Gende O A, Camilión de Hurtado M C, Cingolani E H
Arch Int Physiol Biochim. 1978 Dec;86(5):997-1009. doi: 10.3109/13813457809055959.
The effect of acid-base alterations on spontaneous rate was analysed using isolated atria exposed to cumulative degrees of acidosis produced either by adding HCl or by increasing PCO2 in the incubation medium. Frequncy vs. pH curves were made to assess chronotropic response to acid-base changes. Heart rate was increased in alkalosis and decreased when the pH of the medium was lowered. Both "respiratory" and "metabolic" alterations affected the contraction rate to the same extent. Decreasing pH from normal values seemed to decrease heart rate more than the enhancement produced by the same change in pH towards the alkalotic side. When frequency was plotted as a function of hydrogen ion activity (aH+) a more linear relationship was obtained, either with pure "metabolic" or with "respiratory" acid-base alterations. Increasing (aH+) from normal values seemed to decrease heart rate to the same extent (respiratory alterations) or even less (metabolic alterations) than the enhancement produced by the same change in (aH+) towards the alkalotic side. Neither the increase in rate produced by alkalosis nor the decrease induced by acidosis were prevented by blocking the neurotransmitters by atropine or propranolol.
利用暴露于酸中毒累积程度下的离体心房来分析酸碱改变对自发频率的影响,酸中毒是通过在孵育介质中添加盐酸或提高二氧化碳分压产生的。绘制频率与pH值曲线以评估对酸碱变化的变时反应。碱中毒时心率增加,而介质pH值降低时心率降低。“呼吸性”和“代谢性”改变对收缩频率的影响程度相同。从正常pH值降低pH值似乎比向碱中毒方向发生相同pH值变化时引起的心率增加更能降低心率。当将频率绘制为氢离子活性(aH+)的函数时,无论是纯“代谢性”还是“呼吸性”酸碱改变,都能得到更线性的关系。从正常aH+值增加aH+,似乎使心率降低的程度与向碱中毒方向发生相同aH+变化时引起的心率增加程度相同(呼吸性改变),甚至更小(代谢性改变)。碱中毒引起的心率增加和酸中毒引起的心率降低都不会因用阿托品或普萘洛尔阻断神经递质而受到阻止。