Gupta P D, Singh M
Am J Physiol. 1981 Jun;240(6):H874-80. doi: 10.1152/ajpheart.1981.240.6.H874.
We investigated the mechanisms underlying heart rate changes resulting from systemic hypoxia in anesthetized artificially ventilated dogs with low control heart rate (less than or equal to 93 beats/min). We observed that systemic hypoxia evoked tachycardia in intact dogs that was not significantly different from that evoked in dogs with beta-adrenergic blockade (BB). Also, tachycardia elicited in dogs with BB plus spinal section at C3 (BBSS) was significantly greater than in dogs with BBSS plus bilateral section of carotid sinus nerves. Furthermore, under various anesthetics, intracarotid injection of sodium cyanide induced a tachycardia response in dogs with low control heart rate (less than or equal to 97 beats/min) and a bradycardia response in dogs with high control heart rate (greater than or equal to 130 beats/min). These results suggest that 1) when the resting cardiac parasympathetic tone is high, systemic hypoxia evokes tachycardia which is mediated predominantly through efferent vagus nerves and 2) the stimulation of carotid chemoreceptors causes excitation of both cardioacceleratory and cardioinhibitory reflexes, the resultant response being dependent on the prevalent autonomic drive.
我们研究了在麻醉状态下人工通气、基础心率较低(小于或等于93次/分钟)的犬只中,系统性缺氧导致心率变化的潜在机制。我们观察到,系统性缺氧在完整犬只中诱发了心动过速,这与β-肾上腺素能阻滞剂(BB)处理的犬只中诱发的心动过速无显著差异。此外,在C3水平进行脊髓横断的BB犬只(BBSS)中诱发的心动过速,显著大于双侧切断颈动脉窦神经的BBSS犬只。而且,在不同麻醉状态下,颈内注射氰化钠在基础心率较低(小于或等于97次/分钟)的犬只中诱发心动过速反应,而在基础心率较高(大于或等于130次/分钟)的犬只中诱发心动过缓反应。这些结果表明:1)当静息心脏副交感神经张力较高时,系统性缺氧诱发心动过速,其主要通过迷走神经传出纤维介导;2)颈动脉化学感受器的刺激会引起心脏加速反射和心脏抑制反射的兴奋,最终反应取决于占主导地位的自主神经驱动。