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December 1, 1963American Journal of Physiology-Legacy Content39 citations

A functional study of distribution of cardiac sympathetic nerves

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WRWalter C. RandallDPD. V. PriolaRURichard H. Ulmer

Key Points

  • To determine the functional distribution and hemodynamic contributions of the right and left cardiac sympathetic nerves.
  • Dogs with unilateral sympathectomies received electrical stimulation to the remaining intact stellate ganglion 14 to 58 days post-surgery.
  • Intracardiac pressures were simultaneously recorded across all four heart chambers and compared with responses from stimulated, non-sympathectomized controls.
  • Right sympathetic cardiac nerves predominantly supplied atrial and nodal tissues, directly mediating chronotropic responses with variable ventricular distribution.
  • Left sympathetic cardiac nerves primarily innervated the ventricles to generate augmentor pressure responses, with limited and variable supply to the atria.
  • Augmentor responses exhibited substantial individual variation across animals and frequently displayed marked initial delays during electrical stimulation.

Abstract

In dogs with unilaterally sympathectomized hearts, the remaining intact stellate ganglion was electrically stimulated 14–58 days following sympathectomy. Pressures were simultaneously recorded from all four chambers of the heart and the resulting responses compared with those observed in similarly stimulated but nonsympathectomized animals. Augmentor responses were markedly decreased in some animals but relatively unchanged in others, and it is evident that considerable variation exists in the distribution of sympathetic fibers in different animals. A common finding was markedly delayed augmentation in which responses were practically absent during the initial periods of stimulation. Chronotropic responses appeared to be largely dependent upon intact connections via the right sympathetic nerves. It may be concluded that the sympathetic cardiac nerves from the right side go primarily to the atria and nodal tissue, with a variable supply to the ventricles. In some animals the latter supply is very large while in others it is minimal. The left sympathetic cardiac nerves furnish the major supply to the ventricles, with variable but generally lesser distribution to the atria.

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Cite This Study

Randall et al. (1963) studied this question.

synapsesocial.com/papers/6a720cb5e71d69abee097327https://doi.org/10.1152/ajplegacy.1963.205.6.1227
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