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The dorsal mediastinal cardiac nerves were stimulated in 20 patients undergoing coronary artery bypass surgery. In no instance was an untoward effect produced in any of the patients. Stimulation of a cardiac nerve increased heart rate in eight patients and slowed heart rate in eight patients. In 12 patients stimulation of a cardiac nerve increased mean aortic pressure while in 8 patients it was decreased, even though the patients were supported by a total body perfusion pump. In 11 patients stimulation of a cardiac nerve resulted in a decrease in the coronary artery bypass graft flow, even though aortic pressure was unchanged or increased. These preliminary results suggest that individual cardiac nerves in the dorsal mediastinum of man may be capable of modifying heart rate, total peripheral vascular resistance, or coronary artery resistance. Furthermore, they demonstrate that stimulation of human dorsal mediastinal cardiac nerves can be done without untoward effects and that such stimulations may be a means to investigate the complexity of neural regulation of the human heart.  相似文献   

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The distribution of structural and secretory glycoconjugates in the gastric region of metamorphosing Xenopus laevis was studied by the avidin-biotin-peroxidase (ABC) histochemical staining method using seven lectins (concanavalin A, Con A; Dolichos biflorus agglutinin, DBA; peanut agglutinin, PNA; Ricinus communis agglutinin I, RCA-I; soybean agglutinin, SBA; Ulex europeus agglutinin I, UEA-I; and wheat germ agglutinin, WGA). Throughout the larval period to stage 60, the epithelium consisting of surface cells and gland cells was stained in various patterns with all lectins examined, whereas the thin layer of connective tissue was positive only for RCA-I. At the beginning of metamorphic climax, the connective tissue became stained with Con A, SBA, and WGA, and its staining pattern varied with different lectins. The region just beneath the surface cells was strongly stained only with RCA-I. With the progression of development, both the epithelium and the connective tissue gradually changed their staining patterns. The surface cells, the gland cells, and the connective tissue conspicuously changed their staining patterns, respectively, for Con A and WGA; for Con A, PNA, RCA-I, SBA, and WGA; and for Con A, RCA-I, and WGA. At the completion of metamorphosis (stage 66), mucous neck cells became clearly identifiable in the epithelium, and their cytoplasm was strongly stained with DBA, PNA, RCA-I, and SBA. These results indicate that lectin histochemistry can provide good criteria for distinguishing among three epithelial cell types, namely, surface cells, gland cells, and mucous neck cells, and between adult and larval cells of each type.  相似文献   

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