Riou B, Viars P, Lecarpentier Y
Institut National de la Santé et de la Recherche Médicale, Unité 275, LOA-ENSTA-Ecole Polytechnique, Palaiseau, France.
Anesthesiology. 1990 Nov;73(5):910-8. doi: 10.1097/00000542-199011000-00019.
The effect of ketamine (10(-5) and 10(-4) M) on the intrinsic contractility of left ventricular papillary muscle from normal hamsters and those with cardiomyopathy (BIO 82.62, 6-month old) was investigated. At these concentrations, ketamine induced a positive inotropic effect on normal papillary muscle, as shown by an increase in maximum unloaded shortening velocity (+19 +/- 4 and +34 +/- 5%, P less than 0.05), active isometric force (+32 +/- 8 and +57 +/- 11%, P less than 0.05), and peak power output (+40 +/- 8 and +80 +/- 16%, P less than 0.05), and induced a slight decrease in sarcoplasmic reticulum function. Ketamine had no effect on the curvature of the total force-velocity curve, suggesting that it does not modify myothermal economy. Contractility of papillary muscle from hamsters with cardiomyopathy was less than that of controls, as shown by the decrease in isometric active force (-41%, P less than 0.02), peak power output (-33%, P less than 0.05), and sarcoplasmic reticulum function. The positive inotropic effect of ketamine on papillary muscle from hamsters with cardiomyopathy was less marked than in controls and almost suppressed in some cases: only the maximum unloaded shortening velocity was significantly increased with 10(-5) M ketamine (+7 +/- 6%, P less than 0.05), whereas no significant changes were observed in active isometric force (+14 +/- 8 and +13 +/- 11%; nonsignificant [NS]) and peak power output (+9 +/- 5 and +13 +/- 8%; NS) with ketamine (10(-5) and 10(-4) M, respectively).(ABSTRACT TRUNCATED AT 250 WORDS)
研究了氯胺酮(10⁻⁵和10⁻⁴M)对正常仓鼠以及患有心肌病(BIO 82.62,6月龄)仓鼠的左心室乳头肌固有收缩性的影响。在这些浓度下,氯胺酮对正常乳头肌产生正性肌力作用,表现为最大无负荷缩短速度增加(分别为+19±4%和+34±5%,P<0.05)、主动等长力增加(分别为+32±8%和+57±11%,P<0.05)以及峰值功率输出增加(分别为+40±8%和+80±16%,P<0.05),并使肌浆网功能略有下降。氯胺酮对总力-速度曲线的曲率没有影响,表明它不会改变肌热经济性。患有心肌病的仓鼠乳头肌的收缩性低于对照组,表现为等长主动力降低(-41%,P<0.02)、峰值功率输出降低(-33%,P<0.05)以及肌浆网功能降低。氯胺酮对患有心肌病的仓鼠乳头肌的正性肌力作用不如对对照组明显,在某些情况下几乎被抑制:仅10⁻⁵M氯胺酮使最大无负荷缩短速度显著增加(+7±6%,P<0.05),而氯胺酮(分别为10⁻⁵和10⁻⁴M)作用下主动等长力(分别为+14±8%和+13±11%;无显著性差异[NS])和峰值功率输出(分别为+9±5%和+13±8%;NS)未观察到显著变化。(摘要截于250字)