低剂量阿托品期间呼吸性窦性心律失常的增加不是由于窦结转移功能或气压反射的改变

A. Porta, N. Montano, M. Pagani, A. Malliani, P. van de Borne, V. Somers
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引用次数: 1

摘要

低剂量的阿托品增加心期和呼吸窦性心律失常,而高剂量的周围副交感神经阻滞变得明显。在一组10名健康年轻人中,通过线性因果开环模型研究了这一现象的机制。该模型使我们能够同时和非侵入性地得出窦结传递函数和压力反射增益的估计。无论是窦结的动态特性和气压反射增益似乎都没有被低剂量的阿托品所改变。这些结果支持这样的结论:呼吸性窦性心律失常的增加既不依赖于窦结水平转导特性的改变,也不依赖于压力反射反应性的增加,而可能有中枢起源。
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The increase of respiratory sinus arrhythmia during low dose atropine is not due to changes of the sinus node transfer function or baroreflex
Low dose of atropine increases heart period and respiratory sinus arrhythmia, while at high doses the peripheral parasympathetic blockade becomes appreciable. The mechanisms underlying this phenomenon are investigated in a set of 10 healthy young humans by means of a linear causal open loop model. This model allows us to contemporaneously and non invasively derive an estimate of the sinus node transfer function and of the baroreflex gain. Neither the dynamic properties of the sinus node nor the baroreflex gain appear to be modified by the low dose administration of atropine. These results support the conclusion that the increase of respiratory sinus arrhythmia does not depend on either a modification of the transduction properties at the sinus node level or an increased responsiveness of the baroreflex but may have a central origin.
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