缺氧和高碳酸血症对清醒犬呼吸性窦性心律失常的不同影响。

F. Yasuma, M. Hirai, J. Hayano
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引用次数: 23

摘要

为了验证缺氧和高碳酸血症对呼吸性窦性心律失常(RSA)发生的不同影响,我们比较了3只未麻醉犬在缺氧和高碳酸血症刺激下的RSA强度。通过永久性气管切开术持续监测呼吸,同时监测心电图和血压。通过复解调,以0.15-0.80Hz高频波段R-R区间振荡的瞬时幅值来评估RSA的幅度。在缺氧条件下进行的47次跑步中,心率、平均动脉压、呼吸频率和潮气量均有所升高,但在调整呼吸频率和潮气量的影响后,RSA值仍有所下降。在总共39次高碳酸血症的跑步中,尽管呼吸频率和潮气量增加,心率和平均动脉压没有变化。与缺氧相比,即使在调整呼吸频率和潮气量的影响后,RSA强度也有所增加。在任何通气水平下,两种呼吸刺激对RSA量级的不同影响都得到了注意,并支持了最初的假设。
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Differential effects of hypoxia and hypercapnia on respiratory sinus arrhythmia in conscious dogs.
To test the hypothesis that hypoxia and hypercapnia have different effects on the genesis of respiratory sinus arrhythmia (RSA), the magnitude of RSA to these stimuli was compared in 3 unanesthetized dogs. Respiration was continuously monitored through a permanent tracheostomy, and the electrocardiogram and blood pressure were also monitored. The magnitude of RSA was assessed as an instantaneous amplitude of the R-R interval oscillation in the high-frequency band of 0.15-0.80Hz by means of complex demodulation. In a total of 47 runs with hypoxia, heart rate, mean arterial pressure, respiratory rate and tidal volume increased, but RSA magnitude decreased even after adjusting for the effects of respiratory rate and tidal volume. In a total of 39 runs with hypercapnia, heart rate and mean arterial pressure did not change, despite the increased respiratory rate and tidal volume. In contrast to hypoxia, RSA magnitude increased even after adjusting for the effects of respiratory rate and tidal volume. The different effects of the two respiratory stimuli on RSA magnitude were noted at any level of ventilation and support the original hypothesis.
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