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心脏受体在可乐定诱导的迷走神经性心动过缓中的作用。

The role of cardiac receptors in clonidine-induced vagal bradycardia.

作者信息

Lisander B, Wennergren G

出版信息

Eur J Pharmacol. 1979 Feb 15;54(1-2):109-18. doi: 10.1016/0014-2999(79)90413-8.

Abstract

In chloralosed, spinalized and beta-blocked cats, clonidine, 10 microgram/kg i.v. caused a vagally mediated bradycardia which was further analysed with particular attention to cardiopulmonary receptors. Cardiovascular deafferentiation, with preservation of vagal cardiac efferents, abolished the bradycardia. However, in animals with arterial baroreceptors denervated but with vagal cardiopulmonary pathways intact, clonidine decreased heart rate simultaneously with an increase in left atrial pressure to an extent known to activate cardiac receptors with unmyelinated vagal efferents. Clonidine somewhat enhanced the bradycardia to efferent vagal stimulation and also had a slight positive chronotropic effect on the non-innervated heart. The reflex bradycardia from electrical stimulation of unmyelinated cardiac afferents was augmented by the drug but not more than could be accounted for by the changed neuroeffector sensitivity. The data suggest that clonidine can reflexly augment vagal tone on the heart by an increased activity in vagal cardiac afferents, secondary to the drug's peripheral vasoconstrictor action, whereas no evidence for any central facilitation of these reflexes has been found.

摘要

在使用水合氯醛麻醉、脊髓横断和β受体阻断的猫中,静脉注射10微克/千克可乐定可引起迷走神经介导的心动过缓,并对其进行了进一步分析,特别关注心肺感受器。在保留迷走神经心脏传出纤维的情况下进行心血管去传入神经支配,可消除心动过缓。然而,在动脉压力感受器去神经但迷走神经心肺通路完整的动物中,可乐定在降低心率的同时,左心房压力升高,升高幅度足以激活具有无髓迷走神经传出纤维的心脏感受器。可乐定在一定程度上增强了对迷走神经传出刺激的心动过缓作用,并且对无神经支配的心脏也有轻微的正性变时作用。药物增强了由电刺激无髓心脏传入纤维引起的反射性心动过缓,但增强幅度不超过神经效应器敏感性改变所能解释的范围。数据表明,可乐定可通过迷走神经心脏传入纤维活动增加,继发于药物的外周血管收缩作用,反射性增强对心脏的迷走神经张力,而未发现任何中枢对这些反射有促进作用的证据。

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