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异丙肾上腺素与多巴酚丁胺在诱导心肌肥厚和纤维化方面的比较。

Comparison of isoproterenol and dobutamine in the induction of cardiac hypertrophy and fibrosis.

作者信息

Anderson M, Moore D, Larson Df

机构信息

Circulatory Sciences Graduate Perfusion Program, The University of Arizona, Tucson, AZ, USA.

出版信息

Perfusion. 2008 Jul;23(4):231-5. doi: 10.1177/0267659108100708.

Abstract

Isoproterenol (Iso) was a clinical therapeutic that is now used as a research means for the induction of cardiac hypertrophy. Currently, dobutamine (Dob) has replaced Iso as the preferred inotropic beta-adrenergic agent to wean patients from cardiopulmonary bypass and to sustain adequate cardiac function during the postoperative period. We sought to compare the cardiac structural and functional effects of long-term administration (7days) of Iso with Dob at a dose of 40microg/mouse/day in 12-week-old C57BL/6 female mice. Cardiac function was determined with transthoracic echo cardiography (ECHO) 24 hours after the last dose. Cardiac wet weights increased 33% and 24% in the Iso and Dob groups compared with controls (p < 0.05). Dob and Iso significantly increased cardiac fibrosis and decreased cardiac function with chronic administration. Administration also resulted in increased left atrial size, suggesting that both Dob and Iso decreased LV compliance, but did not induce heart failure. In conclusion, chronic administration of Dob may have a detrimental effect on cardiac structure and function.

摘要

异丙肾上腺素(Iso)曾是一种临床治疗药物,现在用作诱导心脏肥大的研究手段。目前,多巴酚丁胺(Dob)已取代Iso,成为在患者脱离体外循环及术后维持足够心功能时首选的强心β-肾上腺素能药物。我们试图比较在12周龄C57BL/6雌性小鼠中,以40μg/小鼠/天的剂量长期(7天)给予Iso和Dob对心脏结构和功能的影响。在最后一次给药后24小时,用经胸超声心动图(ECHO)测定心功能。与对照组相比,Iso组和Dob组的心脏湿重分别增加了33%和24%(p<0.05)。长期给药后,Dob和Iso均显著增加心脏纤维化并降低心功能。给药还导致左心房大小增加,提示Dob和Iso均降低左心室顺应性,但未诱发心力衰竭。总之,长期给予Dob可能对心脏结构和功能产生有害影响。

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