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迷走神经和心脏交感神经对清醒家兔中升压刺激诱发的反射性心动过缓的相对贡献:“稳态”和“斜坡”方法的比较

Relative contributions of vagal and cardiac sympathetic nerves to the reflex bradycardia induced by a pressor stimulus in the conscious rabbit: comparison of 'steady state' and 'ramp' methods.

作者信息

Weinstock M, Rosin A J

出版信息

Clin Exp Pharmacol Physiol. 1984 Mar-Apr;11(2):133-41. doi: 10.1111/j.1440-1681.1984.tb00250.x.

Abstract

The bradycardic response to a pressor stimulus, phenylephrine, was studied simultaneously in conscious rabbits by two different methods. The 'steady state' method, in which bradycardia was measured at the peak of each pressor stimulus, demonstrated the existence of two groups of animals, in which the maximal heart periods were 867 (s.e.m. = 49) and 563 (s.e.m. = 34) ms and the slopes of the MAP-HP relationship were 24.6 (s.e.m. = 1.6) and 8.1 (s.e.m. = 0.7) ms/mmHg, respectively. The difference in baroreflex sensitivity in the two groups was abolished by sympathetic nerve blockade with guanethidine (10 mg/kg) but not by vagal blockade. The 'ramp method' which measures bradycardia during the rapid phase of MAP rise after phenylephrine did not detect any difference in response of the two groups of rabbits. Guanethidine did not alter the slope of the MAP-HP relationship in either group of rabbits when this was assessed by the 'ramp' method. These findings demonstrate that the 'steady state' method can detect changes in both vagal and sympathetic activity, while the 'ramp' method measures only vagally induced bradycardia. It is concluded that some rabbits may have a genetic ability to activate baroreflex pathways mediating cardiac sympathetic inhibition in addition to vagal stimulation in response to a pressor stimulus.

摘要

采用两种不同方法,同时对清醒家兔对升压刺激物去氧肾上腺素的心动过缓反应进行了研究。“稳态”法是在每次升压刺激的峰值处测量心动过缓,结果显示存在两组动物,其最大心动周期分别为867(标准误=49)和563(标准误=34)毫秒,平均动脉压-心动周期关系的斜率分别为24.6(标准误=1.6)和8.1(标准误=0.7)毫秒/毫米汞柱。两组压力反射敏感性的差异通过胍乙啶(10毫克/千克)进行交感神经阻滞而消除,但迷走神经阻滞未能消除。“斜坡法”是在去氧肾上腺素后平均动脉压快速上升阶段测量心动过缓,该方法未检测到两组家兔反应的任何差异。当通过“斜坡”法评估时,胍乙啶未改变任何一组家兔平均动脉压-心动周期关系的斜率。这些发现表明,“稳态”法可检测迷走神经和交感神经活动的变化,而“斜坡”法仅测量迷走神经诱发的心动过缓。得出的结论是,一些家兔可能具有一种遗传能力,即在对升压刺激的反应中,除了迷走神经刺激外,还能激活介导心脏交感神经抑制的压力反射通路。

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