Hashimoto K, Matsuzaki T, Haruno A
Department of Pharmacology, Yamanashi Medical College, Japan.
J Cardiovasc Pharmacol. 1989 Dec;14(6):892-8. doi: 10.1097/00005344-198912000-00016.
Using two-stage coronary ligation-, digitalis-, and epinephrine (EPI)-induced canine ventricular arrhythmias, we examined antiarrhythmic effects of NIK-244 and determined the minimum effective plasma concentration for each arrhythmia model. NIK-244 suppressed coronary ligation- and digitalis-induced arrhythmias, and the minimum effective plasma concentrations for arrhythmias induced by 24-h and 48-h coronary ligation and digitalis were 0.41 +/- 0.10 (by 1 mg/kg i.v.), 0.70 +/- 0.13 (by 1 mg/kg i.v.), and 0.21 +/- 0.08 (by 0.5 mg/kg i.v.) microgram/ml, respectively (mean +/- SD of the mean, n = 6). The concentration for digitalis-induced arrhythmia was significantly lower than those for coronary ligation arrhythmias. NIK-244 was not effective on EPI arrhythmia, and 1 mg/kg worsened the arrhythmia to ventricular fibrillation in three of six dogs. This pharmacologic profile is similar to those of disopyramide, procainamide, and SUN 1165. Since NIK-244 had no deleterious effects on blood pressure and sinus node activity, its clinical usefulness is expected.
我们使用两阶段冠状动脉结扎、洋地黄和肾上腺素(EPI)诱发的犬室性心律失常,研究了NIK - 244的抗心律失常作用,并确定了每种心律失常模型的最低有效血浆浓度。NIK - 244抑制冠状动脉结扎和洋地黄诱发的心律失常,24小时和48小时冠状动脉结扎及洋地黄诱发心律失常的最低有效血浆浓度分别为0.41±0.10(静脉注射1mg/kg)、0.70±0.13(静脉注射1mg/kg)和0.21±0.08(静脉注射0.5mg/kg)微克/毫升(均值±均值的标准差,n = 6)。洋地黄诱发心律失常的浓度显著低于冠状动脉结扎诱发心律失常的浓度。NIK - 244对EPI诱发的心律失常无效,1mg/kg使6只犬中的3只心律失常恶化为心室颤动。这种药理学特征与丙吡胺、普鲁卡因胺和SUN 1165的相似。由于NIK - 244对血压和窦房结活动没有有害影响,预计其具有临床应用价值。