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纸质出版:2012
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杨志健,夏阳,赵亮,张家友,姜树军,廖德宁.左上肺静脉脂肪垫对犬心脏电生理特性的影响[J].陆军军医大学学报(原第三军医大学学报),2012,34(05):383-386.
Yang Zhijian,Xia Yang,Zhao Liang,Zhang Jiayou,Jiang Shujun,Liao Dening.Effect of left superior pulmonary vein fat pad on cardiac electrophysiological characteristics in dogs[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(05):383-386.
杨志健,夏阳,赵亮,张家友,姜树军,廖德宁.左上肺静脉脂肪垫对犬心脏电生理特性的影响[J].陆军军医大学学报(原第三军医大学学报),2012,34(05):383-386. DOI:
Yang Zhijian,Xia Yang,Zhao Liang,Zhang Jiayou,Jiang Shujun,Liao Dening.Effect of left superior pulmonary vein fat pad on cardiac electrophysiological characteristics in dogs[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(05):383-386. DOI:
目的 观察射频消融左上肺静脉脂肪垫(left superior pulmonary vein fat pad,LSPV-FP)对心脏电生理特性的影响。 方法 12只健康杂种犬,麻醉插管后持续心电监测;于双侧颈部暴露迷走神经干,左右侧第4肋间开胸暴露LSPV-FP;分别测量基础、刺激迷走神经、消融LSPV-FP、刺激迷走神经+消融LSPV-FP四种状态下的RR间期、窦房结恢复时间(SNRT)、房室结前传文氏点(WCL)、AH间期、HV间期及心房有效不应期(ERP)。 结果 ①射频消融LSPV-FP对基础状态的心脏电生理特性无显著影响(P0.05);②刺激左侧或右侧迷走神经干均可显著延长RR间期、SNRT、WCL、AH间期及缩短心房ERP(P0.05),消融LSPV-FP可以明显削弱左侧迷走神经干刺激所导致的电生理变化(P0.05),但对右侧迷走神经干刺激所导致的电生理变化无显著影响(P0.05)。 结论 射频消融LSPV-FP对基础状态心脏窦房结、房室结电生理特性无显著影响,左侧迷走神经通过LSPV-FP发挥对心脏电生理的调节作用。
Objective To explore the functions of left inferior pulmonary vein fat pad (LSPV-FP) on the cardiac electrophysiological characteristics. Methods Twelve adult healthy mongrel dogs were anesthetized and ventilated
and their both cervical vagosympathetic trunks were exposed for stimulation. The LSPV-FP was exposed via thoracotomies at the 4th intercostal space of left and right chest. The RR interval
SNRT
WCL
AH interval
HV interval
ERP of atrium were measured in the following status
baseline
vagosympathetic trunks stimulation (VTS)
LSPV-FP ablation. and VTS post LSPV-FP ablation. Results No significant electrophysiological change was observed before and after LSPV-FP ablation in the baseline (P0.05). In the status of left vagosympathetic trunks stimulation (LVTS) or right vagosympathetic trunks stimulation (RVTS)
the RR interval
SNRT
WCL
AH interval were lengthened
while the ERP of atrium were shortened. LSPV-FP ablation significantly attenuated all the changes induced by LVTS (P0.05)
but did not attenuate the changes induced by RVTS(P0.05). Conclusion No significant difference in SN and AVN electrophysiology is observed before and after LSPV-FP ablation in baseline. Left vagosympathetic trunk plays a role in cardiac electrophysiology via LSPV-FP.
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