心肌梗死中的循环反射
Circulatory reflexes in myocardial infarction.
作者信息
Kirby B J
出版信息
Br Heart J. 1977 Feb;39(2):168-72. doi: 10.1136/hrt.39.2.168.
Abstract
The Valsalva manoeuvre was used to examine circulatory reflexes in 22 patients with acute myocardial infarction. Four patients had the 'square wave' response of cardiac failure and two responded normally to the manoeuvre. In the remaining 18 patients there was a 20 per cent or more fall in pulse pressure during the manoeuvre, but no ensuing rise in diastolic pressure, implying impairment of vasoconstriction. This impairment cannot be explained by acidosis, hypocapnia, or arterial hypoxaemia but may be explained by reflex inhibition of vasoconstriction. This abnormal response has important implications when transporting patients; furthermore, it could explain the rapid deterioration sometimes seen in patients with arrhythmias.
摘要
采用瓦尔萨尔瓦动作对22例急性心肌梗死患者的循环反射进行检查。4例患者出现心力衰竭的“方波”反应，2例对该动作反应正常。其余18例患者在动作过程中脉压下降20%或更多，但舒张压随后未升高，提示血管收缩功能受损。这种损害不能用酸中毒、低碳酸血症或动脉血氧不足来解释，但可能是由于血管收缩的反射性抑制所致。这种异常反应在运送患者时具有重要意义；此外，它可以解释心律失常患者有时出现的快速病情恶化。
相似文献
1
Circulatory reflexes in myocardial infarction.心肌梗死中的循环反射
Br Heart J. 1977 Feb;39(2):168-72. doi: 10.1136/hrt.39.2.168.
2
Interaction between cardiovascular responses to sustained handgrip and Valsalva manoeuvre.持续握力与瓦尔萨尔瓦动作时心血管反应之间的相互作用。
Br Heart J. 1976 May;38(5):483-90. doi: 10.1136/hrt.38.5.483.
3
Cardiovascular reflexes in patients after myocardial infarction. Effect of long-term treatment with beta-adrenoceptor antagonists.心肌梗死后患者的心血管反射。β-肾上腺素能受体拮抗剂长期治疗的效果。
Br Heart J. 1980 Sep;44(3):265-70. doi: 10.1136/hrt.44.3.265.
4
Valsalva constrictor and heart rate reflexes in subjects with essential hypertension and with normal blood pressure.原发性高血压患者和血压正常者的瓦尔萨尔瓦（Valsalva）收缩反应和心率反射
Clin Exp Pharmacol Physiol. 1979 Jan-Feb;6(1):97-110. doi: 10.1111/j.1440-1681.1979.tb00012.x.
5
Monophasic action potential recordings during acute changes in ventricular loading induced by the Valsalva manoeuvre.在瓦尔萨尔瓦动作引起的心室负荷急性变化期间的单相动作电位记录。
Br Heart J. 1992 Mar;67(3):221-9. doi: 10.1136/hrt.67.3.221.
6
The circulatory effects of the Valsalva manoeuvre during anaesthesia and thoracotomy.麻醉和开胸手术期间瓦尔萨尔瓦动作的循环效应。
Cardiovasc Res. 1969 Jul;3(3):331-7. doi: 10.1093/cvr/3.3.331.
7
Prognosis after myocardial infarction--prediction in ambulatory patients by use of the bedside Valsalva maneuver.心肌梗死后的预后——通过床边瓦尔萨尔瓦动作对门诊患者进行预测。
Angiology. 1985 Feb;36(2):96-104. doi: 10.1177/000331978503600205.
8
Do antidepressants cause postural hypotension by blocking cardiovascular reflexes?抗抑郁药是否通过阻断心血管反射引起体位性低血压？
Eur J Clin Pharmacol. 1987;31(6):647-53. doi: 10.1007/BF00541290.
9
Baroreflex sensitivity and responses to the Valsalva manoeuvre in subjects with diabetes mellitus.糖尿病患者的压力反射敏感性及对瓦尔萨尔瓦动作的反应
J Neurol Neurosurg Psychiatry. 1976 Feb;39(2):178-83. doi: 10.1136/jnnp.39.2.178.
