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Howard Florey Institute of Experimental Physiology and Medicine, University of Melbourne, Parkville, Victoria 3052, Australia
The cardiac
actions of microinjecting sodium glutamate (0.5-2 nmol) among
sympathetic premotor neurons of the subretrofacial nucleus in the
rostral ventrolateral medulla (RVLM) were studied in
chloralose-anesthetized cats after bilateral vagotomy, sinoaortic denervation, adrenalectomy, and
1-receptor blockade. Glutamate microinjections increased heart rate by 25.9 ± 1.8 beats/min
(17.5%), systolic rate of rise in left ventricular pressure
(LVdP/dt)
by 1,443 ± 110 mmHg/s (119%), and arterial blood pressure by 26.9 ± 1.7 mmHg (50%), whereas they shortened the electrocardiogram P-R interval in 85 of 103 cases by 7.5 ± 1.2 ms (11.4%),
triggering junctional rhythms on five occasions. The increase in
LVdP/dt usually led the rise in blood pressure, and its magnitude greatly exceeded any increase attributable to changes in heart rate, diastolic filling, or afterload. Right-sided microinjections caused significantly greater tachycardias than did left-sided microinjections, but only
left-sided microinjections triggered junctional rhythms (5 of 52 vs. 0 of 51; P < 0.05), whereas
microinjections on either side raised
LVdP/dt
equally. Subretrofacial neurons thus drive positive chronotropic,
inotropic, and dromotropic actions via the cardiac sympathetic nerves,
whereas subsets among them preferentially control different aspects of
cardiac function.
blood pressure; brain stem; rostral ventrolateral medulla; autonomic nervous system
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