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α1肾上腺素能刺激对心肌舒张的影响

[Effect of alpha 1 adrenergic stimulation on myocardial relaxation].

作者信息

Pedroni P, Mattiazzi A, Cingolani H E

机构信息

Centro de Investigaciones Cardiovasculares, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, Argentina.

出版信息

Acta Physiol Pharmacol Latinoam. 1987;37(4):491-501.

PMID:2856240
Abstract

The aim of the present study was to elucidate which was the effect of alpha 1 adrenergic stimulation on myocardial relaxation. Experiments were performed in cat papillary muscles contracting isometrically at 12 beats/min. The effect of phenylephrine (P) in the presence of propranolol (10(-6)M) on myocardial relaxation was compared with that produced by a similar increase in myocardial contractility (+T) elicited by increasing extracellular calcium (Ca2+). An increase of 40% in maximal velocity of contraction (+T) produced by P and Ca2+ elicited in both cases a proportional increase in maximal velocity of relaxation (-T). Therefore the +T/-T ratio remained unchanged. At this contractility level relaxation time (Rt) and time to half relaxation (t1/2) were slight by significantly prolonged by P and not changed by Ca2+. When contractility was increased by approximately 200%, both, P and Ca2+ increased by a less extent -T. Consequently +T/-T augmented from 1.21 +/- 0.04 to 1.73 +/- 0.09 (48.3 +/- 9.5%) with P, and from 1.37 +/- 0.04 to 1.77 +/- 0.15 (31 +/- 12%) with Ca2+. Rt was also significantly increased by both interventions: 21.5 +/- 8.8% (Ca2+) and 24.2 +/- 2.68% (P), whereas t1/2 was significantly increased by P from 215 +/- 11 msec to 282 +/- 12 msec (33 +/- 5.8%) but did not change with Ca2+. Prazosin (10(-6)M) antagonized the effects on contractility and relaxation produced by P. The present results thus indicate that the positive inotropic effect of alpha 1 adrenergic stimulation may be characterized by a prolongation of the early relaxation phase, that was not mimicked by a similar increase in myocardial contractility elicited by increasing extracellular calcium.

摘要

本研究的目的是阐明α1肾上腺素能刺激对心肌舒张的影响。实验在猫乳头肌上进行,乳头肌以每分钟12次的频率进行等长收缩。将去氧肾上腺素(P)在普萘洛尔(10(-6)M)存在时对心肌舒张的影响与通过增加细胞外钙(Ca2+)引起的心肌收缩力类似增加(+T)所产生的影响进行比较。P和Ca2+引起的收缩最大速度增加40%(+T),在两种情况下均引起舒张最大速度成比例增加(-T)。因此,+T/-T比值保持不变。在这个收缩力水平,P使舒张时间(Rt)和半舒张时间(t1/2)显著延长,而Ca2+对其无影响。当收缩力增加约200%时,P和Ca2+使-T增加的幅度较小。因此,P使+T/-T从1.21±0.04增加到1.73±0.09(48.3±9.5%),Ca2+使+T/-T从1.37±0.04增加到1.77±0.15(31±12%)。两种干预均使Rt显著增加:Ca2+使其增加21.5±8.8%,P使其增加24.2±2.68%;而P使t1/2从215±11毫秒显著增加到282±12毫秒(33±5.8%),Ca2+对其无影响。哌唑嗪(10(-6)M)拮抗P对收缩力和舒张的影响。因此,目前的结果表明,α1肾上腺素能刺激的正性肌力作用可能表现为早期舒张期延长,而增加细胞外钙引起的心肌收缩力类似增加并未模拟出这种情况。

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