Mei J M, Hu D Y, Chen H S, Liu L M, Xiao N, Chen H H, Lu R Q
Research Institute of Surgery, Daping Hospital, Third Military Medical University, Chongqing 400042, China.
Acta Pharmacol Sin. 2000 Sep;21(9):824-9.
To observe the effects of MCI-154, a calcium sensitizer, on cardiac function after endotoxic shock.
The rabbits were intravenously injected with MCI-154 0.1 mg.kg-1 at 10 h after the administration of endotoxin 1.0 mg.kg-1, followed by a continuous infusion of normal saline (NS) 50 mL.kg-1 + MCI-154 0.1 mg.kg-1. During this process, the parameters of cardiac function were measured.
Ten hours after the endotoxin injection, heart rate (HR) increased noticeably while the mean arterial blood pressure (MAP), left ventricular systolic pressure (LVSP), isovolumetric pressure (IP), myocardial contractility (MC), and the area of p-dp/dtmax vector loop (Lo) were all markedly decreased. Treatment with NS 50 mL.kg-1 alone had slight effects on these parameters. LVSP, IP, MC, and Lo were all markedly increased while HR did not obviously change and left ventricular end-diastolic pressure (LVEDP) was reduced markedly following MCI-154 administration in endotoxic shock rabbits. The parameters of MC were improved nearly to the same values as in sham shock group and were markedly higher than in NS treated group.
MCI-154 exerts remarkable therapeutic effects on cardiac dysfunction after endotoxic shock.
观察钙增敏剂MCI - 154对内毒素休克后心脏功能的影响。
给家兔静脉注射1.0mg.kg-1内毒素10小时后,静脉注射MCI - 154 0.1mg.kg-1,随后持续输注生理盐水(NS)50mL.kg-1 + MCI - 154 0.1mg.kg-1。在此过程中,测量心脏功能参数。
注射内毒素10小时后,心率(HR)显著增加,而平均动脉血压(MAP)、左心室收缩压(LVSP)、等容压力(IP)、心肌收缩力(MC)以及p - dp/dtmax向量环面积(Lo)均显著降低。单独用50mL.kg-1 NS治疗对这些参数影响轻微。内毒素休克家兔给予MCI - 154后,LVSP、IP、MC和Lo均显著增加,HR无明显变化,左心室舒张末期压力(LVEDP)显著降低。MC参数改善至与假休克组相近水平,且显著高于NS治疗组。
MCI - 154对内毒素休克后心脏功能障碍具有显著治疗作用。