رسالة جامعية

Spinal Cord Stimulation Suppresses Bradycardias and Atrial Tachyarrhythmias Induced by Mediastinal Nerve Stimulation in Dogs

التفاصيل البيبلوغرافية
العنوان: Spinal Cord Stimulation Suppresses Bradycardias and Atrial Tachyarrhythmias Induced by Mediastinal Nerve Stimulation in Dogs
المؤلفون: Cardinal, René, Pagé, Pierre, Vermeulen, Michel, Bouchard, Caroline, Ardell, Jeffrey L., Foreman, Robert D., Armour, J. Andrew
المصدر: ETSU Faculty Works.
بيانات النشر: Digital Commons @ East Tennessee State University.
المجموعة: East Tennessee State University
مصطلحات موضوعية: intrinsic cardiac nervous system
الوصف: Spinal cord stimulation (SCS) applied to the dorsal aspect of the cranial thoracic cord imparts cardioprotection under conditions of neuronally dependent cardiac stress. This study investigated whether neuronally induced atrial arrhythmias can be modulated by SCS. In 16 anesthetized dogs with intact stellate ganglia and in five with bilateral stellectomy, trains of five electrical stimuli were delivered during the atrial refractory period to right- or left-sided mediastinal nerves for up to 20 s before and after SCS (20 min). Recordings were obtained from 191 biatrial epicardial sites. Before SCS (11 animals), mediastinal nerve stimulation initiated bradycardia alone (12 nerve sites), bradycardia followed by tachyarrhythmia/fibrillation (50 sites), as well as tachyarrhythmia/fibrillation without a preceding bradycardia (21 sites). After SCS, the number of responsive sites inducing bradycardia was reduced by 25% (62 to 47 sites), and the cycle length prolongation in residual bradycardias was reduced. The number of responsive sites inducing tachyarrhythmia was reduced by 60% (71 to 29 sites). Once elicited, residual tachyarrhythmias arose from similar epicardial foci, displaying similar dynamics (cycle length) as in control states. In the absence of SCS, bradycardias and tachyarrhythmias induced by repeat nerve stimulation were reproducible (five additional animals). After bilateral stellectomy, SCS no longer influenced neuronal induction of bradycardia and atrial tachyarrhythmias. These data indicate that SCS obtunds the induction of atrial arrhythmias resulting from excessive activation of intrinsic cardiac neurons and that such protective effects depend on the integrity of nerves coursing via the subclavian ansae and stellate ganglia.
Original Identifier: oai:dc.etsu.edu:etsu-works-19442
نوع الوثيقة: Text
DOI: 10.1152/ajpregu.00056.2006
الإتاحة: https://dc.etsu.edu/etsu-works/18176Test
رقم الانضمام: edsndl.ETSU.oai.dc.etsu.edu.etsu.works.19442
قاعدة البيانات: Networked Digital Library of Theses & Dissertations