Fast V G, Pertsov A M, Efimova T B
Kardiologiia. 1990 Oct;30(10):93-6.
Mapping was used on isolated rabbit ventricular specimens to study effects of lidocaine, 2-8 mg/l, on persistent intramural reentry involving the areas of slow transmural conduction. The agent was shown to produce antiarrhythmic and arrhythmogenic effects at the same time. Lidocaine reduced the duration of an arrhythmia, but provoked its initiation. Both these effects of lidocaine were attributable to its action on the refractory period of a slow transmural conduction area.
利用标测技术研究利多卡因(2 - 8毫克/升)对涉及缓慢跨壁传导区域的持续性壁内折返的影响,实验对象为离体兔心室标本。结果显示,该药物同时产生抗心律失常和致心律失常作用。利多卡因缩短了心律失常的持续时间,但引发了心律失常的起始。利多卡因的这两种作用均归因于其对缓慢跨壁传导区域不应期的作用。