Gibala P, Sotníková R, Knezl V, Drímal J
Ustav experimentálnej farmakológie SAV, Bratislava.
Bratisl Lek Listy. 1991 Sep;92(9):474-8.
The effect of diltiazem on atrioventricular conduction was studied in pentobarbital anesthetized dogs, conscious dogs, and atropine pretreated conscious dogs. In anesthetized dogs diltiazem administration resulted in diminished heart rate and aortal pressure, as well as prolongation of the functional refractory period of the AV node and of AV conductance. The effective refractory period of the atria and intraatrial conductance were not affected. The function of the AV node was comparable in the three groups studied. An anticholinergic action of diltiazem affecting the AV node has thus to be excluded. The recorded slight increase in heart rate in conscious dogs may be accounted for by the activation of baroreceptors induced by decreased aortal pressure.
在戊巴比妥麻醉的犬、清醒犬以及阿托品预处理的清醒犬中研究了地尔硫䓬对房室传导的影响。在麻醉犬中,给予地尔硫䓬导致心率和主动脉压降低,以及房室结功能不应期和房室传导时间延长。心房有效不应期和心房内传导未受影响。在所研究的三组中,房室结功能相当。因此必须排除地尔硫䓬影响房室结的抗胆碱能作用。清醒犬中记录到的心率轻微增加可能是由于主动脉压降低诱导压力感受器激活所致。