Jahan Kausar, Mahmood D, Fahim M
Department of Pharmacology, Faculty of Pharmacy, Jamia Hamdard, New Delhi, India.
Department of Physiology, Hamdard Institute of Medical Sciences and Research, Jamia Hamdard, New Delhi, India.
J Pharm Bioallied Sci. 2015 Jan-Mar;7(1):60-4. doi: 10.4103/0975-7406.148747.
Methanol ingestion is an uncommon form of poisoning that can cause severe metabolic disturbances, blindness, permanent neurologic dysfunction and death. While methanol itself may be harmless, it converts, in vivo, to highly toxic formic acid. Methanol intoxication clinically manifests as ocular toxicity. The present study investigated the cardiovascular effects of methanol.
On the day of the experiment, Wistar rats were anesthetized with urethane. The femoral artery on one side was exposed, and a polyethylene catheter was inserted into the artery for recording arterial blood pressure (ABP). The catheter was attached to a pressure transducer (Statham - P23D). Systolic blood pressure (BP), mean ABP, and heart rate were recorded on a power-lab data acquisition system with a computerized analysis program. Rats were administered with different dilutions (9.5%, 19.0%, 28.5%, 38.0%, 47.5%, 57.0%, 66.5%, 76%) of methanol (95% v/v, i.v.).
Of all dilutions of methanol, 66.5% dilution showed maximum decrease of diastolic BP from 124.64 ± 5.39 to 62.30 ± 11.90 mmHg; 76.0% dilution showed maximum decrease of systolic BP from 165.70 ± 5.57 to 112.11 ± 12.0 mmHg, and mean ABP from 160.61 ± 12.45 to 86.14 ± 4.11 mmHg. The heart rate increased (from 250 beats/s to near about 275 beats/s) following administration of methanol dilution from 19.0% till 76.0%.
The present study is consistent with previous studies suggesting that methanol ingestion leads to severe hypotension as observed from decrease in diastolic BP, systolic BP, and mean ABP. However, severe increase of heart rate suggests activation of a compensatory mechanism to offset hypotension that eventually leads to death in methanol poisoning. Hence, this study emphasizes the need to monitor all the hemodynamic parameters in accidental methanol poisoning.
甲醇摄入是一种不常见的中毒形式,可导致严重的代谢紊乱、失明、永久性神经功能障碍和死亡。虽然甲醇本身可能无害,但它在体内会转化为剧毒的甲酸。甲醇中毒临床上表现为眼部毒性。本研究调查了甲醇对心血管系统的影响。
在实验当天,用乌拉坦麻醉Wistar大鼠。暴露一侧股动脉,将聚乙烯导管插入动脉以记录动脉血压(ABP)。导管连接到压力传感器(Statham - P23D)。收缩压(BP)、平均动脉压和心率通过带有计算机分析程序的功率实验室数据采集系统进行记录。给大鼠静脉注射不同稀释度(9.5%、19.0%、28.5%、38.0%、47.5%、57.0%、66.5%、76%)的甲醇(95% v/v)。
在所有甲醇稀释度中,66.5%的稀释度使舒张压从124.64±5.39 mmHg降至62.30±11.90 mmHg,降幅最大;76.0%的稀释度使收缩压从165.70±5.57 mmHg降至112.11±12.0 mmHg,平均动脉压从160.61±12.45 mmHg降至86.14±4.11 mmHg,降幅最大。从19.0%到76.0%的甲醇稀释度给药后,心率增加(从250次/秒增加到近275次/秒)。
本研究与先前的研究一致,表明甲醇摄入会导致严重低血压,表现为舒张压、收缩压和平均动脉压下降。然而,心率的严重增加表明激活了一种代偿机制来抵消低血压,这最终导致甲醇中毒死亡。因此,本研究强调在甲醇意外中毒时需要监测所有血流动力学参数。