心房的自主神经节丛及其临床意义_中国医学科学院阜外心血管病医院_姚焰_心血管网（Atrial autonomic ganglia plexus and its clinical significance _ China Academy of Medical Sciences Fuwai Hospital of Cardiovascular Disease _ Yao Yan _ cardiovascular network.doc

心房的自主神经节丛及其临床意义_中国医学科学院阜外心血管病医院_姚焰_心血管网（Atrial autonomic ganglia plexus and its clinical significance _ China Academy of Medical Sciences Fuwai Hospital of Cardiovascular Disease _ Yao Yan _ cardiovascular network I. distribution and physiological function of cardiac autonomic nerve The heart is inherent and from central autonomic common control, which is the intrinsic ganglia autonomic nerve plexus (Ganglion Plexi, GP), mainly in the left atrial surface fat pad and Marshall ligament, right atrial surface near the left atrium have also been distributed [1]. The atriums own autonomic nervous system receives signals from the autonomic nervous system of the central nervous system, but independently regulates the functioning of the heart, including autonomic, contractile, and conduction functions, [2,3]. Self contained within the atrium from ganglionic plexus and afferent neurons from central nervous system efferent cholinergic and adrenergic neurons (around GP in the pulmonary vein ostium muscle and atrial muscle in a large distribution) and a large number of connections between neurons. The latter constructs a network of connections between different GP and GP and atrial and pulmonary venous myocardium. The surface of the left atrial autonomic ganglia plexus (GP) mainly distributed in the top of the left superior pulmonary vein (LSGP), the top right pulmonary vein before (RSGP), along the ligament of Marshall (LLGP), posterior wall of left inferior pulmonary vein extraoral LIGP and right pulmonary veins outside the RIGP. In addition, the GP between the superior vena cava, the aorta, and the right pulmonary vein is thought to be the head station between the autonomic nerve fibers originating from the center and the autonomic nerve fibers which are the autonomic structures of the left atrium (Head Station). The specific site of the left atrium GP can be determined by high frequency stimulation (High-frequency, Stimulation, HFS). Can use 20~50 Hz frequency, front degree