Noda Yoshiaki, Hashimoto Keitaro
Department of Pharmacology, Interdisciplinary Graduate School of Medicine and Engineering, Univercity of Yamanashi, Yamanashi, Japan.
J Pharmacol Sci. 2004 Jun;95(2):234-9. doi: 10.1254/jphs.fp0030423.
In vivo antiarrhythmic effects of diltiazem hydrochloride and nifekalant hydrochloride, a pure class III antiarrhythmic drug (Vaughan Williams' classification), on adrenaline induced ventricular arrhythmias were examined in halothane anesthetized guinea pigs. Continuous adrenaline infusion (12.5 microg/kg per min) induced ventricular arrhythmias. Arrhythmogenicity was significantly increased with vagotomy and higher concentration of halothane. After injection of diltiazem at 0.5 mg/kg, the arrhythmic ratio (the number of ventricular ectopic beats divided by the total heart beats) was significantly reduced compared with the predrug control value (0.69 vs 0.04, P<0.05). No significant change of arrhythmic ratio was observed after injection of nifekalant (0.57 vs 0.61, ns). After administration of nifekalant, the mean minimum adrenaline infusion rate that induced ventricular arrhythmia decreased from 9.29 to 6.43 microg/kg per min. On the other hand, before administration of diltiazem, the mean arrhythmogenic rate of adrenaline was 8.50 microg/kg per min, but ventricular arrhythmias were no longer induced during continuous infusion of diltiazem at 0.5 mg/kg per min. These results were qualitatively consistent with previous experiments using the canine halothane-adrenaline model. In conclusion, the halothane-adrenaline arrhythmia model using the in vivo guinea pig is useful for screening drugs with potential anti- or pro-arrhythmic properties.
在氟烷麻醉的豚鼠中,研究了盐酸地尔硫䓬和纯Ⅲ类抗心律失常药物(根据 Vaughan Williams 分类)盐酸尼非卡兰对肾上腺素诱发的室性心律失常的体内抗心律失常作用。持续输注肾上腺素(12.5微克/千克每分钟)可诱发室性心律失常。迷走神经切断术和更高浓度的氟烷会使致心律失常性显著增加。注射0.5毫克/千克的地尔硫䓬后,心律失常比率(室性早搏次数除以总心跳次数)与给药前对照值相比显著降低(0.69对0.04,P<0.05)。注射尼非卡兰后心律失常比率无显著变化(0.57对0.61,无显著性差异)。给予尼非卡兰后,诱发室性心律失常的平均最小肾上腺素输注速率从9.29微克/千克每分钟降至6.43微克/千克每分钟。另一方面,在注射地尔硫䓬前,肾上腺素的平均致心律失常速率为8.50微克/千克每分钟,但在以0.5毫克/千克每分钟持续输注地尔硫䓬期间不再诱发室性心律失常。这些结果在定性上与先前使用犬氟烷 - 肾上腺素模型的实验一致。总之,使用豚鼠体内的氟烷 - 肾上腺素心律失常模型可用于筛选具有潜在抗心律失常或促心律失常特性的药物。