10
[On the problem of radiation of autonomic reflexes of abdominal organs t the circulation. Changes of circulation during filling of the bladder].[关于腹部器官自主反射对循环的影响问题。膀胱充盈时的循环变化]
Schweiz Med Wochenschr. 1967 Mar 11;97(10):309-20.
引用本文的文献
1
Cardiovascular reflexes controlling regional sympathetic outflow during coronary artery occlusion.冠状动脉闭塞期间控制局部交感神经流出的心血管反射。
Basic Res Cardiol. 1982 Sep-Oct;77(5):507-19. doi: 10.1007/BF01907943.
2
Impaired baroreflex control of vascular resistance and heart rate in acute myocardial infarction.急性心肌梗死时压力反射对血管阻力和心率的控制受损。
Br Heart J. 1984 Oct;52(4):418-21. doi: 10.1136/hrt.52.4.418.
3
Cardiovascular reflexes in patients after myocardial infarction. Effect of long-term treatment with beta-adrenoceptor antagonists.心肌梗死后患者的心血管反射。β-肾上腺素能受体拮抗剂长期治疗的效果。
Br Heart J. 1980 Sep;44(3):265-70. doi: 10.1136/hrt.44.3.265.
4
Impaired vagal heart rate control in coronary artery disease.冠状动脉疾病中迷走神经对心率控制的受损。
Br Heart J. 1987 Dec;58(6):592-7. doi: 10.1136/hrt.58.6.592.
本文引用的文献
1
Absent circulatory reflexes in diabetic neuritis.糖尿病性神经炎中循环反射缺失。
Lancet. 1960 Mar 12;1(7124):559-62. doi: 10.1016/s0140-6736(60)92773-2.
2
Effects of Valsalva's manoeuvre on the normal and failing circulation.瓦尔萨尔瓦动作对正常及衰竭循环系统的影响。
Br Med J. 1955 Mar 19;1(4915):693-5. doi: 10.1136/bmj.1.4915.693.
3
HEART RATE RESPONSE TO THE VALSALVA MANEUVER AS A TEST OF CIRCULATORY INTEGRITY.作为循环系统完整性测试的瓦尔萨尔瓦动作的心率反应
JAMA. 1963 Oct 19;186:200-5. doi: 10.1001/jama.1963.03710030040006.
4
Extracardiac factors contributing to hypotension during coronary occlusion.冠状动脉闭塞期间导致低血压的心脏外因素。
Am J Cardiol. 1963 Feb;11:205-17. doi: 10.1016/0002-9149(63)90062-6.
5
The innervation of the human heart. I. The coronary arteries and the myocardium.人类心脏的神经支配。一、冠状动脉与心肌。
Arch Pathol. 1961 Apr;71:384-407.
6
Total and peripheral blood flow in acute myocardial infarction.急性心肌梗死时的总血流量与外周血流量
Br Heart J. 1957 Jan;19(1):117-28. doi: 10.1136/hrt.19.1.117.
7
Immediate hemodynamic effects of acute coronary artery occlusion.急性冠状动脉闭塞的即刻血流动力学效应
Am J Physiol. 1954 Apr;177(1):123-7. doi: 10.1152/ajplegacy.1954.177.1.123.
8
Hemodynamic studies of patients with myocardial infarction.
Circulation. 1954 Mar;9(3):352-62. doi: 10.1161/01.cir.9.3.352.
9
Vasomotor responses to acute coronary occlusion in the dog.犬对急性冠状动脉闭塞的血管舒缩反应。
Am J Physiol. 1953 Feb;172(2):427-36. doi: 10.1152/ajplegacy.1953.172.2.427.
10
Hemodynamic findings in 123 patients with acute myocardial infarction on admission.123例急性心肌梗死患者入院时的血流动力学检查结果。
Circulation. 1970 Oct;42(4):567-77. doi: 10.1161/01.cir.42.4.567.
Zotero 插件