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年龄和自主神经对肺容积与心率之间相互关系的影响。

Age and autonomic effects on interrelationships between lung volume and heart rate.

作者信息

Stanley G, Verotta D, Craft N, Siegel R A, Schwartz J B

机构信息

Department of Pharmacy, University of California, San Francisco 94143, USA.

出版信息

Am J Physiol. 1996 May;270(5 Pt 2):H1833-40. doi: 10.1152/ajpheart.1996.270.5.H1833.

Abstract

To determine effects of aging and autonomic input on interrelationships between respiratory and heart rate variability, we collected 5 min of lung volume of R-R interval data from 7 young [27 +/- 3(SD) yr] and 10 older (69 +/- 6 yr) healthy supine humans before and after double pharmacological autonomic blockade with propranolol (0.2 mg/kg iv) and atropine (0.04 mg/kg iv). Estimates of respiratory and heart rate power spectra and linear transfer functions between the two groups were generated by Fourier analysis. Age, double blockade effects, the age-drug interactions were determined by analysis of variance for repeated measures. Basal R-R intervals were unaffected by age. Double blockade decreased R-R intervals and variability in both age groups (P < 0.0001), but R-R intervals decreased less in older than in young subjects (P < 0.0001). In contrast, basal respiratory intervals and standard deviation were greater in older subjects (P = 0.05) and were unaffected by double blockade in young and older subjects. Lung volume-to-heart rate spectral coherence was highest at frequencies associated with respiration and greater in young than in older subjects (P < 0.07). Double blockade decreased lung volume-to-heart rate variability transfer function magnitude (P < 0.007) and increased phase angle (P < 0.02) without age effects or age-drug interactions. In conclusion, heart rate, respiration, and respiration-heart rate interrelations are altered by aging, and double autonomic pharmacological blockade does not eliminate all age-related differences.

摘要

为了确定衰老和自主神经输入对呼吸与心率变异性之间相互关系的影响,我们在使用普萘洛尔(0.2 mg/kg静脉注射)和阿托品(0.04 mg/kg静脉注射)进行双重药理学自主神经阻滞前后,收集了7名年轻[27±3(标准差)岁]和10名年长(69±6岁)健康仰卧位受试者5分钟的肺容积和R-R间期数据。通过傅里叶分析生成两组之间呼吸和心率功率谱以及线性传递函数的估计值。通过重复测量方差分析确定年龄、双重阻滞效应以及年龄-药物相互作用。基础R-R间期不受年龄影响。双重阻滞使两组的R-R间期和变异性均降低(P<0.0001),但年长受试者的R-R间期降低幅度小于年轻受试者(P<0.0001)。相比之下,年长受试者的基础呼吸间期和标准差更大(P=0.05),并且年轻和年长受试者的双重阻滞对此均无影响。肺容积与心率的频谱相干性在与呼吸相关的频率处最高,且年轻受试者高于年长受试者(P<0.07)。双重阻滞降低了肺容积与心率变异性传递函数的幅度(P<0.007)并增加了相角(P<0.02),且不存在年龄效应或年龄-药物相互作用。总之,衰老会改变心率、呼吸以及呼吸与心率的相互关系,双重自主神经药理学阻滞并不能消除所有与年龄相关的差异。

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