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A Canine Model of Sustained Atrial Fibrillation Induced by Rapid Atrial Pacing and Phenylephrine

机译:快速起搏和去氧肾上腺素诱发的持续性心房颤动的犬模型

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Atrialfibrillationisacommonarrhythmiawithconsiderablemorbidityandmortality.Limitationsinstudyingboththemechanismsandtherapyofatrialfibrillationariseduetothepaucityofmodelsthatyieldsufficientlyhigh-qualitydata,arenotcostly,andinwhichatrialfibrillationissustainedlongenoughtomakethenecessaryobservations.Thecaninemodelwepresentisbasedonthehypothesisthatatrialfibrillationrequiresheterogeneityofrepolarization,thatdistributionofvagalfibersisheterogeneousintheatria,andthatatrialfibrillationwillpersistafterreflexstimulationofvagalefferentsbyincreasedsystemicarterialpressure.Dogswereanesthetizedwithmorphine#8211;chloralosebecausethiscombinationmaintainsnearlyintactautonomiccontrol.Systemicarterialpressurewaselevatedapproximately75mmHgduringinfusionofphenylephrine(2#59157;g/kg#729;minsupxmlns="http://pub2web.metastore.ingenta.coms/"#8722;1/sup).Therightatriumwaspacedfor20minat40Hz.Atrialfibrillationwassustainedaftercessationofatrialpacingindogsreceivingphenylephrine,butterminatedwithinsecondsinnormotensiveanimals.Inconclusion,atrialfibrillationcanbemaintainedforatleast40minaftercessationofrapidatrialpacingindogswithphenylephrine-inducedhypertension.
机译:Atrialfibrillationisacommonarrhythmiawithconsiderablemorbidityandmortality.Limitationsinstudyingboththemechanismsandtherapyofatrialfibrillationariseduetothepaucityofmodelsthatyieldsufficientlyhigh-qualitydata,arenotcostly,andinwhichatrialfibrillationissustainedlongenoughtomakethenecessaryobservations.Thecaninemodelwepresentisbasedonthehypothesisthatatrialfibrillationrequiresheterogeneityofrepolarization,thatdistributionofvagalfibersisheterogeneousintheatria,andthatatrialfibrillationwillpersistafterreflexstimulationofvagalefferentsbyincreasedsystemicarterialpressure.Dogswereanesthetizedwithmorphine#8211; chloralosebecausethiscombinationmaintainsnearlyintactautonomiccontrol.Systemicarterialpressurewaselevatedapproximately75mmHgduringinfusionofphenylephrine(2#59157;克/公斤#729;分#8722; 1 )。右心房在40Hz处间隔20分钟。心房纤颤在停止接受去氧肾上腺素的狗停止心房起搏后持续进行,结论是,在因苯肾上腺素引起的高血压停止狗的三头起搏后,心房纤颤可保持至少40分钟。

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