Autonomic nerve activity and blood pressure in ambulatory dogs

作者：Hellyer Jessica; Akingba A George; Rhee Kyoung Suk; Tan Alex Y; Lane Kathleen A; Shen Changyu; Patel Jheel; Fishbein Michael C; Chen Peng Sheng^*

来源：Heart Rhythm, 2014, 11(2): 307-313.

DOI：10.1016/j.hrthm.2013.11.022

• Ambulatory nerve recording
• Orthostatic hypotension
• Beta-blockade

BACKGROUND The relationship between cardiac autonomic nerve activity and blood pressure (BP) changes in ambulatory dogs is unclear.
OBJECTIVE The purpose of this study was to test the hypotheses that simultaneous termination of stellate ganglion nerve activity (SGNA) and vagal nerve activity (VNA) predisposes to spontaneous orthostatic hypotension and that specific beta(2)-adrenoceptor blockade prevents the hypotensive episodes.
METHODS We used a radiotransmitter to record SGNA, VNA, and BP in eight ambulatory dogs. Video imaging was used to document postural changes.
RESULTS Of these eight dogs, five showed simultaneous sympathovagal discharges in which the minute-by-minute integrated SGNA correlated with integrated VNA in a linear pattern (group 1). In these dogs, abrupt termination of simultaneous SGNA-VNA at the time of postural changes (as documented by video imaging) was followed by abrupt (>20 mm Hg over four beats) drops in BP. Dogs without simultaneous on/off firing (group 2) did not have drastic drops in pressure. ICI-118,551(ICI, a specific beta(2)-blocker) infused at 3 mu g/kg/h for 7 days significantly increased BP from 126 mm Hg (95% confidence interval 118-133) to 133 mm Hg (95% confidence interval 125-141; P = .0001). The duration of hlypotension (mean systolic BP <100 mm Hg) during baseline accounted for 7.1% of the recording. The percentage was reduced by ICI to 1.3% (P. = 01).
CONCLUSION Abrupt simultaneous termination of SGNA-VNA was observed at the time of orthostatic hypotension in ambulatory dogs. Selective beta(2)-adrenoceptor blockade increased BP and reduced the duration of hypotension in this model.

• 出版日期2014-2