在健康人群中,偶尔发生血管血管反应之前的心脏自主模式
R Furlan1, S Piazza, S Dell'Orto
1Centro Ricerche Cardiovascolari, CNR; Medicina Interna II e Medicina Interna III, Università di Milano, Italy.
Circulation
|October 27, 1998
概括
静态静脉综合症涉及两个不同的心脏自主模式:一个是同情活动的增加,另一个是同情抑制和阴道主导. 了解这些模式有助于治疗策略.
科学领域:
- 心脏病学 心脏病学
- 自主神经系统研究 自主神经系统研究
- 身体生理学 身体生理学
背景情况:
- 静态静脉综合症呈现出各种临床症状,表明心脏自主调节的变化.
- 了解神经控制心率对于诊断昏迷至关重要.
研究的目的:
- 为了研究心脏控制神经节拍的节拍变化,在昏迷之前的心脏周期.
- 为了区分自主调制模式,先前的血管.
主要方法:
- 在22名昏迷患者和22名对照患者的时间变异功率光谱分析中分析了RR间隔的变化.
- 通过低频 (LF) 和高频 (HF) 规范功率 (NU) 评估RR可变性的交感和阴调节.
主要成果:
- 在卧卧的血液动力学或光谱参数中,两组之间没有显著差异.
- 昏迷患者在早期倾斜时显示RR间隔减少.
- 两种不同的模式出现了:13名患者增加了LF/HF (交感主导),而9名患者在昏迷之前减少了LF/HF和增加了HF (阴道主导).
结论:
- 血管之前有两种不同的心脏自主模式:渐进的交感激活或交感抑制,以阴道为主.
- 识别这些独特的病理生理机制可以为昏迷提供有针对性的治疗干预措施.
相关概念视频
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