穿皮电神经刺激对冠状动脉血流的影响
A Chauhan1, P A Mullins, S I Thuraisingham
1Regional Cardiac Unit, Papworth Hospital, Papworth Everard, Cambrdige, England, UK.
Circulation
|February 1, 1994
概括
通过皮肤进行的电神经刺激显著增加了心脏病和冠状动脉疾病患者的冠状动脉血流速度. 这表明神经刺激.
科学领域:
- 心脏病学 心脏病学
- 神经科学是一个神经科学.
- 身体生理学 身体生理学
背景情况:
- 神经刺激对胸痛有希望,但其机制仍然不清楚.
- 了解神经刺激对冠状动脉循环的影响对于治疗应用至关重要.
研究的目的:
- 为了研究穿皮电神经刺激 (TENS) 对冠状动脉血流的影响.
- 阐明心血管疾病中神经刺激的作用机制.
主要方法:
- 研究了34名X综合征患者,15名冠状动脉疾病患者和16名心脏移植接受者.
- 在TENS之前和之后使用多普勒超声波测量冠状动脉血流速度 (CBFV).
- 评估冠状动脉直径和上腺素水平的变化.
主要成果:
- 在X综合征和冠状动脉疾病组中,TENS显著增加了静止CBFV (P < .001).
- 在心脏移植接受者中没有观察到CBFV的显著变化.
- 在患有胸痛的患者中,上腺素水平显著下降 (P = .01).
结论:
- 通过皮肤进行的电神经刺激有效地提高了静止冠状动脉血流速度.
- 这种机制可能涉及神经通路介导的微循环效应.
- TENS可能为涉及冠状动脉流量受损的疾病提供治疗方法.
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