Tarnow J, Gethmann J W, Patschke D, Weymar A, Eberlein H J
Arzneimittelforschung. 1975;25(12):1906-10.
The systemic and coronary hemodynamic effects of 10, 20, 40 and 80 mug/kg glucagon have been studied in 9 anesthetized normoventilated closed-chest dogs. Intravenous administration of this agent produced a dose-related increase in the average coronary blood flow between 19% (10 mug/kg) and 49% (80 mug/kg). Coronary vascular resistance decreased by between 16% (10 mug/kg) and 39% (80 mug/kg). A--V O2 difference 1 min after the administration of glucagon no changes in myocardial oxygen extraction were observed after 5, 10 and 20 min. The calculated myocardial oxygen consumption rose up to 50% after 80 mug/kg glucagon. We conclude that the increase in coronary blood flow and the decrease in coronary resistance are mainly secondary to the metabolic effects of the increased myocardial contractility and heart rate, and that there is only an initial direct vasodilating effect on the coronary vessels.
在9只麻醉状态下、正常通气的闭胸犬身上,研究了10、20、40和80微克/千克胰高血糖素对全身和冠状动脉血流动力学的影响。静脉注射该药物后,平均冠状动脉血流量出现剂量相关增加,增幅在19%(10微克/千克)至49%(80微克/千克)之间。冠状动脉血管阻力下降了16%(10微克/千克)至39%(80微克/千克)。注射胰高血糖素1分钟后动静脉氧差,在5、10和20分钟后未观察到心肌氧摄取有变化。在80微克/千克胰高血糖素作用后,计算得出的心肌氧耗增加高达50%。我们得出结论,冠状动脉血流量增加和冠状动脉阻力降低主要继发于心肌收缩力和心率增加的代谢效应,并且对冠状动脉血管仅存在初始直接血管舒张作用。