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[新型β受体阻滞剂尼普地洛及其代谢产物去硝基尼普地洛对麻醉犬心率及房室传导的影响]

[Effects of nipradilol, a new beta-blocker, and its metabolite, denitro-nipradilol, on heart rate and AV conduction in anesthetized dogs].

作者信息

Nakao Y, Nakaya H, Kanno M

出版信息

Nihon Yakurigaku Zasshi. 1986 Aug;88(2):85-94. doi: 10.1254/fpj.88.85.

DOI:10.1254/fpj.88.85
PMID:2876932
Abstract

Effects of nipradilol, a new beta-blocker, and its metabolite, denitro-nipradilol, on heart rate and atrioventricular conduction were investigated in anesthetized dogs and were compared with those of propranolol. The beta-blocking activity of nipradilol was nearly three times as potent as that of denitro-nipradilol which was almost the same as the beta-blocking activity of propranolol. Decrease in heart rate (HR) and prolongation of the atrio-His bundle conduction time (AH) were dose-dependently produced by nipradilol (10, 30 and 100 micrograms/kg, i.v.), denitro-nipradilol (30, 100 micrograms/kg, i.v.) and propranolol (30, 100 micrograms/kg, i.v.). The functional refractory period of the atrioventricular node (AVNFRP) was also prolonged by these drugs in a dose-dependent manner. The changes in HR, AH and AVNFRP were well correlated to their beta-blocking activities. However, His bundle-ventricle conduction time (HV) was insignificantly affected by these beta-blockers in the doses mentioned above. In the reserpinized and atropinized dogs in which propranolol (100 and 300 micrograms/kg, i.v.) showed very slight, insignificant influence on HR and AH, nipradilol significantly decreased HR and prolonged AH. AVNFRP was also prolonged significantly by nipradilol. These effects of nipradilol were observed even after the administration of propranolol. Denitronipradilol also produced a decrease in HR and prolongations of AH and AVNFRP in reserpinized, atropinized and propranolol-pretreated dogs. These results indicate that nipradilol and its metabolite, denitro-nipradilol, possess a direct depressant action on the sinoatrial node and the atrioventricular node.

摘要

研究了新型β受体阻滞剂尼普地洛及其代谢产物去硝基尼普地洛对麻醉犬心率和房室传导的影响,并与普萘洛尔进行了比较。尼普地洛的β受体阻滞活性几乎是去硝基尼普地洛的三倍,而去硝基尼普地洛的β受体阻滞活性与普萘洛尔几乎相同。静脉注射尼普地洛(10、30和100微克/千克)、去硝基尼普地洛(30、100微克/千克)和普萘洛尔(30、100微克/千克)可使心率(HR)降低,房室结希氏束传导时间(AH)延长,且呈剂量依赖性。这些药物还可使房室结功能不应期(AVNFRP)呈剂量依赖性延长。HR、AH和AVNFRP的变化与其β受体阻滞活性密切相关。然而,上述剂量的这些β受体阻滞剂对希氏束-心室传导时间(HV)影响不显著。在利血平化和阿托品化的犬中,普萘洛尔(静脉注射100和300微克/千克)对HR和AH的影响非常轻微且不显著,而尼普地洛可显著降低HR并延长AH。尼普地洛还可显著延长AVNFRP。即使在给予普萘洛尔后,仍可观察到尼普地洛的这些作用。在利血平化、阿托品化且经普萘洛尔预处理的犬中,去硝基尼普地洛也可使HR降低,AH和AVNFRP延长。这些结果表明,尼普地洛及其代谢产物去硝基尼普地洛对窦房结和房室结具有直接抑制作用。

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