Wednesday, June 29, 2011

18 張先生因為心悸被送到急診室,心電圖檢查發現有上心室心搏過速(supraventricular tachycardia),
在旁之醫師馬上做頸動脈竇按摩以減輕其症狀,其主要作用機轉為何?
 抑制Brainbridge 反射 活化減壓反射(baroreflex)
 活化化學反射(chemoreflex)  抑制迷走中樞(vagal center)

ans baroreflex

The carotid sinus contains numerous baroreceptors, which function as a "sampling area" for many homeostatic mechanisms for maintaining blood pressure.


can not be inhibit the vagal center: if you inhibit it, result in tachycardia

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