左心室缩的电生理学影响. 和通道阻塞的影响
P R Kowey1, T D Friechling, J Sewter
1Cardiovascular Research Laboratory, Medical College of Pennsylvania, Philadelphia.
Circulation
|June 1, 1991
概括
左心室缩 (LVH) 通过改变电回收,增加了对心室的脆弱性. 阻断通道,但不阻断通道,可以防止这种心律失常.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 左心室缩 (LVH) 可以导致心律失常.
- LVH 的心律失常效应需要详细的电生理学研究.
研究的目的:
- 在一个完整的心脏模型中定义 LVH 的心律失常效应.
- 评估和通道阻塞对LVH引起的心律失常的影响.
主要方法:
- 在LVH的猫主动动脉带模型中进行电生理学评估.
- 测量导电时间,刺激性,折射性和作用电位的持续时间.
- 对心室动 (VF) 脆弱性和值的评估.
主要成果:
- 与对照组相比,LVH猫对VF,自发VF和较低VF值的脆弱性增加.
- LVH导致了有效耐火期和动作潜能持续时间的更大分散.
- 瑞索提利德 (通道阻塞剂) 降低了分散和心室脆弱性;维拉帕米尔 (通道阻塞剂) 没有显著影响.
结论:
- 通过促进折射性和再极化分散,LVH显著增加了对心室纤维化的脆弱性.
- 电压依赖的通道阻塞减轻了LVH诱导的心律失常.
- 缓慢的向内通道阻塞不能防止与LVH相关的心房动.
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