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[离体兔心中心脏组织的不应期及房室结的滤波特性]

[Refractory periods of cardiac tissues and the filtering properties of the atrioventricular node in the isolated rabbit heart].

作者信息

Zhang L L, Niu W Z, Liu B Y, Jiao X H, Liu P

机构信息

Department of physiology, Zhangjiakou Medical College.

出版信息

Sheng Li Xue Bao. 1995 Apr;47(2):142-8.

PMID:7652589
Abstract

It is generally believed that the atrioventricular node (AVN) possesses filtering properties (FP) capable of preventing excess atrial impulses or earlier atrial premature beat from reaching the ventricle. In the present study, the refractory periods (RP) of cardiac tissues and the FP of the AVN were investigated in isolated rabbit hearts (n = 18). It was found that: (1) The relative RP of AVN was the longest at shorter basic cycle lengths (BCL) (200-300 ms) while the relative RP of His-Purkinje system (HPS) was the longest at longer BCL (600, 700 ms). (2) The effective RP of AVN was shorter than the functional RP of the atrium in most cases (16/18) at any BCL. (3) During rapid atrial pacing at cycle length of 140 ms in 7 cases, AVN maintained 1:1 conduction. (4) The atrioventricular nodal conduction curve was smooth at BCL from 200 to 700 ms. The present results suggest that AVN in the isolated perfused rabbit heart do not have the FP and any dual atrioventricular pathways in a physiological sense.

摘要

一般认为,房室结(AVN)具有过滤特性(FP),能够防止过多的心房冲动或较早的房性早搏到达心室。在本研究中,在离体兔心脏(n = 18)中研究了心脏组织的不应期(RP)和房室结的过滤特性。结果发现:(1)在较短的基础周期长度(BCL)(200 - 300毫秒)时,房室结的相对不应期最长,而希氏 - 浦肯野系统(HPS)的相对不应期在较长的BCL(600、700毫秒)时最长。(2)在任何BCL下,大多数情况(16/18)下房室结的有效不应期短于心房的功能不应期。(3)在7例中,当以140毫秒的周期长度进行快速心房起搏时,房室结维持1:1传导。(4)在200至700毫秒的BCL下,房室结传导曲线是平滑的。目前的结果表明,在离体灌注兔心脏中的房室结在生理意义上不具有过滤特性和任何双房室传导途径。

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