Mai I, Lampe D, Lange B
Z Gesamte Inn Med. 1976 Sep 15;31(18):759-61.
Trapidil increases the isoprenalin-induced necrosis of the myocardium in the rat. In the paper is referred to the importance of the term of application in relation to the application of the infarcting noxa. Trapidil has a particularly unfavourable effect, if it is given after isoprenalin. The shift of the relation from the oxygen requirement to the oxygen supply by beta-adrenergic stimulation is regarded as an equivalent for the acute ischaemia. The authors see a connection between the phosphodiesterase-inhibiting activity of trapidil and the influence of the size of necrosis after the application of isoprenalin in the rat. These findings have also clinical importance, as the area of indication explicitly includes the application after fresh myocardial infarction and in acute pectanginous attack.
曲匹地尔可增加异丙肾上腺素诱导的大鼠心肌坏死。该论文提到了用药时间对于梗死性致病因素应用的重要性。如果在给予异丙肾上腺素后再给予曲匹地尔,其具有特别不利的影响。β-肾上腺素能刺激导致的氧需求与氧供应关系的改变被视为急性缺血的等效情况。作者认为曲匹地尔的磷酸二酯酶抑制活性与应用异丙肾上腺素后大鼠坏死面积的影响之间存在联系。这些发现也具有临床意义,因为其适应证明确包括新鲜心肌梗死后及急性心绞痛发作后的应用。