Abstract |
After cardiac denervation, a small-amplitude respiratory sinus arrhythmia (RSA) has been described in animals and humans. Its mechanical and chemical determinants were investigated in 19 urethan-anesthetized, vagotomized, and mechanically ventilated rabbits. We measured the influence on RSA of arterial blood gases, beta-adrenergic blockade, and phasic and steady changes in right atrial pressure (RAP) induced by changes in tidal volume (VT, 20, 40, 60 ml), respiratory frequency (RF, 10, 20, 30 cycles/min), and dextran-induced RAP increases. Phasic changes in RAP during each recording were quantified as standard deviation of the first derivative of the RAP signal (dRAP) as a measure of magnitude of variations of the rate of change due to respiration. RSA was assessed by combined autoregressive power spectral analysis of R-R interval and respiration on sequences of 256 heart-beats. Despite vagotomy, RSA was present in all recordings in all animals. During room air breathing, RSA changes were dependent on RF and VT (P < 0.025 and P < 0.001, respectively) and correlated with dRAP (P < 0.001) and arterial PO2 (P < 0.001). beta-Adrenergic blockade did not change the amplitude of this residual RSA or its dependence on ventilatory mechanics. Dextran-induced increase in mean RAP from 2.9 to 11.9 mmHg did not modify RSA or dRAP. During 100% O2 inhalation, RSA changes were no longer significantly linked to RF and VT, and also the correlation of RSA with dRAP was reduced (P < 0.05). Changing the arterial PCO2 from 28 to 79 mmHg (induced by increasing dead space at fixed ventilation) did not modify RSA.(ABSTRACT TRUNCATED AT 250 WORDS)
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Authors | S Perlini, P L Soldá, M Piepoli, G Sala-Gallini, A Calciati, G Finardi, L Bernardi |
Journal | The American journal of physiology
(Am J Physiol)
Vol. 269
Issue 3 Pt 2
Pg. H909-15
(Sep 1995)
ISSN: 0002-9513 [Print] United States |
PMID | 7573534
(Publication Type: Journal Article)
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Chemical References |
- Adrenergic beta-Antagonists
- Carbon Dioxide
- Oxygen
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Topics |
- Adrenergic beta-Antagonists
(pharmacology)
- Anesthesia
- Animals
- Arrhythmia, Sinus
(physiopathology)
- Atrial Function, Right
- Biomechanical Phenomena
- Carbon Dioxide
- Denervation
- Heart Rate
- Oxygen
- Parasympathetic Nervous System
(physiopathology)
- Partial Pressure
- Pressure
- Rabbits
- Respiration
- Respiration, Artificial
- Thoracotomy
- Vagotomy
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