窦房结副交感神经切除术后,控制心房率的自主神经相互作用得以维持。
Autonomic interactions for control of atrial rate are maintained after SA nodal parasympathectomy.
作者信息
McGuirt A S, Schmacht D C, Ardell J L
机构信息
Department of Physiology, University of South Alabama, College of Medicine, Mobile 36688, USA.
出版信息
Am J Physiol. 1997 Jun;272(6 Pt 2):H2525-33. doi: 10.1152/ajpheart.1997.272.6.H2525.
Autonomic control of atrial rate was evaluated in anesthetized dogs by electrical stimulation of stellate ganglia and/or cervical vagi before and after the intrinsic cardiac right atrial ganglionated plexus (RAGP) was injected with the nicotinic blocker hexamethonium or the membrane stabilizing chemical lidocaine, or the RAGP was surgically removed. Injections of lidocaine or hexamethonium into or surgical removal of the RAGP eliminated the bradycardia elicited by vagal stimulation without reducing the tachycardia induced by stellate stimulation. Yet, after surgical ablation of the RAGP, the tachycardia induced by sympathetic stimulation was still reduced by 94% by parasympathetic stimulation. After injections of hexamethonium or lidocaine into the RAGP were administered, the sympathetically induced tachycardia was reduced by 39 and 85%, respectively, by parasympathetic stimulation. After RAGP ablation, when atrial rate was increased by infusion of beta-adrenergic agonists, parasympathetic stimulation reduced atrial rate by 13%. Sinoatrial (SA) nodal parasympathectomy, produced by disrupting the RAGP, eliminates direct vagal control of the SA node while leaving prejunctional parasympathetic projections to sympathetic afferents innervating the SA node intact.
在麻醉犬中,通过在心脏固有右心房神经节丛(RAGP)注射烟碱阻滞剂六甲铵或膜稳定化学物质利多卡因,或手术切除RAGP之前和之后,对星状神经节和/或颈迷走神经进行电刺激,来评估心房率的自主控制。向RAGP注射利多卡因或六甲铵或手术切除RAGP消除了迷走神经刺激引起的心动过缓,而不降低星状神经节刺激诱导的心动过速。然而,在手术切除RAGP后,交感神经刺激诱导的心动过速仍可被副交感神经刺激降低94%。在向RAGP注射六甲铵或利多卡因后,副交感神经刺激分别使交感神经诱导的心动过速降低39%和85%。在RAGP切除后,当通过输注β-肾上腺素能激动剂使心房率增加时,副交感神经刺激使心房率降低13%。通过破坏RAGP产生的窦房结副交感神经切除术消除了迷走神经对窦房结的直接控制,同时使支配窦房结的交感传入神经的节前副交感神经投射保持完整。