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November 1, 1990Circulation ResearchOpen Access

Vagal modulation of the rate-dependent properties of the atrioventricular node.

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Key result

Bilateral cervical vagal nerve stimulation slowed AV nodal recovery, increasing the time constant of recovery from 80 to 194 msec (P<0.01).

Why the study?

Does bilateral cervical vagal nerve stimulation alter AV nodal recovery, facilitation, and fatigue in chloralose-anesthetized dogs?

Population

chloralose-anesthetized dogs

Comparison

bilateral cervical vagal nerve stimulation vs absence of vagal stimulation (control)

Design

Preclinical

Authors

MNMohsen NayebpourTehran University of Medical SciencesMTMario TalajicElectrophysiologyCVC VillemaireMontreal Heart Institute

Discussion

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Implication

Rate-dependent vagal AV nodal slowing may inform AF rate control; leaves open human mechanistic and clinical translation.

Structured PICO

Does bilateral cervical vagal nerve stimulation alter AV nodal recovery, facilitation, and fatigue in chloralose-anesthetized dogs?

P
Population
Chloralose-anesthetized dogs evaluated for AV nodal adaptation to changes in heart rate in the absence and presence of vagal stimulation.
I
Intervention
bilateral cervical vagal nerve stimulation (20 Hz, 0.2 msec)
C
Comparator
absence of vagal stimulation (control)
O
Outcome
AV nodal recovery, facilitation, and fatiguesurrogate

Main Result

Absolute Event Rate: 194% vs 80%

p-value: p=<0.01

Vagal stimulation alters the rate-dependent properties of the AV node, primarily by slowing recovery, which accounts for most of its negative dromotropic action during rapid heart rates.

Cite This Study

Nayebpour et al. (1990) studied this question. Bilateral cervical vagal nerve stimulation vs. Absence of vagal stimulation was evaluated on Time constant of AV nodal recovery (tau r) (p=<0.01). Bilateral cervical vagal nerve stimulation slowed AV nodal recovery, increasing the time constant of recovery from 80 to 194 msec (P<0.01).

synapsesocial.com/papers/6a6c9a11febe604dd7078dd1https://doi.org/10.1161/01.res.67.5.1152
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A quantitative description of normal AV nodal conduction curve in man1976 · 37 citations
  2. 2Effects of Digitalis on the Functional Refractory Period of the AV Node: Studies in Awake Dogs with and without Cardiac Denervation1968 · 22 citations
  3. 3Cessation of Paroxysmal Supraventricular Tachycardias by Parasympathomimetic Interventions1974 · 26 citations
  4. 4Supraventricular Tachycardia: Mechanisms and Management1977 · 182 citations