Verrier R L, Lau T R, Wallooppillai U, Quattrochi J, Nearing B D, Moreno R, Hobson J A
Institute for Prevention of Cardiovascular Disease, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Am J Physiol. 1998 Apr;274(4):R1136-41. doi: 10.1152/ajpregu.1998.274.4.R1136.
Rapid eye movement (REM) sleep results in profound state-dependent alterations in heart rate. The present study describes a novel phenomenon of a primary deceleration in heart rate that is not preceded or followed by increases in heart rate or arterial blood pressure and occurs primarily during tonic REM sleep. The goals were to characterize the primary decelerations and to provide insights on the underlying central and peripheral autonomic mechanisms. Cats were chronically implanted with electrodes to record electroencephalogram, pontogeniculooccipital wave activity in lateral geniculate nucleus, hippocampal theta rhythm, electromyogram, electrooculogram, respiration (diaphragm), and electrocardiogram. Arterial blood pressure was monitored from a carotid artery catheter. R-R interval fluctuations were continuously tracked using customized software. The muscarinic blocking agent glycopyrrolate (0.1 mg/kg i.v.) and the beta-adrenergic blocking agent atenolol (0.3 mg/kg i.v.) were administered in alternating sequence with a 90- to 120-min interval. Glycopyrrolate immediately eliminated the decelerations during REM sleep. Atenolol alone had no effect on their frequency. These findings suggest that a change in the centrally induced pattern of autonomic activity to the heart is responsible for the primary decelerations, namely, a bursting of cardiac vagal efferent fiber activity.
快速眼动(REM)睡眠会导致心率出现显著的状态依赖性改变。本研究描述了一种心率原发性减速的新现象,这种减速之前和之后都没有心率或动脉血压的升高,且主要发生在紧张性REM睡眠期间。目的是对原发性减速进行特征描述,并深入了解其潜在的中枢和外周自主神经机制。猫被长期植入电极,以记录脑电图、外侧膝状核的脑桥膝枕波活动、海马θ节律、肌电图、眼电图、呼吸(膈肌)和心电图。通过颈动脉导管监测动脉血压。使用定制软件持续跟踪R-R间期波动。以90至120分钟的间隔交替注射毒蕈碱阻断剂格隆溴铵(0.1mg/kg静脉注射)和β-肾上腺素能阻断剂阿替洛尔(0.3mg/kg静脉注射)。格隆溴铵立即消除了REM睡眠期间的减速。单独使用阿替洛尔对其频率没有影响。这些发现表明,中枢诱导的心脏自主神经活动模式的改变是原发性减速的原因,即心脏迷走神经传出纤维活动的爆发。