人类心室折射率的循环节变化
T Q Kong1, J J Goldberger, M Parker
1Department of Internal Medicine, Northwestern University Medical School, Chicago, Ill., USA.
Circulation
|September 15, 1995
概括
突然心脏病死亡的风险在早上最高. 这项研究发现,对于心律至关重要的心室耐火期显示出每天的变化,在清晨达到顶峰. β-阻断剂使这些周期正常化.
科学领域:
- 心脏病学 心脏病学
- 循环节生物学 日间生物
- 电子生理学 电子生理学
背景情况:
- 突然心脏病死亡的发生率在早上达到顶峰.
- 心肌缺血的每日循环变化是潜在的因素.
- 昼夜变化对心室折射率的作用尚不清楚.
研究的目的:
- 为了调查心室折射率的昼夜变化的存在.
- 为了确定这种变化是否与早晨突然心脏死亡发生率的增加有关.
主要方法:
- 在9名患有导电系统疾病的受试者中,24小时内每小时测量心室有效耐火期.
- 评估了自主神经系统的功能.
- 在beta阻塞期间,在一小部分受试者中重复测量.
主要成果:
- 观察到心室折射率的显著昼夜变化.
- 最短的耐火期发生在醒来后2小时内.
- 贝塔阻塞消除了这种昼夜变化.
- 白天的时间,而不是甲醇胺水平,是耐火期的独立预测因素.
结论:
- 在心室耐火期中存在显著的昼夜变化.
- 最短的耐火期和最大的缩短发生在清晨.
- 贝塔-上腺调的波动在很大程度上推动了这种现象.
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