1971
DOI: 10.1113/jphysiol.1971.sp009627
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Reflex effects on the heart of stimulating left atrial receptors

Abstract: SUMMARY1. Stimulation of left atrial receptors, by distension of the pulmonary vein/left atrial junctions, is known to cause a reflex increase in heart rate; the efferent pathway is known to be solely in the sympathetic nerves.2. In expectation of a concomitant positive inotropic response the effect of stimulating the left atrial receptors on the inotropic state of the left ventricle was studied, using as a known sensitive index of inotropic changes the maximal rate of rise of pressure in the left ventricle (d… Show more

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Cited by 59 publications
(33 citation statements)
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References 28 publications
(44 reference statements)
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“…The opposing result may be due to the presence of confounding physiological mechanisms (e.g., arterial baroreflex) in their study and possibly species differences. Our finding also contrasts with the experimental study of Furnival et al (9), in which the maximal LVP derivative did not change with left atrial balloon distension in anesthetized dogs. Other than the use of different ventricular contractility indices, it is difficult to come up with a reason explaining their result with our finding and the results of Karim et al (10) and especially Kurz et al (12).…”
contrasting
confidence: 57%
See 1 more Smart Citation
“…The opposing result may be due to the presence of confounding physiological mechanisms (e.g., arterial baroreflex) in their study and possibly species differences. Our finding also contrasts with the experimental study of Furnival et al (9), in which the maximal LVP derivative did not change with left atrial balloon distension in anesthetized dogs. Other than the use of different ventricular contractility indices, it is difficult to come up with a reason explaining their result with our finding and the results of Karim et al (10) and especially Kurz et al (12).…”
contrasting
confidence: 57%
“…By contrast, Karim et al (10) demonstrated that cardiac sympathetic nerve activity increases, while renal sympathetic nerve activity decreases, in response to stimulation of the cardiopulmonary baroreflex via left atrial balloon distension in anesthetized dogs. Furnival et al (9) reported that the maximal derivative of left ventricular pressure (LVP) does not significantly change following left atrial balloon distension in anesthetized dogs. By contrast, Kurz et al (12) showed that the maximal LVP derivative (adjusted by LVP to compensate for preload) increased using a similar preparation with some or none of the potential confounding mechanisms (e.g., carotid sinus baroreflex) blocked.…”
mentioning
confidence: 99%
“…Firstly, Furnival, Linden & Snow (1971) showed that the reflex increase in heart rate is unaccompanied by significant reflex inotropic changes in the ventricle, suggesting that only the fibres innervating the sino-atrial node participated in the atrial receptor-heart reflex. Thus the present findings suggest that the efferent fibres participating in the atrial receptor-heart rate reflex are separate from those which effect both reflex responses in heart rate and inotropic state of the ventricle (e.g.…”
Section: Discussionmentioning
confidence: 99%
“…Stimulation of left atrial receptors by distension of balloons at the pulmonary vein-atrial junctions was shown to result in a reflex tachycardia which was abolished by blockade of transmission in the sympathetic nerves to the heart (Ledsome & Linden, 1964a, 1968Furnival, Linden & Snow, 1971). More recently Burkhart & Ledsome (1974) have shown that distension of balloons at the pulmonary vein-atrial junctions also resulted in a tachycardia which persisted after section of the cervical spinal cord.…”
Section: Cardiovascular Unit Department Of Physiology University Ofmentioning
confidence: 99%