Krishna G, Trueblood S, Paradise R R
Anesthesiology. 1975 Mar;42(3):312-8. doi: 10.1097/00000542-197503000-00014.
Diethyl ether elicited a dose-dependent increase in the intrinsic frequency of contraction of isolated rat atrial preparations. The maximum effect (plus 34 per cent) occurred with 230 mg ether/100 ml medium. This ether concentration corresponds to a partial pressure of 29.2 mm Hg or 3 MAC. The positive chronotropic action of ether was not reduced in atria obtained from rats pretreated with reserpine (4 mg/kg, ip) although this treatment markedly reduced the effect of tyramine on frequency of contraction. The positive chronotropic response to 0.01 muM isoproterenol was inhibited by the beta-adrenergic antagonist 0.3 mgM dl-propranolol but remained unimpaired in the presence of 0.3 mgM d-propranolol (a much weaker antagonist). In contrast, the atrial response to ether was similar in the presence of either d- or dl-propranolol. Atropine, in concentrations that completely blocked the negative chronotropic action of acetylcholine, did not increase the frequency of contraction, suggesting that the positive chronotropic effect of ether is not due to an atropine-like activity of ether. Our results indicate that the positive chronotropic effect of ether on isolated rat atrial preparations is not mediated via catecholamine release, nor does it represent direct stimulation of beta-adrenergic receptors or block of cholinergic receptors. (Key words: Anesthetics, volatile, diethyl ether; Heart, atria, diethyl ether.).
乙醚可使离体大鼠心房标本的固有收缩频率呈剂量依赖性增加。在培养基中加入230mg乙醚/100ml时出现最大效应(增加34%)。该乙醚浓度相当于29.2mmHg的分压或3倍最小肺泡浓度(MAC)。尽管利血平(4mg/kg,腹腔注射)预处理可显著降低酪胺对收缩频率的影响,但对乙醚的正性变时作用并无影响。β-肾上腺素能拮抗剂0.3mgM dl-普萘洛尔可抑制对0.01μM异丙肾上腺素的正性变时反应,但在0.3mgM d-普萘洛尔(一种较弱的拮抗剂)存在时仍不受影响。相反,在d-或dl-普萘洛尔存在时,心房对乙醚的反应相似。阿托品浓度可完全阻断乙酰胆碱的负性变时作用,但并未增加收缩频率,这表明乙醚的正性变时作用并非由于其类似阿托品的活性。我们的结果表明,乙醚对离体大鼠心房标本的正性变时作用不是通过儿茶酚胺释放介导的,也不代表对β-肾上腺素能受体的直接刺激或胆碱能受体的阻断。(关键词:麻醉药,挥发性,乙醚;心脏,心房,乙醚。)