Atakhanov Sh E, Tkhostova E B, Iurenev A P, Men'shikov M Iu, Mazaev A V
Biull Vsesoiuznogo Kardiol Nauchn Tsentra AMN SSSR. 1988;11(1):28-32.
Verapamil produced dose-dependent inhibition of ADP- and TAF-induced increase in thrombocyte calcium concentration in hypertensive patients. Sensitivity to verapamil tested by EC50-half-maximal inhibition of responses to hormones can be weakened in vitro by adrenalin and strengthened by papaverin. Thrombocytes of hypertensive patients were individually sensitive to combination of papaverin and verapamil. The cellular sensitivity to verapamil disappeared when clonidine was substituted for verapamil and was restored when papaverin was added to verapamil.
维拉帕米对高血压患者体内由二磷酸腺苷(ADP)和血栓素A2(TAF)诱导的血小板钙浓度升高产生剂量依赖性抑制作用。通过半数有效浓度(EC50)——对激素反应的半数最大抑制作用来检测的对维拉帕米的敏感性,在体外可被肾上腺素减弱,被罂粟碱增强。高血压患者的血小板对罂粟碱和维拉帕米的联合作用各自敏感。当用可乐定替代维拉帕米时,细胞对维拉帕米的敏感性消失,而当在维拉帕米中加入罂粟碱时,敏感性恢复。