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[伊文思蓝对灌注尺寸显示及兔左心室动作电位的影响]

[Effects of Evan Blue on perfused dimension display and rabbit left ventricular action potential].

作者信息

Yao Qing-hai, Cui Chang-cong, Wang Jun-kui, Yao Xiao-wei, Chen Shao-bo

机构信息

Department of Cardiology, The First Hospital of Xi'anjiaotong University, Xi'an 710061, China.

出版信息

Sichuan Da Xue Xue Bao Yi Xue Ban. 2004 Sep;35(5):719-22.

Abstract

OBJECTIVE

Simultaneous recording of transmembrane action potential at endocardium, midcardium and epicardium and transmural ECG in arterially perfused left ventricular preparation is a new method for researching into the mechanism about ventricular arrhythmia, and in this connection, how to distinguish the perfused area plays a key role in keeping preparations under normal condition. This study is aimed to evaluate the effects of Evan Blue on the displaying of the perfused area and on the characters of transmembrane action potential of the arterially perfused left ventricular preparations.

METHODS

Rabbit left ventricular wedge preparations were perfused with Tyrode solution continuously via left circumflex, and the action potential of endocardium, midmyocardium, epicardium or transmural electrocardiogram were recorded simultaneously. The action poatential duration (APD), transmural dispersion of repolarization (TDR) or QT intervals were compared and the color variation of the preparations were studied before and 30 min after perfusion with Evan Blue.

RESULTS

Under the basic stimulatory cycle length of 1000, 2000, 4000 ms, there was no significant difference of APD in the same transmural layer or TDR before and after Evan Blue perfusion (P<0.01), but APD or TDR stimulated at basic cycle length of 1000-4000 ms were all higher than those recorded at 500 ms (P<0.01); APDs of endocardium were much longer than those of epicardium or midmyocardium (P<0.01); there was no significant difference in APD, TDR and QT intervals before and after Evan Blue perfusion (P>0.05). No premature ventricular contractions and ventricular tachycardia happened during the experiments.

CONCLUSION

Evan Blue can be used as a marker to identify the perfused area.

摘要

目的

在动脉灌注的左心室标本中同步记录心内膜、心肌中层和心外膜的跨膜动作电位及跨壁心电图,是研究室性心律失常机制的一种新方法,在此方面,如何区分灌注区域对维持标本正常状态起着关键作用。本研究旨在评估伊文思蓝对动脉灌注左心室标本灌注区域显示及跨膜动作电位特征的影响。

方法

兔左心室楔形标本经左旋支持续灌注泰罗德溶液,同时记录心内膜、心肌中层、心外膜的动作电位或跨壁心电图。比较伊文思蓝灌注前及灌注30分钟后动作电位时程(APD)、复极跨壁离散度(TDR)或QT间期,并观察标本颜色变化。

结果

在基础刺激周期长度为1000、2000、4000毫秒时,伊文思蓝灌注前后同一跨壁层的APD或TDR无显著差异(P<0.01),但基础周期长度为1000 - 4000毫秒时刺激的APD或TDR均高于500毫秒时记录的值(P<0.01);心内膜的APD比心外膜或心肌中层的长得多(P<0.01);伊文思蓝灌注前后APD、TDR和QT间期无显著差异(P>0.05)。实验过程中未发生室性早搏和室性心动过速。

结论

伊文思蓝可作为识别灌注区域的标记物。

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