不同质的交感内置影响了正常 perfused 子心脏的局部心肌再极化
1Cardiovascular Research Institute, University of California, San Francisco 94143-0252, USA.
Circulation
|March 7, 2000
概括
异质的交感内置影响心脏再极化. 变质的严重程度增加加剧了再极化异常和分散,特别是在北上腺素 (NE) 刺激时.
科学领域:
- 心血管生理学心血管生理学
- 自主神经系统的自主神经系统
- 心脏电生理学 心脏电生理学
背景情况:
- 交感神经系统的异质性与致命性心律失常有关.
- 内置异质性对心脏复极化的具体影响尚不清楚.
研究的目的:
- 为了研究交感性消神症严重程度和心脏再极化之间的关系.
- 评估不同类型的刺激 (神经与幽默) 如何影响无神经区域的复极化.
主要方法:
- 在子的64个上心部位测量了激活恢复间隔 (ARI).区域性脱皮后.
- 使用自发射图量化了交感内置,并与ARI测量进行了比较.
- 进行了上腺素 (NE) 输注和左星状节刺激 (SS).
主要成果:
- 上腺素 (NE) 在无神经区域显著缩短了ARIs,在更严重无神经区域的影响更大.
- 左星状节刺激 (SS) 也缩短了无神经区域的ARIs,与无神经严重程度相关.
- 在70%的无神经部位中,SS延长了ARIs,而不依赖于无神经部位的严重程度.
结论:
- 局部再极化程度和分散程度受化严重程度的影响.
- 再极化反应根据刺激类型 (神经与幽默) 不同.
- 在NE度的差异可能解释不同的复极化反应.
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