Mayer D B, Miletich D J, Feld J M, Albrecht R F
Department of Anesthesiology, Michael Reese Hospital and Medical Center, Chicago, Illinois 60616.
Anesthesiology. 1989 Dec;71(6):923-8. doi: 10.1097/00000542-198912000-00016.
The effects of MgSO4 or MgCl2 infusion on the duration of epinephrine-induced cardiac arrhythmia were evaluated in male rats anesthetized with either halothane or pentobarbital. In addition, the duration of epinephrine-induced arrhythmia in pentobarbital (50 mg/kg) anesthetized rats was compared with the duration of arrhythmia in halothane (1.5%) anesthetized rats. During halothane anesthesia MgSO4 or MgCl2 infused at a dose rate of 8 mg.kg-1.min-1 for 20 min caused a significant reduction in the duration of arrhythmia (100% and 80%, respectively) following a 4-microgram/kg injection of epinephrine and a significant threefold reduction in arrhythmia duration for each salt following an 8- or 16-micrograms/kg injection of epinephrine. Significantly shorter periods of arrhythmia after each dose of epinephrine were seen in rats anesthetized with pentobarbital than were seen in rats anesthetized with halothane. No significant difference was seen between MgSO4 or MgCl2 infusions in any of these studies. Twenty-minute infusions of MgSO4 (8 mg.kg-1.min-1) were compared with propranolol (0.03 mg.kg-1.min-1) and verapamil (0.5 micrograms.kg-1.min-1) infusions on the duration of arrhythmia after epinephrine (8 micrograms/kg) injections in halothane anesthetized rats. MgSO4 and propranolol infusion caused a significant reduction in the duration of arrhythmia (81% and 70%, respectively). Verapamil infusion caused only a 48% reduction in arrhythmia duration. While there was no significant difference between MgSO4 or propranolol, both caused a significantly greater reduction in arrhythmia than verapamil. CaCl2 (0.15 mM.kg-1.min-1) infusion for 5 min caused a significant fivefold increase in the duration of arrhythmia during halothane anesthesia.(ABSTRACT TRUNCATED AT 250 WORDS)
在使用氟烷或戊巴比妥麻醉的雄性大鼠中,评估了输注硫酸镁或氯化镁对肾上腺素诱发心律失常持续时间的影响。此外,还比较了戊巴比妥(50mg/kg)麻醉大鼠中肾上腺素诱发心律失常的持续时间与氟烷(1.5%)麻醉大鼠中心律失常的持续时间。在氟烷麻醉期间,以8mg·kg⁻¹·min⁻¹的剂量速率输注硫酸镁或氯化镁20分钟,在注射4μg/kg肾上腺素后,心律失常持续时间显著缩短(分别为100%和80%),在注射8μg/kg或16μg/kg肾上腺素后,每种盐的心律失常持续时间显著缩短三倍。与氟烷麻醉的大鼠相比,戊巴比妥麻醉的大鼠在每次注射肾上腺素后心律失常的持续时间明显更短。在任何这些研究中,硫酸镁或氯化镁输注之间均未观察到显著差异。在氟烷麻醉的大鼠中,将20分钟输注硫酸镁(8mg·kg⁻¹·min⁻¹)与输注普萘洛尔(0.03mg·kg⁻¹·min⁻¹)和维拉帕米(0.5μg·kg⁻¹·min⁻¹)对注射肾上腺素(8μg/kg)后心律失常持续时间的影响进行了比较。输注硫酸镁和普萘洛尔可使心律失常持续时间显著缩短(分别为81%和70%)。输注维拉帕米仅使心律失常持续时间缩短48%。虽然硫酸镁或普萘洛尔之间没有显著差异,但两者均比维拉帕米更显著地缩短了心律失常持续时间。在氟烷麻醉期间,输注氯化钙(0.15mM·kg⁻¹·min⁻¹)5分钟可使心律失常持续时间显著增加五倍。(摘要截短于250字)