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ID 13831
Eprint ID
13831
フルテキストURL
タイトル(別表記)
Heart rate response during face immersion test to evaluate autonomic nervous function : The responses of normal subjects compared to those of diabetic patients
著者
本間 菜々 岡山大学医学部第一内科学教室
抄録
We examined the heart rate response to face immesion in 17 normal subjects and 9 diabetics. The subjects immersed their face fully in a basin filled with ice water at 4-6℃ in a foward leaning position for 20 sec. Two-lead electrocardiogram (ECG) was continuously recorded from 20 sec before the immersion to 5 min after. The R-R intervals were measured on the recorded ECG. In the control group, heart rate response to face immesion showed 4 pahses : an initial increment after the immersion of the face (phase 1), decrease after the initial increment (phase 2), second increment after phase 2 (phase 3) and second decrease after the second increment (phase 4). Repeated face immersion test with a 10 min interval revealed reproducibility of the test. Parasympathetic blockade with atropine sulphate attenuated the pahse 2 response, suggenting that cardiac parasympathetic nerve tone increases in response to the initial increment in the heart rate due to sympathetic response. In diabetic patients, phase 2 response was reduced in patients with a shorter history of diabetes, while in patients with a longer history, heart rate response was diminishied in all phases. Therefore, heart rate response to face immersion was attenuated relative to the duration of the illness. The present study suggests that the analysis of the heart rate response to face immersion in useful as an autonomic nervous function test.
キーワード
自律神経機能検査
糖尿病性神経障害
心拍変動
備考
原著
発行日
1994-10
出版物タイトル
岡山医学会雑誌
出版物タイトル(別表記)
Journal of Okayama Medical Association
106巻
9-10号
出版者
岡山医学会
出版者(別表記)
Okayama Medical Association
開始ページ
1003
終了ページ
1012
ISSN
0030-1558
NCID
AN00032489
資料タイプ
学術雑誌論文
オフィシャル URL
https://www.jstage.jst.go.jp/article/joma1947/106/9-10/106_9-10_1003/_article/-char/ja/
関連URL
http://www.okayama-u.ac.jp/user/oma/index.html
言語
Japanese
著作権者
岡山医学会
論文のバージョン
publisher
査読
有り
Eprints Journal Name
joma