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氟烷和异氟烷对完整兔心房肌浆网功能的直接影响。

Direct effect of halothane and isoflurane on the function of the sarcoplasmic reticulum in intact rabbit atria.

作者信息

Komai H, Rusy B F

机构信息

Department of Anesthesiology, University of Wisconsin, Madison 53792.

出版信息

Anesthesiology. 1990 Apr;72(4):694-8. doi: 10.1097/00000542-199004000-00019.

Abstract

The negative inotropic effect of halothane and isoflurane on potentiated-state contractions of isolated rabbit atria in a normal Ca2+ (2.5 mM) medium was compared with the force depression in low Ca2+ media without an anesthetic. When this comparison was made in the presence of 1 microM ryanodine so that the force of contraction was dependent only upon transsarcolemmal Ca2+ influx with no Ca2+ contribution from the sarcoplasmic reticulum (SR), the force of contraction was depressed equally by 0.6% halothane in a normal Ca2+ medium and by a 1.5 mM Ca2+ medium without the anesthetic. Similarly, 1.0% halothane or 1.5% isoflurane and a 1.0 mM Ca2+ medium were equally depressant as were 2.4% isoflurane and a 0.5 mM Ca2+ medium. In the absence of ryanodine, where the atrial contractile activity is largely dependent on Ca2+ released from the SR, 0.6% halothane in the normal Ca2+ medium depressed contractile force by 32%, whereas the force was depressed by only 16% in the 1.5 mM Ca2+ medium without the anesthetic. Similar results were obtained when the effects of 1.0% halothane and of 1.0 mM Ca2+ were compared. In contrast, the force of contraction measured in the absence of ryanodine was not at all inhibited by 1.5% isoflurane and minimally (11%) inhibited by 2.4% isoflurane. Consequently, the force depression by isoflurane was less than that found in the low Ca2+ media.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

将氟烷和异氟烷对正常Ca2+(2.5 mM)培养基中离体兔心房增强状态收缩的负性肌力作用,与无麻醉剂的低Ca2+培养基中的肌力降低情况进行了比较。当在1 microM 兰尼碱存在的情况下进行这种比较时,收缩力仅取决于跨肌膜Ca2+内流,而肌浆网(SR)不提供Ca2+,在正常Ca2+培养基中0.6%的氟烷和无麻醉剂的1.5 mM Ca2+培养基对收缩力的降低程度相同。同样,1.0%的氟烷或1.5%的异氟烷与1.0 mM Ca2+培养基的抑制作用相同,2.4%的异氟烷与0.5 mM Ca2+培养基的抑制作用也相同。在没有兰尼碱的情况下,心房收缩活动很大程度上依赖于从SR释放的Ca2+,正常Ca2+培养基中0.6%的氟烷使收缩力降低32%,而无麻醉剂的1.5 mM Ca2+培养基中收缩力仅降低16%。比较1.0%氟烷和1.0 mM Ca2+的作用时也得到了类似结果。相反,在没有兰尼碱的情况下测量的收缩力,1.5%的异氟烷完全没有抑制作用,2.4%的异氟烷仅有轻微抑制(11%)。因此,异氟烷引起的肌力降低小于低Ca2+培养基中的情况。(摘要截断于250字)

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