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模拟内源性电场对心脏电损伤效应的心电表现

Endogenous electrical fields simulation causing cardiac electrical injuries in ECG

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目的:探讨低压稳恒直流电场直接作用于正常家兔心脏在心电方面的电损伤效应。方法:家兔开胸后直接在心外膜上,于心尖处室间沟下段安放一对Pt电极,施与(0~6)V/cm稳恒直流电场,监测心电学变化。结果:17只家兔,场强≤3.5V/cm 时无心律失常发生,(4.0~6.0)V/cm时,随场强增加相继表现各种室性心律失常,其中12只动物场强调低到3.0V /cm时室颤逆转至正常心律。3.5V/cm和(4.0~4.5)V/cm两种电场作用后1h正电极处温度升高分别为(1.05±0.81)0C、(1.14±0.23)0C ,二者无统计学差异(P>0.05)。
Objective:To investigate the cardiac electrical injuries caused by the applied weak steady DC EFs in rabbits. Methods:A pair of Pt electrodes were paral el y placed on the cardiac apex epicardium at the two sides of the main branch of the left coronary artery in the rabbit hearts by thoracotomy without endotracheal intubation, fol owed by which a DC EFs range of 0 to 6.0V/cm was applied. The limb-lead ECGs and the epicardial temperature in the anelectrode were monitored. Results:In 17 rabbits EFs of 0 to 3.5 V/cm failed to cause any ventricular arrhythmia, but increasing EFs from 4.0 to 6.0 V/cm led to ventricular arrhythmia, tachycardia or even to fibril ation and the sudden death syndrome.12 of the rabbits recovered from ventricular fibril ation to normal rhythm when EFs were gradual y lowered to 3.0 V/cm. Furthermore, Electrical stimulation for 1h at 3.5 V/cm and 4.0 or 4.5 V/cm only increased the epicardial temperature in the anelectrode by(1.05±0.81)0C、(1.14±0.23)0C respectively, but having no statistical significance(P>0.05). .Conclusion:The weak steady EFs(≤3.5V/cm) failed to cause any ventricular arrhythmia obviously .

direct currentelectrical stimulationelectrical injuriesheart

李隽、刘兴会、扬帆、张扬、杨永曜、蒋清安

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贵州省人民医院心内科 贵州 贵阳 550002

直流电 电刺激 电损伤 心脏

黔省专合字2008101号黔科合J字[2008]2300号

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(9)
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