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Am J Physiol Heart Circ Physiol 280: H1602-H1607, 2001;
0363-6135/01 $5.00
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Vol. 280, Issue 4, H1602-H1607, April 2001

Dynamic sympathetic control of atrioventricular conduction time and heart period

Toru Kawada, Shi-Liang Chen, Masashi Inagaki, Toshiaki Shishido, Takayuki Sato, Teiji Tatewaki, Masaru Sugimachi, and Kenji Sunagawa

Department of Cardiovascular Dynamics, National Cardiovascular Center Research Institute, Suita, Osaka 565-8565, Japan

Although power spectra of R-R and P-R intervals in response to random respiration show similar frequency distributions, the way in which dynamic sympathetic regulation contributes to such similarity remains unknown. We estimated the transfer function from sympathetic stimulation to the atrioventricular interval (AV conduction time; TAV) with and without constant atrial pacing in seven anesthetized cats. The transfer function from sympathetic stimulation to TAV, except for absolute gain values, approximated a low-pass filter similar to that from sympathetic stimulation to the A-A interval (heart period; TAA). The 90%-rise times did not differ between the TAA and TAV step responses (32.3 ± 1.8 vs. 29.6 ± 3.2 s). Constant pacing augmented the TAV step response (-0.58 ± 0.10 vs. -0.86 ± 0.12 ms/Hz, P < 0.05) without affecting the 90%-rise time. These findings suggest that the dynamic characteristics of sympathetic control are similar between TAA and TAV despite the different electrophysiological mechanisms determining TAA and TAV. A numerical simulation indicated that if the dynamic characteristics of the sympathetic control do not match between TAA and TAV, a critical condition for initiation of reentrant tachycardia would be encountered.

systems analysis; Gaussian white noise; sympathetic stimulation; transfer function; atrioventricular node


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Am. J. Physiol. Heart Circ. Physiol.Home page
D. J. Christini, K. M. Stein, S. M. Markowitz, S. Mittal, D. J. Slotwiner, S. Iwai, and B. B. Lerman
Complex AV nodal dynamics during ventricular-triggered atrial pacing in humans
Am J Physiol Heart Circ Physiol, August 1, 2001; 281(2): H865 - H872.
[Abstract] [Full Text] [PDF]




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