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通过手臂屈肌等长收缩评估人体心脏迷走神经张力的方法。

Isometric contraction of arm flexor muscles as a method of evaluating cardiac vagal tone in man.

作者信息

al-Ani M, Robins K, al-Khalidi A H, Vaile J, Townend J, Coote J H

机构信息

Department of Physiology, University of Birmingham, U.K.

出版信息

Clin Sci (Lond). 1997 Feb;92(2):175-80. doi: 10.1042/cs0920175.

DOI:10.1042/cs0920175
PMID:9059319
Abstract
  1. We have previously shown that brief voluntary isometric contractions of upper arm flexor muscles performed for one respiratory cycle elicit a significant decrease in the R-R interval. The present study was designed to determine if similar changes are produced by non-voluntary electrically evoked contractions and, if so, to establish the consistency and repeatability of the associated changes in the R-R interval. 2. The heart rate (R-R interval) response to voluntary or non-voluntary brief isometric contraction equivalent to 40% of the maximum voluntary contraction was studied in 10 healthy young male subjects during controlled ventilation at supine rest. 3. The absolute values of R-R intervals occurring in any one of 10 arbitrary phases of a respiratory cycle were measured and plotted by a computer. 4. Both voluntary and non-voluntary contractions elicited similar changes in heart rate and R-R interval, which were greater during expiration than during inspiration. 5. This confirms our previous finding that the magnitude of the R-R interval changes, with brief isometric contraction, is positively related to the degree of cardiac vagal tone. 6. Analysis of the variability between repeated tests initiated in either inspiration or expiration revealed that there was significantly less variability with the electrically induced contraction. 7. It was concluded that electrically induced contractions of 40% maximal voluntary contraction are a viable alternative to voluntary contractions and provide a more controllable means of measuring cardiac vagal withdrawal.
摘要
  1. 我们之前已经表明,上臂屈肌进行一个呼吸周期的短暂自愿等长收缩会使R-R间期显著缩短。本研究旨在确定非自愿电诱发收缩是否会产生类似变化,如果是,则确定R-R间期相关变化的一致性和可重复性。2. 在10名健康年轻男性受试者仰卧休息并进行控制通气时,研究了他们对相当于最大自主收缩40%的自愿或非自愿短暂等长收缩的心率(R-R间期)反应。3. 由计算机测量并绘制呼吸周期10个任意阶段中任一阶段出现的R-R间期绝对值。4. 自愿收缩和非自愿收缩均引起心率和R-R间期的类似变化,呼气时的变化大于吸气时。5. 这证实了我们之前的发现,即短暂等长收缩时R-R间期变化的幅度与心脏迷走神经张力程度呈正相关。6. 对在吸气或呼气开始时进行的重复测试之间的变异性分析表明,电诱发收缩的变异性显著更小。7. 得出的结论是,40%最大自主收缩的电诱发收缩是自愿收缩的可行替代方法,并且提供了一种更可控的测量心脏迷走神经撤离的手段。

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