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清醒犬在静息状态及冠状动脉闭塞期间迷走神经传入纤维的循环影响。

The circulatory influences of vagal afferents at rest and during coronary occlusion in conscious dogs.

作者信息

Bishop V S, Peterson D F

出版信息

Circ Res. 1978 Dec;43(6):840-7. doi: 10.1161/01.res.43.6.840.

Abstract

We studied the role of cardiopulmonary vagal afferents in the cardiovascular responses to coronary artery occlusion in conscious dogs with intact carotid sinuses and following functional denervation of the arterial baroreceptors. The contributions of vagal afferents were determined by cold blocking the vagi. In dogs with intact carotid sinuses, coronary artery occlusion produced small decreases in mean cardiac output and arterial pressure, whereas heart rate increased by 35 beats/min. In dogs with intact carotid sinuses, vagal cold block increased mean arterial pressure by 22 +/- 2 (mean +/- SE) mm Hg and heart rate by 90 +/- 6 beats/min. Mean cardiac output increased by 505 +/- 90 ml/min. With the exception of heart rate, responses to coronary occlusion during vagal cold block were similar to the occlusion response prior to vagal cold block. Furthermore, prior occlusion of the coronary artery did not significantly influence the responses to vagal cold block. After arterial baroreceptor denervation, coronary artery occlusion resulted in a substantially greater fall in systemic arterial pressure (-52 mm Hg as compared to -8 mm Hg, with intact carotid sinuses) and peripheral resistance decreased by -0.49 peripheral resistance units (PRU). Vagal cold block following denervation increased the arterial pressure by 49 +/- 10 mm Hg and peripheral resistance by 0.59 +/- 0.13 PRU. Both values were significantly greater than those observed during vagal cold block prior to denervation. In arterial baroreceptor-denervated dogs, vagal blockade significantly attenuated the response to coronary occlusion. Therefore, in conscious dogs, vagal afferents from cardiopulmonary receptors exert a significant inhibitory influence on the peripheral vascular tone. When the carotid sinuses are intact, this inhibitory influence appears to be marked during myocardial ischemia. In the absence of functional arterial baroreflexes, vagal afferent activity contributes to the depressor responses observed during ischemia.

摘要

我们研究了心肺迷走传入神经在清醒犬冠状动脉闭塞时心血管反应中的作用,这些犬的颈动脉窦完整,且动脉压力感受器已进行功能去神经支配。通过冷阻断迷走神经来确定迷走传入神经的作用。在颈动脉窦完整的犬中,冠状动脉闭塞使平均心输出量和动脉压略有下降,而心率增加35次/分钟。在颈动脉窦完整的犬中,迷走神经冷阻断使平均动脉压升高22±2(平均值±标准误)mmHg,心率增加90±6次/分钟。平均心输出量增加505±90ml/分钟。除心率外,迷走神经冷阻断期间对冠状动脉闭塞的反应与迷走神经冷阻断前的闭塞反应相似。此外,先前的冠状动脉闭塞并未显著影响对迷走神经冷阻断的反应。动脉压力感受器去神经支配后,冠状动脉闭塞导致全身动脉压大幅下降(与颈动脉窦完整时的-8mmHg相比为-52mmHg),外周阻力下降0.49外周阻力单位(PRU)。去神经支配后进行迷走神经冷阻断使动脉压升高49±10mmHg,外周阻力升高0.59±0.13PRU。这两个值均显著高于去神经支配前迷走神经冷阻断期间观察到的值。在动脉压力感受器去神经支配的犬中,迷走神经阻断显著减弱了对冠状动脉闭塞的反应。因此,在清醒犬中,来自心肺感受器的迷走传入神经对外周血管张力施加显著的抑制性影响。当颈动脉窦完整时,这种抑制性影响在心肌缺血期间似乎很明显。在缺乏功能性动脉压力反射的情况下,迷走传入神经活动有助于缺血期间观察到的降压反应。

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