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[丹曲林钠对绵羊浦肯野纤维和心室肌离体标本的体外电生理作用]

[In vitro electrophysiological effects of sodium dantrolene on isolated preparations of Purkinje fibers and ventricular myocardium of sheep].

作者信息

Lascault G, Waxman M B, Grosgogeat Y

出版信息

Arch Mal Coeur Vaiss. 1985 Dec;78(13):1961-7.

PMID:2421677
Abstract

Dantrolene sodium is a drug used in the treatment of spasticity and malignant hyperthermia. It is known to have a myorelaxant effect related to inhibition of the "release" of calcium by the sarcoplasmic reticulum of striated skeletal muscle. A direct cardiac effect which has only recently been suspected was demonstrated in vitro on isolated preparations of sheep Purkinje fibres and ventricular myocardium. Dantrolene caused a spectacular lengthening of the duration of the action potential of Purkinje fibres. This could be due either to an action on the slow calcium current or to stimulation of an ingoing sodium current sensitive to tetrodotoxin (TTX). This effect on the cardiac action potentials could explain the antiarrhythmic properties of dantrolene sodium during attacks of malignant hyperthermia.

摘要

丹曲林钠是一种用于治疗痉挛和恶性高热的药物。已知它具有肌松作用,这与抑制横纹肌肌浆网“释放”钙有关。最近才怀疑其具有的直接心脏效应在体外绵羊浦肯野纤维和心室肌的分离标本上得到了证实。丹曲林使浦肯野纤维动作电位的持续时间显著延长。这可能是由于对慢钙电流的作用,或者是对河豚毒素(TTX)敏感的内向钠电流的刺激。这种对心脏动作电位的影响可以解释丹曲林钠在恶性高热发作期间的抗心律失常特性。

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