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Influence of Brief Vagal and Stellate Nerve Stimulation on Pacemaker Activity and Conduction within the Atrioventricular Conduction System of the Dog

 

作者: JOSEPH SPEAR,   E. MOORE,  

 

期刊: Circulation Research  (OVID Available online 1973)
卷期: Volume 32, issue 1  

页码: 27-41

 

ISSN:0009-7330

 

年代: 1973

 

出版商: OVID

 

关键词: autonomic innervation;cardiac arrhythmias;His bundle electrograms;atrial arrhythmias;vagal stimulation;junctional arrhythmias;ventricular arrhythmias;AV conduction;cardiac electrophysiology;sympathetic stimulation

 

数据来源: OVID

 

摘要:

Experiments were performed on open-chest anesthetized dogs to determine the quantitative effects of autonomic nerve stimulation on pacemaker activity and conduction. The lead II electrocardiogram together with bipolar electrograms were recorded from the atria, the His bundles, and the ventricles. The vagi or the stellate ganglia were stimulated in dogs which exhibited either sinus rhythm, ectopic atrial rhythm, junctional rhythm, or ectopic ventricular rhythm. The time courses of the change in heart rate in response to vagal or stellate stimulation were characteristic for each type of rhythm. The characteristic responses of different cardiac pacemaker sites to autonomic influence were demonstrated to be important factors in the production of wandering pacemakers and in the emergence of ectopic beats. Sinus pacemaker activity was more sensitive to modification by autonomic stimulation than was atrioventricular (AV) conduction. However, subliminal autonomic effects on AV transmission were brought out during conduction of premature atrial beats, thereby demonstrating a coupling interval dependency of autonomic influences on AV conduction. The present experiments also showed how fluctuations in autonomic activity could result in Mobitz type II second-degree heart block, pseudosupernormal conduction, and the concertina effect observed in the preexcitation syndrome.

 

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