Abstract
During the early minutes to hours of an acute myocardial infarction there are major changes in both parasympathetic and sympathetic outflow to the heart and peripheral circulation. These changes in autonomic outflow may be important in the pathogenesis of ventricular arrhythmias and of the hypotension and bradycardia that occur frequently in this setting.
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References
Webb SW, Adgey AA, Pantridge JF: Autonomic disturbance at onset of acute myocardial infarction. Br Med J 3: 89–92, 1972.
Perez-Gomez F, Matin Deios R, Rey J, Garcia Aguadi A: Prinzmetal’s angina: reflex cardiovascular response during an episode of pain. Br Heart J 42: 81–87, 1979.
Wei JY, Markis JE, Mulagold M, Braunwald E: Cardiovascular reflexes stimulated by reperfusion of ischemic myocardium in acute myocardial infarction. Clin Res 30: 230A, 1982.
Paintal AS: Cardiovascular receptors. In: Neil E (ed) Handbook of sensory physiology. Berlin: Springer-Verlag, 1973, pp 1–45.
Paintal AS: Vagal sensory receptors and their reflex effects. Physiol Rev 53: 159–227.
Toren P: Role of cardiac vagal C-fibers in cardiovascular control. Rev Physiol Biochem Pharmacol 86: 1–94, 1979.
Baker DG, Coleridge HM, Coleridge JCG: Vagal afferent C-fibers from the ventricle. In: Hainsworth R, Kidd C, Linden RJ (eds) Cardiac receptors, Cambridge: Cambridge University Press, 1978, pp 117137.
Kaufman MP, Baker DG, Coleridge HM, Cole-ridge JCG: Stimulation by bradykinin of afferent vagal C-fibers with chemosensitive endings in the heart and aorta of the dog. Circ Res 46: 476–484, 1980.
Lombardi F, Delia Bella P, Casati R, Malliani A: Effects of intracoronary administration of brady-kinin on the impulse activity of afferent sympathetic nonmyelinated fibers with left ventricular endings in the cat. Circ Res 48: 69–75, 1981.
Thames MD, Donald DE, Shepherd JT: Behavior of cardiac receptors with nonmyelinated vagal afferents during spontaneous respiration in cats. Circ Res 41: 694–701, 1977.
Thoren P: Characteristics of left ventricular receptors with nonmedullated vagal afferents in cats. Circ Res 40: 415–421, 1977.
Gupta BN, Thames MD: Behavior of left ventricular mechanoreceptors with myelinated and nonmyelinated afferent vagal fibers in cats. Circ Res 52, 1983.
Malliani A, Recordati G, Schwartz PJ: Nervous activity of afferent cardiac sympathetic fibers with atrial and ventricular endings. J Physiol (Lond) 229: 457–469, 1973.
Hess GL, Zuperku EJ, Coon RL, Kampine JP: Sympathetic afferent nerve activity of left ventricular origin. Am J Physiol 227: 543–546, 1974.
Uchida Y, Murao S: Excitation of afferent cardiac sympathetic nerve fibers during coronary occlu-sion. Am J Physiol 226: 1094–1099, 1974.
Thoren PN: Activation of left ventricular receptors with nonmedullated vagal afferent fibers during occlusion of a coronary artery in the cat. Am J Cardiol 37: 1046–1051.
Bosnjak ZJ, Zuperku EJ, Coon RL, Kampine JP: Acute coronary artery occlusion and cardiac sym-pathetic afferent nerve activity. Proc Soc Exp Biol Med 161: 142–148, 1979.
Felder RB, Thames MD: Responses to activation of cardiac sympathetic afferents with epicardial bradykinin. Am J Physiol 242:Hl48–153, 1982.
Pagani M, Pizzinelli P, Furlan R, Guzzetti S, Rimoldi O, Malliani A: A sympathetic pressor reflex from the heart of conscious dogs. Circulation 66: 11–35, 1982.
Felder RB, Thames MD: Interaction between cardiac receptors and sinoaortic baroreceptors in the control of efferent cardiac sympathetic nerve activity during myocardial ischemia in dogs. Circ Res 45: 728–736, 1979.
Weaver LC, Danos LM, Oehl RS, Meckler RS: Contrasting reflex influences of cardiac afferent nerves during coronary occlusion. Am J Physiol 240: H620–629, 1981.
Felder RB, Thames MD: The cardiocardiac sym-pathetic reflex during coronary occlusion in anesthetized dogs. Circ Res 48: 685–692, 1981.
Malliani A, Lombardi F: Neural reflexes associated with myocardial ischemia. In: Schwartz PJ, Brown AM, Malliani A, Zanchetti A (eds) Neural mechanisms in cardiac arrhythmias. New York: Raven, 1978, pp 209–219.
Thames MD, Klopfenstein HS, Abboud FM, Mark AL, Walker JL: Preferential distribution of inhibitory cardiac receptors with vagal afferents to the inferoposterior wall of the left ventricle activated during coronary occlusion in the dog. Circ Res 43: 512–519, 1978.
Thames MD, Abboud FM: Reflex inhibition of renal sympathetic nerve activity during myocardial ischemia mediated by left ventricular receptors with vagal afferents in dogs. J Clin Invest 63: 395–402, 1979.
White JC, Bland EF: The surgical relief of severe angina pectoris: methods employed and end results in 83 patients. Medicine 27: 1–42, 1948.
Thies R, Foreman RD: Descending inhibition of spinal neurons in the cardiopulmonary region by electrical stimulation of vagal afferent nerves. Brain Res 207: 178–183, 1981.
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© 1985 Martinus Nijhoff Publishing, Boston/Dordrecht/Lancaster
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Thames, M.D. (1985). Autonomic Imbalance During Acute Myocardial Ischemia and Infarction. In: Califf, R.M., Wagner, G.S. (eds) Acute Coronary Care. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-3828-4_12
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DOI: https://doi.org/10.1007/978-1-4613-3828-4_12
Publisher Name: Springer, Boston, MA
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