标准误)平均为12.4±2.2毫秒/毫米汞柱,相关系数平均为0.81±0.09。压力反射斜率与基线收缩压呈负相关。这些结果与通过实验刺激压力感受器时获得的结果相似;它们表明,在肌肉交感神经活动爆发之后出现的动脉压升高,会在一个心跳潜伏期内引发传出迷走神经-心脏神经活动高度线性增加。