Xu Y F, Li Y S, Fu S X
Department of Pharmacology, Hebei Medical College, Shijiazhuang, China.
Zhongguo Yao Li Xue Bao. 1990 Nov;11(6):510-3.
Ligation of left anterior descending coronary artery caused various arrhythmias and reduced histamine content in ischemic myocardium in anesthetized cats. Intracoronary injection of compound 48-80 100 micrograms shortened the onset of VT and VF from 13 +/- 5, 18 +/- 5 min (n = 7) in control to 7.2 +/- 1.1 (P less than 0.01), 11 +/- 5 min (P less than 0.05) (n = 6) respectively, elevated the histamine concentration of plasma after acute coronary artery occlusion (15 +/- 3, 26 +/- 10 ng/ml, P less than 0.05, before and after ligation respectively). Iv chlorpheniramine (5, 10 mg/kg) or cimetidine (20, 40 mg/kg) dose-dependently reduced arrhythmia score, incidence of VF and mortality after myocardial ischemia, but with little influence on histamine content in ischemic myocardium and plasma. These results suggest that release of histamine from the ischemic myocardium is involved in the generation of early arrhythmias through H1 and H2 receptors in anesthetized cats subjected to acute coronary artery occlusion.
结扎麻醉猫的左冠状动脉前降支可导致多种心律失常,并降低缺血心肌中的组胺含量。冠状动脉内注射100微克化合物48 - 80可使室性心动过速(VT)和室颤(VF)的发作时间从对照组的13±5、18±5分钟(n = 7)分别缩短至7.2±1.1分钟(P < 0.01)、11±5分钟(P < 0.05)(n = 6),急性冠状动脉闭塞后血浆组胺浓度升高(分别为15±3、26±10纳克/毫升,结扎前后P < 0.05)。静脉注射氯苯那敏(5、10毫克/千克)或西咪替丁(20、40毫克/千克)可剂量依赖性地降低心肌缺血后的心律失常评分、室颤发生率和死亡率,但对缺血心肌和血浆中的组胺含量影响很小。这些结果表明,在急性冠状动脉闭塞的麻醉猫中,缺血心肌释放组胺通过H1和H2受体参与早期心律失常的发生。