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卡托普利的心脏电生理作用:缺乏直接抗心律失常作用。

Cardiac electrophysiological actions of captopril: lack of direct antiarrhythmic effects.

作者信息

Hemsworth P D, Pallandi R T, Campbell T J

机构信息

School of Physiology & Pharmacology, University of New South Wales, Sydney, Australia.

出版信息

Br J Pharmacol. 1989 Sep;98(1):192-6. doi: 10.1111/j.1476-5381.1989.tb16881.x.

DOI:10.1111/j.1476-5381.1989.tb16881.x
PMID:2679956
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1854648/
Abstract
  1. Standard microelectrode techniques were used to study the effects of captopril (1, 10 and 100 microM) on action potentials recorded from guinea-pig ventricular cells and sinoatrial node cells. 2. Captopril had no effect on the maximum rate of depolarization (Vmax) of ventricular action potentials in cells exposed to either normal Locke solution or 'simulated ischaemic' solution (K1 11.2 mM; pH-6.4; PO2 less than 80 mmHg), nor was there any augmentation of the normal small decline in Vmax with increasing stimulation rate (range of interstimulus intervals = 2400 ms to 300 ms). 3. Captopril had no effect on the duration of ventricular action potentials, nor did it alter the shortening seen on exposure to simulated ischaemia. 4. Captopril did not alter spontaneous sinus cycle length or any recorded parameter of sinus node action potentials. 5. It is concluded that any antiarrhythmic effects observed during clinical use of captopril are most unlikely to be due to direct actions of the drug on cardiac cell membrane properties.
摘要
  1. 采用标准微电极技术研究卡托普利(1、10和100微摩尔)对豚鼠心室细胞和窦房结细胞动作电位的影响。2. 在暴露于正常洛克溶液或“模拟缺血”溶液(钾离子11.2毫摩尔;pH值6.4;氧分压小于80毫米汞柱)的细胞中,卡托普利对心室动作电位的最大去极化速率(Vmax)没有影响,随着刺激频率增加(刺激间隔范围=2400毫秒至300毫秒),正常情况下Vmax的小幅下降也未增强。3. 卡托普利对心室动作电位的持续时间没有影响,也未改变暴露于模拟缺血时所观察到的动作电位缩短现象。4. 卡托普利未改变自发窦性周期长度或窦房结动作电位的任何记录参数。5. 得出结论,卡托普利临床使用期间观察到的任何抗心律失常作用极不可能是由于该药物对心肌细胞膜特性的直接作用。

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本文引用的文献

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Effect of food on the bioavailability of captopril in healthy subjects.食物对健康受试者中卡托普利生物利用度的影响。
J Clin Pharmacol. 1982 Feb-Mar;22(2-3):135-40. doi: 10.1002/j.1552-4604.1982.tb02661.x.
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Disposition of captopril in normal subjects.卡托普利在正常受试者体内的处置情况。
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Computer recognition of cardiac arrhythmias and statistical approaches to arrhythmia analysis.心律失常的计算机识别及心律失常分析的统计方法
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Captopril in heart failure. A double blind controlled trial.卡托普利治疗心力衰竭。一项双盲对照试验。
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Captopril reduces purine loss and reperfusion arrhythmias in the rat heart after coronary artery occlusion.卡托普利可减少大鼠冠状动脉闭塞后心脏的嘌呤损失和再灌注心律失常。
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A classification of antiarrhythmic actions reassessed after a decade of new drugs.在十年新药研发之后重新评估的抗心律失常作用分类。
J Clin Pharmacol. 1984 Apr;24(4):129-47. doi: 10.1002/j.1552-4604.1984.tb01822.x.
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The use of captopril in the management of cardiac failure.
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Ventricular arrhythmias in dilated cardiomyopathy: efficacy of amiodarone.
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