Effects of Unilateral Stellate Ganglion Block on the Spectral Characteristics of Heart Rate Variability
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概要
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The effect of unilateral stellate ganglion block on cardiovascular regulation remains controversial, so the present study used power spectral analysis of heart rate veriability to investigate its effect on the autonomic neural control of the heart. In 20 young healthy volunteers (mean age: 25 years), heart rate variability was determined before and after unilateral stellate ganglion block (right side 11, left side 9) using 8ml of 1% mepivacaine during supine rest. Using autoregressive spectrum analysis, power spectra were quantified by measuring the area in 3 frequency bands: high-frequency power (1nHF, parasympathetic influence) from 0.15to 0.40Hz, low-frequency power (1nLF, predominantly sympathetic influence) from 0.04 to 0.15Hz, and total-frequency power (1nTF) less than 0.40Hz.Right stellate ganglion block decreased not only the 1nLF component from 6.55±0.84 to 5.77±0.47 but also the 1nHF component from 4.40±0.95 to 3.42±1.12(p<0.05). In contrast, left stellate ganglion block changed neither the 1nLF nor the 1nHF component. The 1nTF component was also decreased significantly by right stellate ganglion block from 7.80±0.95 to 7.01±0.36 (p<0.05), but was unchanged following left stellate ganglion block. Neither right nor left stellate ganglion block induced any significant change in both the RR and corrected QT intervals. However, changes in the RR interval induced by right stellate ganglion block showed significant positive correlation with changes in 1nHF (p<0.005) and 1nTF (p<0.05). These results suggest that (1)autonomic innervation to the sinus node is mainly through the right-sided stellate ganglion, (2)pharmacological right-sided stellate ganglion block may attenuate not only sympathetic but also parasympathetic activity and (3)following right stellate ganglion block the decrese in both the sympathetic and parasympathetic influence on the sinus node may inconsistently counterbalance and change the RR interval.
- 社団法人日本循環器学会の論文
- 1999-10-20
著者
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Inoue Hiroshi
The Second Department of Internal Medicine, University of Toyama
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Fujiki Akira
The Second Department Of Internal Medicine
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MASUDA AKIRA
Department of Anesthesiology, Toyama Medical and Pharmaceutical University
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Masuda Akira
Department Of Anesthesiology Toyama Medical And Pharmaceutical University
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Inoue Hiroshi
The Second Department Of Internal Medicine University Of Tokyo
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Inoue Hiroshi
The Second Department Of Internal Medicine Toyama Medical Phermaceutical University
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Inoue Hiroshi
The Second Department Of Internal Medicine
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