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普萘洛尔和心得宁对幼犬心血管系统的比较效应

Comparative cardiovascular effects of propranolol and practolol in puppies.

作者信息

Truccone N J, Spotnitz H M, Gersony W M, Wang J S

出版信息

Proc Soc Exp Biol Med. 1976 Feb;151(2):351-5. doi: 10.3181/00379727-151-39208.

Abstract

The present results indicate that in 3-4-weeks-old puppies propranolol induces a significant depression of cardiovascular function expressed by a decrease in heart rate, myocardial contractility, and cardiac output, and an increase in systemic vascular resistance, in doses beyond beta-blocking levels. In contrast, practolol, in the same dose range, did not induce further cardio-circulatory depression, as shown by levels of heart rate, myocardial contractility, and cardiac output similar to the values obtained with beta-blocking doses of this agent. The cardio-depressant activity observed in puppies with doses of propranolol beyond blocking levels is thought to be due to direct negative inotropic and chronotropic effects of this agent, not related to influences on beta receptor sites. Such effect not observed with practolol at doses well beyond beta-blocking levels suggests that this drug exerts a more selective influence on cardiac sympathetic beta receptors.

摘要

目前的结果表明,在3至4周龄的幼犬中,普萘洛尔在超出β受体阻断水平的剂量下,会导致心血管功能显著抑制,表现为心率、心肌收缩力和心输出量降低,以及全身血管阻力增加。相比之下,在相同剂量范围内,心得宁并未引起进一步的心循环抑制,心率、心肌收缩力和心输出量水平与该药物β受体阻断剂量时所获得的值相似。在幼犬中观察到的普萘洛尔超出阻断水平剂量时的心脏抑制活性被认为是由于该药物直接的负性肌力和负性变时作用,而非对β受体部位的影响。在远远超出β受体阻断水平的剂量下,心得宁未观察到这种效应,这表明该药物对心脏交感β受体具有更具选择性的影响。

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