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通过体内犬模型评估新型超短效β受体阻滞剂ONO-1101与艾司洛尔相比的电生理、心脏血流动力学及β受体阻滞作用。

Electrophysiologic, cardiohemodynamic and beta-blocking actions of a new ultra-short-acting beta-blocker, ONO-1101, assessed by the in vivo canine model in comparison with esmolol.

作者信息

Sugiyama A, Takahara A, Hashimoto K

机构信息

Department of Pharmacology, Yamanashi Medical University, Japan.

出版信息

J Cardiovasc Pharmacol. 1999 Jul;34(1):70-7. doi: 10.1097/00005344-199907000-00012.

Abstract

The purpose of this study was to assess the cardiovascular effects of an ultra-short-acting beta-blocker, ONO-1101, by using halothane-anesthetized beagle dogs in comparison with esmolol. ONO-1101 (n = 6) or esmolol (n = 6) was administered at four infusion rates of 0.3, 3, 30, and 300 microg/ kg/min. Each infusion was performed over a 30-min period, and the parameters were measured at 20-30 min after the start of each infusion. ONO-1101 significantly decreased the heart rate, rate-pressure product, left ventricular contraction, cardiac output, and relative refractory period of the right ventricle, suppressed the AV nodal conduction, and increased the effective refractory period of the right ventricle, whereas no significant change was observed in the preload and afterload of the left ventricle, intrinsic sinus nodal automaticity, His-Purkinje-ventricular conduction, and the monophasic action-potential duration of the right ventricle. The cardiovascular effects of esmolol were comparable to those of ONO-1101, except that the preload of the left ventricle was significantly increased, and the ventricular repolarization phase was shortened by 300 microg/kg/min of esmolol infusion. Meanwhile, ONO-1101 as well as esmolol significantly reduced the isoproterenol-induced increase in heart rate and ventricular contraction, but the inhibitory action of ONO-1101 was 6-8 times greater than that of esmolol. These results suggest that the suppressive effects of ONO-1101 on cardiovascular performance are significantly less potent than those of esmolol at equipotent beta-blocking doses.

摘要

本研究的目的是通过使用氟烷麻醉的比格犬,对比超短效β受体阻滞剂ONO-1101与艾司洛尔对心血管系统的影响。以0.3、3、30和300μg/kg/min这四种输注速率分别给予ONO-1101(n = 6)或艾司洛尔(n = 6)。每次输注持续30分钟,并在每次输注开始后20 - 30分钟测量各项参数。ONO-1101显著降低心率、心率 - 血压乘积、左心室收缩力、心输出量以及右心室的相对不应期,抑制房室结传导,并增加右心室的有效不应期,而左心室的前负荷和后负荷、窦房结固有自律性、希氏 - 浦肯野 - 心室传导以及右心室的单相动作电位持续时间均未观察到显著变化。艾司洛尔对心血管系统的影响与ONO-1101相当,只是在输注300μg/kg/min的艾司洛尔时,左心室前负荷显著增加,心室复极期缩短。同时,ONO-1101和艾司洛尔均能显著降低异丙肾上腺素引起的心率和心室收缩力增加,但ONO-1101的抑制作用比艾司洛尔强6 - 8倍。这些结果表明,在等效的β受体阻滞剂量下,ONO-1101对心血管功能的抑制作用明显弱于艾司洛尔。

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