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左侧迷走神经低强度刺激治疗心房颤动的试验
引用本文:李睿,黄鹤,鲁志兵,余锂镭,李朋,程俊,饶国涛,何荣华. 左侧迷走神经低强度刺激治疗心房颤动的试验[J]. 中国心脏起搏与心电生理杂志, 2011, 25(4): 346-348. DOI: 42-1421/R.20110715.1504.001
作者姓名:李睿  黄鹤  鲁志兵  余锂镭  李朋  程俊  饶国涛  何荣华
作者单位:1. 武汉大学人民医院心内科(湖北武汉 430060);孝感市中心医院心内科(湖北孝感 432100)
2. 武汉大学人民医院心内科(湖北武汉 430060)
3. 孝感市中心医院心内科(湖北孝感 432100)
摘    要:
目的探讨左侧迷走神经低强度刺激(LL-LVS)对心房颤动(简称房颤)的影响。方法 10只犬以戊巴比妥钠麻醉,6只用50%阈值(TH)行LL-LVS。TH的定义:引起窦性心律或者房室传导减慢的最低电压值。4只不给予LL-LVS作为对照。在心房、心耳及肺静脉处放置多极电极导管,在基础起搏条件下,依次在各部位心肌不应期内发放40ms的高频刺激(200 Hz,0.1 ms脉宽)并测定诱发房颤所需最低电压(房颤阈值)。试验3 h,每1 h测定1次。结果给予6只犬3 h的LL-LVS,心房及肺静脉各部位房颤阈值显著增加(P均<0.05),对照组房颤阈值无变化。结论 LL-LVS可明显抑制房颤的诱发性。

关 键 词:电生理学  自主神经  心房颤动  迷走神经刺激

Effect of low-level left vagal stimulation on atrial fibrillation
LI Rui,,HUANG He,LU Zhi-bing,YU Li-lei,LI Peng,CHENG Jun,RAO Guo-tao,HE Rong-hua. Effect of low-level left vagal stimulation on atrial fibrillation[J]. Chinese Journal of Cardiac Pacing and Electrophysiology, 2011, 25(4): 346-348. DOI: 42-1421/R.20110715.1504.001
Authors:LI Rui    HUANG He  LU Zhi-bing  YU Li-lei  LI Peng  CHENG Jun  RAO Guo-tao  HE Rong-hua
Affiliation:LI Rui1,2,HUANG He1,LU Zhi-bing1,YU Li-lei1,LI Peng2,CHENG Jun2,RAO Guo-tao2,HE Rong-hua2.1 Department of Cardiology,Renmin Hospital of Wuhan University,Wuhan 430060,China,2 Department of Cardiology,Xiaogan Central Hospital,Xiaogan 432000
Abstract:
Objective To determine the effects of low level left vagal stimulation(LL-LVS) on atrial fibrillation(AF) inducibility.Methods In 6 pentobarbital anesthetized dogs,LL-LVS(20 Hz,0.1 ms pulse width) was delivered to the left vagal trunk via wire electrodes at voltages 50% below that which slowed the sinus rate or atrio-ventricular conduction.Other 4 dogs without LL-LVS were used as control.Catheters were sutured at multiple atrial and pulmonary vein(PV) sites.LL-LVS applied for 3 hours.At the end of each hour...
Keywords:Electrophysiology  Autonomic nervous system  Atrial fibrillation  Vagal stimulation  
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