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Differential hemodynamic and respiratory responses to right and left cervical vagal nerve stimulation in rats

机译:大鼠左右颈迷走神经刺激的差异血流动力学和呼吸反应

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摘要

Neuromodulation through vagal nerve stimulation (VNS) is currently explored for a variety of clinical conditions. However, there are no established VNS parameters for animal models of human diseases, such as hypertension. Therefore, the aim of this study was to assess hemodynamic and respiratory responses to right‐ or left‐sided cervical VNS in a hypertensive rat model. Anesthetized stroke‐prone spontaneously hypertensive rats were instrumented for arterial blood pressure and heart rate monitoring and left‐ or right‐sided VNS. Cervical VNS was applied through bipolar coil electrodes. Stimulation parameters tested were 3 V and 6 V, 2 Hz to 20 Hz stimulation frequency, and 50 μsec to 20 msec pulse duration. Each combination of stimulation parameters was applied twice with altered polarity, that is, anode and cathode in the cranial and caudal position. Respiration rate was derived from systolic blood pressure fluctuations. In general, cervical VNS caused bradycardia, hypotension, and tachypnea. These responses were more pronounced with left‐sided than with right‐sided VNS and depended on the stimulation voltage, stimulation frequency, and pulse duration, but not on the polarity of stimulation. Furthermore, the results suggest that at low stimulation frequencies (<5 Hz) and short pulse durations (<0.5 msec) primarily larger A‐fibers are activated, while at longer pulse durations (>0.5 msec) smaller B‐fibers are also recruited. In conclusion, in rats left‐sided cervical VNS causes greater cardio‐respiratory responses than right‐sided VNS and at lower stimulation frequencies (e.g., 5 Hz), longer pulse durations (>0.5 msec) seem to be required to consistently recruit B‐fibers in addition to A‐fibers.
机译:目前正在探索通过迷走神经刺激(VNS)进行的神经调节,以适应多种临床情况。但是,尚无用于人类疾病(例如高血压)动物模型的VNS参数。因此,本研究的目的是评估高血压大鼠模型对右侧或左侧颈VNS的血液动力学和呼吸系统反应。麻醉易中风的自发性高血压大鼠可用于监测动脉血压和心率以及左侧或右侧VNS。通过双极线圈电极施加宫颈VNS。测试的刺激参数为3 V和6 V,2 Hz至20 Hz刺激频率,以及50μsec至20 ms的脉冲持续时间。刺激参数的每种组合均以改变极性的方式应用两次,即在颅和尾位置使用阳极和阴极。呼吸频率来自收缩压波动。通常,宫颈VNS会导致心动过缓,低血压和呼吸急促。这些反应在左侧比右侧VNS更为明显,并且取决于刺激电压,刺激频率和脉冲持续时间,但不取决于刺激的极性。此外,结果表明,在低刺激频率(<5 Hz)和短脉冲持续时间(<0.5毫秒)时,主要激活较大的A纤维,而在较长脉冲持续时间(> 0.5毫秒)时,也应募集较小的B纤维。总之,在大鼠中,左侧颈VNS会比右侧VNS引起更大的心脏呼吸反应,并且在较低的刺激频率(例如5 Hz)下,似乎需要更长的脉冲持续时间(> 0.5毫秒)才能持续招募B‐除了A纤维之外。

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