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心房机械感受器对心房容积搏动的反应。

Responses of atrial mechanoreceptors to pulsation of atrial volume.

作者信息

Baertschi A J, Gann D S

出版信息

J Physiol. 1977 Dec;273(1):1-21. doi: 10.1113/jphysiol.1977.sp012078.

Abstract
  1. Firing patterns of single atrial fibres were monitored in order to study their sensitivity to rate of change of atrial volume and their dependence on receptor location in the atria.2. To that effect, sinusoidal fluctuations of volume (+/-1 ml.; 60/min) were superimposed on the natural pulsations of the heart of spontaneously breathing anaesthetized cats.3. Stimulus-response histograms revealed that maximal firing frequency of B-impulses preceded maximal volume change by 10-80 degrees (average 48+/-7 degrees (S.E.), thirteen right and left atrial receptors) indicating that sensitivity to rate of change of atrial volume at least equalled volume sensitivity.4. The rate sensitive component of B-firing increased with respect to the volume sensitive component when atrial filling diminished and was larger for high threshold receptors than for low threshold receptors (P<0.001).5. The A-bursts were not affected by atrial pulsing in eight out of nine anatomically localized receptors; inspiration prolonged the A-bursts of three receptors and advanced the timing of A-bursts with respect to the a-wave (10-50 msec) of all nine receptors.6. About half of all anatomically localized receptors were traced to the interatrial septum. These septal receptors differed from right and left atrial receptors as follows: (a) they were exclusively of the AB-type (fired during atrial a- and v-wave); (b) their B-firing rates were significantly lower (P<0.05); (c) A-firing patterns remained largely unaffected by respiration or by atrial pulsing; (d) they signalled volume changes of either atria; (e) no association of rate sensitivity with threshold was detected (P>0.95). The physiological role of septal receptors remains to be elucidated.7. It was concluded that B-fibres were sensitive to both change and rate of change of atrial volume; their role as sensors of venous return is suggested strongly. Results further suggested that A- and B-firing are determined largely by the location of atrial stretch receptors.
摘要
  1. 监测单个心房纤维的放电模式,以研究它们对心房容积变化率的敏感性及其对心房中感受器位置的依赖性。

  2. 为此,将正弦波容积波动(±1毫升;60次/分钟)叠加在自主呼吸的麻醉猫心脏的自然搏动上。

  3. 刺激-反应直方图显示,B冲动的最大放电频率比最大容积变化提前10 - 80度(平均48±7度(标准误),13个左右心房感受器),这表明对心房容积变化率的敏感性至少与容积敏感性相当。

  4. 当心房充盈减少时,B放电的速率敏感成分相对于容积敏感成分增加,并且高阈值感受器的该成分比低阈值感受器的更大(P<0.001)。

  5. 在9个解剖定位的感受器中,有8个的A爆发不受心房搏动影响;吸气延长了3个感受器的A爆发,并使所有9个感受器的A爆发相对于a波的时间提前(10 - 50毫秒)。

  6. 所有解剖定位的感受器中约一半可追溯到房间隔。这些房间隔感受器与左右心房感受器的不同之处如下:(a)它们完全是AB型(在心房a波和v波期间放电);(b)它们的B放电速率显著更低(P<0.05);(c)A放电模式在很大程度上不受呼吸或心房搏动影响;(d)它们信号指示任一心房的容积变化;(e)未检测到速率敏感性与阈值的关联(P>0.95)。房间隔感受器的生理作用仍有待阐明。

  7. 得出的结论是,B纤维对心房容积的变化和变化率均敏感;强烈提示它们作为静脉回流传感器的作用。结果还表明,A和B放电在很大程度上由心房牵张感受器的位置决定。

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NATURAL STIMULATION OF TYPE B ATRIAL RECEPTORS.B型心房受体的自然刺激
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