Sgoifo A, de Boer S F, Westenbroek C, Maes F W, Beldhuis H, Suzuki T, Koolhaas J M
Center for Behavioral and Cognitive Neurosciences, Department of Animal Physiology, University of Groningen, Haren, The Netherlands.
Am J Physiol. 1997 Oct;273(4):H1754-60. doi: 10.1152/ajpheart.1997.273.4.H1754.
Psychological stressors of different natures can induce different shifts of autonomic control on cardiac electrical activity, with either a sympathetic or a parasympathetic prevalence. Arrhythmia occurrence, R-R interval variability, and plasma catecholamine elevations were measured in male wild-type rats exposed to either a social stressor (defeat) or a nonsocial challenge (restraint). Electrocardiograms were telemetrically recorded, and blood samples were withdrawn through jugular vein catheters from normal, freely moving animals. Defeat produced a much higher incidence of arrhythmias (mostly ventricular premature beats), which were mainly observed in the 60-s time periods after attacks. The social challenge also induced a much stronger reduction of average R-R interval, a lower R-R interval variability (as estimated by the time-domain parameters standard deviation of mean R-R interval duration, coefficient of variance, and root mean square of successive differences in R-R interval duration), and higher elevations of venous plasma catecholamines compared with restraint. These autonomic and/or neuroendocrine data indicate that a social stressor such as defeat is characterized by both a higher sympathetic activation and a lower parasympathetic antagonism compared with a nonsocial restraint challenge, which results in a higher risk for ventricular arrhythmias.
不同性质的心理应激源可导致自主神经对心脏电活动的控制发生不同变化,交感或副交感神经占优势。在暴露于社会应激源(战败)或非社会挑战(束缚)的雄性野生型大鼠中,测量心律失常的发生情况、R-R间期变异性和血浆儿茶酚胺升高情况。通过遥测记录心电图,并从正常自由活动的动物的颈静脉导管中采集血样。战败导致心律失常(主要是室性早搏)的发生率高得多,主要在攻击后的60秒时间段内观察到。与束缚相比,社会挑战还导致平均R-R间期更强的缩短、更低的R-R间期变异性(通过平均R-R间期持续时间的标准差、变异系数和R-R间期持续时间的连续差异的均方根等时域参数估计)以及静脉血浆儿茶酚胺更高的升高。这些自主神经和/或神经内分泌数据表明,与非社会束缚挑战相比,诸如战败这样的社会应激源的特征在于更高的交感神经激活和更低的副交感神经拮抗作用,这导致室性心律失常的风险更高。