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常氧和低氧硬骨鱼心肌功能的心电图特征

Electrocardiographic characterization of myocardial function in normoxic and hypoxic teleosts.

作者信息

Rantin F T, Kalinin A L, Guerra C D, Maricondi-Massari M, Verzola R M

机构信息

Departamento de Ciências Fisiológicas, Universidade Federal de São Carlos, Brasil.

出版信息

Braz J Med Biol Res. 1995 Nov-Dec;28(11-12):1277-89.

PMID:8728858
Abstract

Electrocardiography was applied to analyze cardiac function of four teleost species (Piaractus mesopotamicus, Hoplias malabaricus, Hoplias lacerdae and Cyprinus carpio) during normoxia and graded hypoxia. In these species, hypoxic bradycardia consistently occurred during severe hypoxia (below the critical oxygen tension--PCO2) and was accompanied by alterations in the ECG recordings. Three basic ECG alterations were demonstrable: 1) increase in the T wave area and amplitude, being more positive and with symmetrical morphology during severe hypoxia (P. mesopotamicus); 2) negative T wave in normoxia, changing to isodiphasic (just above the PCO2) and positive (below the PCO2; H. malabaricus and H. lacerdae); 3) positive T wave in normoxia, changing to negative in severe hypoxia (5 mmHg; Cyprinus carpio). These findings indicate changes in the direction of ventricular repolarization during exposure to severe hypoxia, and the analysis of the ECGs in relation to the derivation line permitted the estimation of these drifts to be 17 degrees in P. mesopotamicus, 46 degrees in H. malabaricus, 43 degrees in H. lacerdae, and 32 degrees in C. carpio. The changes in the direction of ventricular repolarization were attributed to myocardial impairment due to insufficient oxygen supply, and support the idea of a relationship between cardiac dysfunction and the bradycardia developed during severe hypoxia.

摘要

应用心电图技术分析了四种硬骨鱼(南美脂鲤、马拉巴锯脂鲤、拉氏锯脂鲤和鲤鱼)在常氧和分级低氧条件下的心脏功能。在这些物种中,严重低氧(低于临界氧张力——PCO2)时持续出现低氧性心动过缓,并伴有心电图记录的改变。可证实三种基本的心电图改变:1)T波面积和振幅增加,在严重低氧时(南美脂鲤)T波更正且形态对称;2)常氧时T波为负,在略高于PCO2时变为等电位(马拉巴锯脂鲤和拉氏锯脂鲤),在低于PCO2时变为正;3)常氧时T波为正,在严重低氧(5 mmHg)时变为负(鲤鱼)。这些发现表明在暴露于严重低氧期间心室复极方向发生了变化,并且通过与导联线相关的心电图分析,估计南美脂鲤的这些偏移为17度,马拉巴锯脂鲤为46度,拉氏锯脂鲤为43度,鲤鱼为32度。心室复极方向的变化归因于氧气供应不足导致的心肌损伤,并支持了心脏功能障碍与严重低氧期间出现的心动过缓之间存在关联的观点。

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