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[牛植物神经系统的心电图功能诊断。2. 在应用最大剂量异丙肾上腺素的情况下测定普萘洛尔对心脏β受体的阻断作用]

[Electrocardiographic functional diagnosis of the vegitative nervous system in cattle. 2. Determination of the propranolol blockade effect on cardiac beta-receptors under application of maximum isoprenaline doses].

作者信息

Schumann S

出版信息

Arch Exp Veterinarmed. 1978;32(6):921-35.

PMID:219798
Abstract

The blocking effects of 50 mg and 100 mg of propanolol, a beta-receptor blocker, upon the beta-adrenergic receptors of cattle heart were verified by means of 250 microgram of isoprenaline, a maximum dose. The 50-mg-propanolol dose inhibited between 77 and 80 per cent of the isoprenaline-caused QT reduction, whic action was considered as being sufficiently safe to rule out any beta-adrenergic cardiac effect. Blockade was further increased to the order of between 89 and 92 per cent by using 100 mg of propanolol, but certain side-effects occurred (expiratory dyspnoe, quinidinlike action in terms of PQ extension, and vagovasal collapse). Therefore, 50 mg of propanolol are recommended as the proper dosage with which to examine cardiac and extracardiac beta-adrenergic receptors in cattle. Application of propanolol to non-anaesthetised, nonatropinised cattle resulted in higher bloackade of isoprenaline-caused QT reduction, as compared to the parameters PQ, TP, TQ, time of cardiac action, PP, and momentary heart rate. This phenomenon is being analysed. With reference being made to the peculiarities of sympathico-parasympathetic interactions on the heart, QT time is considered as a more safe parameter by which to assess substrate competition between propanolol and isoprenaline at cardiac beta-receptors, while the ventriculodiastolic ECG recordings TQ, TP, and PQ as well as time of cardiac action, PP and momentary heart rate might come under a somewhat stronger influence of the parasympathetic system.

摘要

通过使用250微克异丙肾上腺素(最大剂量),验证了50毫克和100毫克β受体阻滞剂普萘洛尔对牛心脏β肾上腺素能受体的阻断作用。50毫克普萘洛尔剂量可抑制异丙肾上腺素引起的QT缩短的77%至80%,该作用被认为足够安全,可排除任何β肾上腺素能心脏效应。使用100毫克普萘洛尔可使阻断作用进一步提高到89%至92%,但出现了某些副作用(呼气性呼吸困难、PQ延长方面的奎尼丁样作用以及迷走血管虚脱)。因此,建议使用50毫克普萘洛尔作为检查牛心脏和心脏外β肾上腺素能受体的合适剂量。与PQ、TP、TQ、心脏活动时间、PP和瞬时心率等参数相比,将普萘洛尔应用于未麻醉、未用阿托品的牛会导致对异丙肾上腺素引起的QT缩短有更高的阻断作用。正在对这一现象进行分析。鉴于心脏交感 - 副交感相互作用的特殊性,QT时间被认为是评估普萘洛尔和异丙肾上腺素在心脏β受体处底物竞争的更安全参数,而心室舒张期心电图记录TQ、TP和PQ以及心脏活动时间、PP和瞬时心率可能会受到副交感神经系统更强的影响。

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