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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1 Pt 2
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pubmed:dateCreated |
1991-8-23
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pubmed:abstractText |
The role of vagal tone and reflexes in the genesis of life-threatening arrhythmias was investigated in a clinically relevant animal model for sudden cardiac death. Forty-five dogs with a healed anterior myocardial infarction in which transient myocardial ischemia during exercise did not induce malignant arrhythmias were utilized for the study. They underwent a further exercise and ischemia test in which atropine (75 micrograms/kg) was injected before coronary artery occlusion. Novel occurrence of ventricular arrhythmia, or worsening of the type of arrhythmia present in the control test, occurred in 23 of 45 dogs (51%) and ventricular fibrillation occurred in 11 of 45 (24%, P = 0.001). Analysis of heart rate response to acute ischemia in the control test indicates that these 11 animals had powerful vagal reflexes during coronary artery occlusion, compared with the 34 survivors (-32 +/- 35 vs. +2 +/- 27 beats/min, P = 0.003). This study indicates that approximately 75% of animals resistant to ventricular fibrillation are characterized by weak sympathetic reflexes in response to acute myocardial ischemia. In the remaining 25% powerful vagal reflexes counteract concomitant reflex sympathetic hyperactivity, decrease heart rate, and are essential for survival.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0002-9513
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
261
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
H63-9
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:1858931-Acute Disease,
pubmed-meshheading:1858931-Animals,
pubmed-meshheading:1858931-Arrhythmias, Cardiac,
pubmed-meshheading:1858931-Atropine,
pubmed-meshheading:1858931-Cardiac Pacing, Artificial,
pubmed-meshheading:1858931-Coronary Disease,
pubmed-meshheading:1858931-Dogs,
pubmed-meshheading:1858931-Heart Rate,
pubmed-meshheading:1858931-Myocardial Infarction,
pubmed-meshheading:1858931-Reflex,
pubmed-meshheading:1858931-Vagus Nerve,
pubmed-meshheading:1858931-Ventricular Fibrillation
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pubmed:year |
1991
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pubmed:articleTitle |
Vagal reflexes and survival during acute myocardial ischemia in conscious dogs with healed myocardial infarction.
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pubmed:affiliation |
Department of Physiology and Biophysics, University of Oklahoma, Oklahoma City 73190.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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