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大鼠中枢神经系统消融对冠状动脉闭塞诱发心律失常的影响。

The effects of ablations in the central nervous system on arrhythmias induced by coronary occlusion in the rat.

作者信息

Curtis M J, Macleod B A, Walker M J

出版信息

Br J Pharmacol. 1985 Nov;86(3):663-70. doi: 10.1111/j.1476-5381.1985.tb08943.x.

Abstract

The role of the central nervous system (CNS) in arrhythmogenesis in the 4 h period following occlusion of a coronary artery was investigated in rats by use of CNS ablations and other procedures. Ablations in the CNS included pithing, spinalization and decerebration combined with acute and chronic surgical preparation and noradrenaline/adrenaline infusions. All procedures involving acute surgery reduced the incidence and severity of the arrhythmias induced by occlusion. Such reductions were most marked in the second (0.5-4 h post-occlusion) arrhythmic period. The observed reductions in arrhythmias could not be explained in terms of involvement of the CNS or adrenoceptor activation. When circulating leucocytes, platelets and serum potassium were measured in a group of pithed rats before and after occlusion, reduced levels (20-50%) of both leucocytes and platelets occurred while serum potassium levels rose by 50-100%. Arrhythmias following coronary occlusion may depend in part on factors in the blood such as leucocytes, platelets and serum potassium and these factors may be altered by acute surgery.

摘要

通过中枢神经系统(CNS)损毁及其他方法,在大鼠中研究了冠状动脉闭塞后4小时内心律失常发生过程中中枢神经系统的作用。中枢神经系统的损毁包括脊髓穿刺、脊髓横断和大脑切除,并结合急性和慢性手术准备以及去甲肾上腺素/肾上腺素输注。所有涉及急性手术的操作均降低了由闭塞诱导的心律失常的发生率和严重程度。这种降低在第二个心律失常期(闭塞后0.5 - 4小时)最为明显。观察到的心律失常的减少不能用中枢神经系统或肾上腺素能受体激活来解释。当在一组脊髓穿刺的大鼠中在闭塞前后测量循环白细胞、血小板和血清钾时,白细胞和血小板水平均降低(20 - 50%),而血清钾水平升高50 - 100%。冠状动脉闭塞后的心律失常可能部分取决于血液中的因素,如白细胞、血小板和血清钾,并且这些因素可能会因急性手术而改变。

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