马歇尔带和上腺动心脏节律失常症之间的关系
1Division of Cardiology, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Circulation
|August 24, 1999
概括
马歇尔带 (LOM) 作为上腺动心脏节律失常症的来源. 切除LOM会停止这种活动,并防止心房动 (AF),这表明它在AF发展中的作用.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 心脏解剖学 心脏解剖学
背景情况:
- 上腺性心房动脉节律失常症的起源仍然不太清楚.
- 马歇尔带 (LOM) 假设对上腺刺激敏感,是这些心律失常的潜在来源.
研究的目的:
- 调查马歇尔带 (LOM) 作为上腺动心脏节律失常的来源的作用.
- 确定慢性刺激后LOM是否参与心房动 (AF) 的发展.
主要方法:
- 计算机绘制的隔离-透的狗左心房组织.
- 通过快速节奏诱导慢性心房动 (AF).
- 对神经存在的LOM进行免疫细胞化学分析.
主要成果:
- 自发的自动节奏,对异二醇敏感,起源于正常和AF狗心房的LOM.
- 在AF组织中,LOM活动过渡到多波波段AF.
- 切除LOM取消了自发活动,并防止了AF.
- LOM显示了肌肉通道和交感神经 (铁氨酸氧酶阳性) 的内化.
结论:
- 这种LOM被交感神经密集地内化,并作为对异二醇敏感的焦点自动活动的来源.
- 在长期快速节奏后,异二醇敏感性在LOM上调,可能有助于AF发展.
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