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静脉推注催产素后,雄性和雌性清醒家兔出现QT间期延长和心率降低。

QT interval prolongation and decreased heart rates after intravenous bolus oxytocin injection in male and female conscious rabbits.

作者信息

Uzun M, Yapar K, Uzlu E, Citil M, Erdogan H M

机构信息

Department of Physiology, Faculty of Veterinary Medicine, University of Kafkas, Kars, Turkey.

出版信息

Gen Physiol Biophys. 2007 Sep;26(3):168-72.

Abstract

The aim of this study was to evaluate changes in heart rate (HR), QT and RR intervals and corrected QT (QTc) values in conscious male and female New Zealand rabbits which intravenously received oxytocin (OXT) at different dosages. Animals were divided into 6 equal groups: group I (n = 6 male, received 0.75 U OXT per animal); group II (n = 6 male, received 1.5 U OXT per animal); group III (n = 6 male, received 3 U OXT per animal); group IV (n = 6 female, received 0.75 U OXT per animal); group V (n = 6 female, received 1.5 U OXT per animal); group VI (n = 6 female, received 3 U OXT per animal). ECG recording were taken from all animals before injection and then at 2, 4, 6, 8, 10, 15 and 20 min of OXT administration. QT and RR intervals obtained at 2 min of OXT administration were significantly prolonged in all groups (p < 0.05) with one exception that is the 1.5 U OXT injected female group where only QT interval did not change. The prolongation of QT and RR intervals persisted for 20 min in 1.5 U OXT injected male group while only QT interval prolongation was obvious for 20 min in 3 U OXT injected female group as for the other groups the prolonged interval were observed for 8-10 min and then returned to baseline values. Generally, a significant prolongation of QTc was noticed in both male and female rabbits at the 2 and 4 min in all groups and bradycardia was noticed at 2 min of OXT administration in all groups. Heart beats returned to normal values in all groups after 8 min of OXT administration. The change of HR, RR, QT and QTc was gender- but not dose-dependent (p < 0.001). The male rabbits were more sensitive to OXT effect then female rabbits. In conclusion, OXT used in therapeutic dosages decreased heart rate and prolonged QT and QTc intervals. Although cardiovascular effect of OXT are of short duration, its use in patient with risk factors for malignant arrhythmias requires more attention.

摘要

本研究旨在评估不同剂量静脉注射催产素(OXT)的雄性和雌性新西兰清醒兔的心率(HR)、QT和RR间期以及校正QT(QTc)值的变化。动物被分为6个相等的组:第一组(n = 6只雄性,每只动物接受0.75 U OXT);第二组(n = 6只雄性,每只动物接受1.5 U OXT);第三组(n = 6只雄性,每只动物接受3 U OXT);第四组(n = 6只雌性,每只动物接受0.75 U OXT);第五组(n = 6只雌性,每只动物接受1.5 U OXT);第六组(n = 6只雌性,每只动物接受3 U OXT)。在注射前以及OXT给药后2、4、6、8、10、15和20分钟对所有动物进行心电图记录。除了注射1.5 U OXT的雌性组中只有QT间期没有变化外,所有组在OXT给药2分钟时获得的QT和RR间期均显著延长(p < 0.05)。在注射1.5 U OXT的雄性组中,QT和RR间期的延长持续20分钟,而在注射3 U OXT的雌性组中,只有QT间期延长在20分钟内明显,其他组延长的间期持续8 - 10分钟,然后恢复到基线值。一般来说,所有组在2分钟和4分钟时雄性和雌性兔的QTc均显著延长,并且在OXT给药2分钟时所有组均出现心动过缓。在OXT给药8分钟后所有组的心跳恢复到正常数值。HR、RR、QT和QTc的变化具有性别依赖性而非剂量依赖性(p < 0.001)。雄性兔比雌性兔对OXT的作用更敏感。总之,治疗剂量的OXT可降低心率并延长QT和QTc间期。虽然OXT的心血管作用持续时间较短,但其在有恶性心律失常危险因素的患者中的使用需要更多关注。

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