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麻醉猫左心室起源的迷走神经和交感神经反射对心脏和肾神经传出活动的影响

Vagal and sympathetic reflexes of left ventricular origin on the efferent activity of cardiac and renal nerves on anaesthetized cats.

作者信息

Vogt A, Thämer V

出版信息

Basic Res Cardiol. 1980 Sep-Oct;75(5):635-45. doi: 10.1007/BF01907693.

DOI:10.1007/BF01907693
PMID:7447897
Abstract

The influence of reflexes of left ventricular origin on the postganglionic sympathetic activity and heart rate was investigated in anaesthetized cats. The experiments were to clarify 1. whether there are regionally different reflex adjustments due to an activation of ventricular receptors, 2. whether an increase of left ventricular diastolic pressure, which is known to activate afferent vagal fibres, causes an inhibition of sympathetic activity, 3. whether a coronary artery occlusion can activate a pressor reflex and a depressor reflex. Left ventricular receptors were stimulated by obstruction of the aortic root, coronary artery occlusion and mechanical stretch of the ventricular wall. In animals with intact CNS, all stimuli led to an inhibition of the activity of the inferior cardiac and renal sympathetic nerves and bradycardia. These reflex effects are initiated by mechanoreceptors and abolished by vagotomy. The inhibition of sympathetic activity was equally pronounced in the cardiac and renal nerves. After coronary artery occlusion and aortic obstruction, inhibition occurred as soon as the ventricular diastolic pressure had risen about 2 mmHg. In spinal animals both stimuli caused a sympathetic activation which was mainly restricted to the cardiac nerve. This activation is not due to mechanical changes, but rather a direct result of myocardial ischaemia. Coronary artery occlusion is able to produce both inhibition and activation of sympathetic fibres, but the activation is normally suppressed and thus seems not to be particularly important for circulatory control.

摘要

在麻醉猫身上研究了左心室起源的反射对节后交感神经活动和心率的影响。实验旨在阐明:1. 心室受体激活是否会导致区域不同的反射调节;2. 已知会激活迷走神经传入纤维的左心室舒张压升高是否会抑制交感神经活动;3. 冠状动脉闭塞是否会激活升压反射和降压反射。通过阻塞主动脉根部、冠状动脉闭塞和心室壁机械拉伸来刺激左心室受体。在中枢神经系统完整的动物中,所有刺激均导致心脏下交感神经和肾交感神经活动受到抑制以及心动过缓。这些反射效应由机械感受器引发,并通过迷走神经切断术消除。交感神经活动的抑制在心脏神经和肾神经中同样明显。冠状动脉闭塞和主动脉阻塞后,心室舒张压一旦升高约2 mmHg就会出现抑制。在脊髓动物中,这两种刺激都会导致交感神经激活,且主要局限于心脏神经。这种激活并非由机械变化引起,而是心肌缺血的直接结果。冠状动脉闭塞能够同时抑制和激活交感神经纤维,但激活通常受到抑制,因此似乎对循环控制并非特别重要。

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