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在氟烷麻醉、含氧化亚氮的异氟烷麻醉和清醒状态下,比较 dl-索他洛尔致心电图反应的体内比较。

In vivo comparison of dl-sotalol-induced electrocardiographic responses among halothane anesthesia, isoflurane anesthesia with nitrous oxide, and conscious state.

机构信息

Bioresearch Center, CMIC Pharma Science Co., Ltd., 10221, Kobuchisawa, Hokuto, Yamanashi, 408-0044, Japan; Department of Pharmacology, Faculty of Medicine, Toho University, 5-21-16 Omori-nishi, Ota-ku, Tokyo, 143-8540, Japan.

Department of Pharmacology, Faculty of Medicine, Toho University, 5-21-16 Omori-nishi, Ota-ku, Tokyo, 143-8540, Japan.

出版信息

J Pharmacol Sci. 2021 Jan;145(1):16-22. doi: 10.1016/j.jphs.2020.10.001. Epub 2020 Oct 9.

Abstract

We compared dl-sotalol-induced electrocardiographic responses in intact dogs using a repeated-measures design among 1% halothane anesthesia, 1.5% isoflurane anesthesia with nitrous oxide (NO), and conscious state to clarify influences of the anesthetics (n = 4). Basal PR interval was longer in halothane than either in isoflurane with NO or in conscious state, reflecting sympathetic nerve suppression for the atrioventricular node by halothane. Both anesthetics exhibited longer basal QRS width than conscious state, suggesting their ventricular I inhibition. Also, both anesthetics showed longer basal QT interval, QTcF and T-T than conscious state, indicating their ventricular I inhibition. Meanwhile, dl-sotalol prolonged PR interval similarly in isoflurane with NO and in conscious state, which was less great in halothane, suggesting further sympathetic nerve suppression for the atrioventricular node might be limited in halothane. dl-Sotalol prolonged QT interval and QTcF >3 times greater in either of the anesthetics than in conscious state; moreover, dl-sotalol prolonged T-T similarly in both anesthetics, but hardly altered it in conscious state; indicating isoflurane with NO as well as halothane may have reduced the repolarization reserve to increase the sensitivity of ventricle toward I suppression. Thus, isoflurane with nitrous oxide could be useful for in vivo I assay like halothane.

摘要

我们比较了 dl-索他洛尔在 1%氟烷麻醉、1.5%异氟烷麻醉加一氧化二氮(NO)和清醒状态下完整犬中的心电图反应,采用重复测量设计,以阐明麻醉剂的影响(n=4)。氟烷麻醉时基础 PR 间期比异氟烷加 NO 或清醒状态长,反映了氟烷对房室结的交感神经抑制。两种麻醉剂的基础 QRS 宽度均长于清醒状态,提示其心室 I 抑制。此外,两种麻醉剂的基础 QT 间期、QTcF 和 T-T 均长于清醒状态,表明其心室 I 抑制。同时,dl-索他洛尔在异氟烷加 NO 和清醒状态下延长 PR 间期的作用相似,而在氟烷中则不那么明显,表明氟烷对房室结的交感神经抑制可能受到限制。dl-索他洛尔在两种麻醉剂中延长 QT 间期和 QTcF 的作用均大于清醒状态的 3 倍;此外,dl-索他洛尔在两种麻醉剂中延长 T-T 的作用相似,但在清醒状态下几乎没有改变,表明异氟烷加一氧化二氮以及氟烷可能降低了复极储备,增加了心室对 I 抑制的敏感性。因此,异氟烷加一氧化二氮可能与氟烷一样,适用于体内 I 测定。

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