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β刺激的变力性和变传导性效应:一项比较多巴酚丁胺和多巴胺对等张收缩豚鼠乳头肌作用的研究

[The inotropic and bathmotropic effects of beta stimulation: a study comparing dobutamine and dopamine on the guinea-pig papillary muscle in isotonic contraction].

作者信息

Monti F, Dawodu A A, Giglio V, Lanti M, del Monte F, Sugimoto S, Terracciano C M, Schiariti M, Puddu P E, Campa P P

机构信息

II Cattedra di Cardiologia, Istituto di Chirurgia del Cuore e Grossi Vasi, Università degli Studi La Sapienza, Roma.

出版信息

Cardiologia. 1992 Sep;37(9):635-9.

PMID:1292869
Abstract

The study was aimed at comparing the effects of dobutamine (dob) and dopamine (dop) on isotonic contraction and rhythmicity of isolated guinea-pig papillary muscles (in oxygenated Tyrode at 37 degrees C), by taking into account: 1) the rate of stimulation (50% above the diastolic threshold) at 5 fixed periods: (RR: 1600, 1200, 1000, 800 and 400 ms); 2) 7 log concentrations (logC) of the index amine (from 10(-9) to 10(-3) M). To this end, a dose-relation protocol which explored the effects of all 5 RR and 7 logC was designed and 15 adult female Guinea-pigs (250 to 350 g) were randomized to either the dob (n = 8) or the dop (n = 7) arm. This enabled a total of 525 sets of data to be analyzed: in 38 sets (7.2%) premature contractions (CP) were coded. CP were sustained (freq: > 3) in 25 of these latter 38 sets (4.8%). Compared to the basal state, the amplitude (AMP%) and the log of percent amplitude (logAMP%) and time to peak (TP%) changes of the isotonic (Gould transducer) twitch were calculated along with the log of this latter variable (logTP%). AMP%, log AMP%, TP% and logTP% were linearly correlated with logC at all RR. In the range 1600-400 RR, for both amines, significant linear correlations (magnitude of 0.15 > r < magnitude of 0.70, 0.001 > p < 0.022) were seen for plots of AMP%, logAMP% and TP%:steeper correlations were observed for dop. This was confirmed in multivariate analysis (BMDP-9R) whereby AMP%, logAMP%, TP%, logTP%, CP, and freqCP were dependent variables and coded variables were included to either define the type of treatment (dop versus dob) or logC. In these analyses, logC (t > 11) and dop (t > magnitude of 3) might be used to explain (0.28 > r2 < 0.42, 0.00001 > p < 0.0025) AMP% and logAMP%, meaning that a different inotropic (isotonic) efficacy exists between these 2 amines, at all logC. On the other hand, when CP and freqCP were coded, explanatory variables were AMP% and logAMP% (4.86 > t < 6.95, 0.06 > r2 < 0.09, p < 0.00001), but not the variable used to code the type of treatment (dob versus dop).(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

本研究旨在比较多巴酚丁胺(dob)和多巴胺(dop)对离体豚鼠乳头肌(在37℃充氧的台氏液中)等张收缩和节律性的影响,研究时考虑了:1)在5个固定周期(RR:1600、1200、1000、800和400毫秒)的刺激频率(高于舒张阈值50%);2)指标胺的7个对数浓度(logC)(从10⁻⁹到10⁻³M)。为此,设计了一个剂量关系方案,探讨所有5种RR和7种logC的影响,并将15只成年雌性豚鼠(250至350克)随机分为dob组(n = 8)或dop组(n = 7)。这使得总共525组数据得以分析:在38组(7.2%)中记录到过早收缩(CP)。在这38组中的25组(4.8%)中CP持续存在(频率:> 3)。与基础状态相比,计算了等张(古尔德传感器)收缩的幅度(AMP%)、幅度百分比的对数(logAMP%)和达到峰值的时间(TP%)变化以及后一变量的对数(logTP%)。在所有RR下,AMP%、logAMP%、TP%和logTP%与logC呈线性相关。在1600 - 400 RR范围内,对于两种胺,AMP%、logAMP%和TP%的图均显示出显著的线性相关性(0.15 > r < 0.70,0.001 > p < 0.022):dop的相关性更陡峭。这在多变量分析(BMDP - 9R)中得到证实,其中AMP%、logAMP%、TP%、logTP%、CP和freqCP为因变量,编码变量包括用于定义治疗类型(dop与dob)或logC。在这些分析中,logC(t > 11)和dop(t > 3)可用于解释(0.28 > r² < 0.42,0.00001 > p < 0.0025)AMP%和logAMP%,这意味着在所有logC下,这两种胺之间存在不同的变力(等张)效能。另一方面,当对CP和freqCP进行编码时,解释变量为AMP%和logAMP%(4.86 > t < 6.95,0.06 > r² < 0.09,p < 0.00001),但不是用于编码治疗类型的变量(dob与dop)。(摘要截断于400字)

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