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跨壁压作为基础固有心率的一个决定因素。

Transmural pressure as a determinant of basic intrinsic heart rate.

作者信息

Pathak C L

出版信息

Experientia. 1976 Oct 15;32(10):1295-7. doi: 10.1007/BF01953102.

DOI:10.1007/BF01953102
PMID:976448
Abstract

It was observed that the heart rate was minimum at zero transmural pressure. The mean heart rate at zero transmural pressure was 23+/-5/min. This mean heart rate increased from 23+/-5/min to a peak value of 40+/-6/min (74% acceleration) when the transmural pressure was raised from 0 to +4 mm Hg and to a similar peak value of 36+/-8/min (56% acceleration) when the transmural pressure was lowered from 0 to -4 mm Hg. The peak values attained at +/-4 mm Hg were highly significant (p less than 0.001). It is concluded that the heart rate at zero transmural pressure represents the basic intrinsic pacemaker frequency independent of neural, humoral, thermal and haemodynamically induced mechanical influences.

摘要

据观察,跨壁压力为零时心率最低。跨壁压力为零时的平均心率为23±5次/分钟。当跨壁压力从0升高至+4 mmHg时,该平均心率从23±5次/分钟增加到峰值40±6次/分钟(加速74%);当跨壁压力从0降低至-4 mmHg时,平均心率增加到类似的峰值36±8次/分钟(加速56%)。在±4 mmHg时达到的峰值具有高度显著性(p<0.001)。结论是,跨壁压力为零时的心率代表了独立于神经、体液、热和血流动力学诱导的机械影响的基本固有起搏频率。

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本文引用的文献

1
Effects of changes in intraluminal pressure on inotropic and chronotropic responses of isolated mammalian hearts.管腔内压力变化对离体哺乳动物心脏变力性和变时性反应的影响。
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Stretch sensitive intrinsic autoregulatory mechanisms for rhythmicity and contractility of the heart.
心脏节律性和收缩性的伸展敏感内在自动调节机制。
Experientia. 1972 Jun 15;28(6):650-1. doi: 10.1007/BF01944956.
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5
Mechanical stretch as a fundamental biological stimulus for the heart beat and intrinsic autoregulation of the pacemaker and myocardium through mechanical stretch.机械牵张作为心跳的一种基本生物刺激,以及通过机械牵张对起搏器和心肌进行内在自动调节。
Indian J Med Sci. 1972 Jan;26(1):18-25.
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Acta Cardiol. 1972;27(5):630-47.
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8
Autoregulation of chronotropic response of the heart through pacemaker stretch.
Cardiology. 1973;58(1):45-64. doi: 10.1159/000169618.