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拉贝洛尔对犬心房、心脏浦肯野纤维和心室肌的电生理效应。

Electrophysiological effects of labetalol on canine atrial, cardiac Purkinje fibres and ventricular muscle.

作者信息

Mill J G, Riccioppo Neto F

机构信息

Department of Pharmacology, Faculty of Medicine of Ribeirão Preto, SP, Brazil.

出版信息

Br J Pharmacol. 1987 Nov;92(3):627-33. doi: 10.1111/j.1476-5381.1987.tb11365.x.

DOI:10.1111/j.1476-5381.1987.tb11365.x
PMID:3427273
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1853676/
Abstract
  1. Using conventional microelectrode techniques for the intracellular recordings of the membrane potential, the effects of labetalol were studied on cardiac Purkinje, atrial and ventricular muscle fibres of the dog. 2. Labetalol (1-10 microM) reduced, in a concentration-dependent manner, the action potential amplitude (APA) and the maximum rate of rise of the action potential (Vmax) in Purkinje fibres. 3. The action potential duration (APD) was decreased in Purkinje fibres but significantly increased in ventricular fibres after small concentrations of labetalol (1-3 microM). The atrial fibres were not very sensitive to labetalol. 4. Depolarization of the cardiac Purkinje fibres by increasing the external potassium concentration (8-12 mM), potentiated the labetalol effects on APA and Vmax but blocked its effects on the APD. 5. The effects of labetalol on Vmax of Purkinje fibres were dependent on the frequency of stimulation. 6. The ratio of the effective refractory period to the APD was increased both in normally polarized and depolarized Purkinje fibres after treatment with labetalol (10 microM). 7. Labetalol (10 microM) shifted the membrane responsiveness curve of Purkinje fibres by about 10 mV in the hyperpolarizing direction. 8. The slow response obtained in K-depolarized, Ba-treated Purkinje fibres was not significantly affected by labetalol (10-100 microM). 9. It is suggested that labetalol can exert Class I and Class III antiarrhythmic actions in cardiac muscle of the dog in vitro.
摘要
  1. 运用传统微电极技术对膜电位进行细胞内记录,研究了拉贝洛尔对犬心脏浦肯野纤维、心房和心室肌纤维的作用。2. 拉贝洛尔(1 - 10微摩尔)以浓度依赖性方式降低浦肯野纤维的动作电位幅度(APA)和动作电位最大上升速率(Vmax)。3. 小浓度拉贝洛尔(1 - 3微摩尔)作用后,浦肯野纤维的动作电位时程(APD)缩短,而心室纤维的APD显著延长。心房纤维对拉贝洛尔不太敏感。4. 通过增加细胞外钾浓度(8 - 12毫摩尔)使心脏浦肯野纤维去极化,增强了拉贝洛尔对APA和Vmax的作用,但阻断了其对APD的作用。5. 拉贝洛尔对浦肯野纤维Vmax的作用取决于刺激频率。6. 用拉贝洛尔(10微摩尔)处理后,正常极化和去极化的浦肯野纤维的有效不应期与APD的比值均增加。7. 拉贝洛尔(10微摩尔)使浦肯野纤维的膜反应性曲线在超极化方向上移动约10毫伏。8. 在钾去极化、钡处理的浦肯野纤维中获得的慢反应不受拉贝洛尔(10 - 100微摩尔)的显著影响。9. 提示拉贝洛尔在体外犬心肌中可发挥Ⅰ类和Ⅲ类抗心律失常作用。

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引用本文的文献

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Antiarrhythmic efficacy of labetalol as assessed by programmed electrical stimulation.通过程序电刺激评估拉贝洛尔的抗心律失常疗效。
Br J Pharmacol. 1990 Aug;100(4):855-61. doi: 10.1111/j.1476-5381.1990.tb14104.x.

本文引用的文献

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The effect of the cardiac membrane potential on the rapid availability of the sodium-carrying system.心脏膜电位对钠转运系统快速可用性的影响。
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The differential effect of quinidine and pyrilamine on the myocardial action potential at various rates of stimulation.奎尼丁和吡苄明在不同刺激频率下对心肌动作电位的差异作用。
J Pharmacol Exp Ther. 1957 Aug;120(4):460-8.
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Refractoriness in cardiac muscle.心肌的不应性。
Am J Physiol. 1957 Sep;190(3):473-82. doi: 10.1152/ajplegacy.1957.190.3.473.
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Influences of labetalol a combined alpha- and beta-adrenergic blocking agent on the dysrhythmias induced by coronary occlusion and reperfusion.拉贝洛尔(一种α和β肾上腺素能联合阻滞剂)对冠状动脉闭塞和再灌注所致心律失常的影响。
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Electrophysiological effects of labetolol on rabbit atrial, ventricular and Purkinje cells, in normoxia and hypoxia.拉贝洛尔在常氧和缺氧条件下对兔心房、心室及浦肯野细胞的电生理效应。
Cardiovasc Res. 1982 May;16(5):233-9. doi: 10.1093/cvr/16.5.233.
6
Effects of cyproheptadine on electrophysiological properties of isolated cardiac muscle of dogs and rabbits.赛庚啶对犬和兔离体心肌电生理特性的影响。
Br J Pharmacol. 1983 Oct;80(2):335-41. doi: 10.1111/j.1476-5381.1983.tb10038.x.
7
Shortening of the action potential and reduction of pacemaker activity by lidocaine, quinidine, and procainamide in sheep cardiac purkinje fibers. An effect on Na or K currents?利多卡因、奎尼丁和普鲁卡因胺对绵羊心脏浦肯野纤维动作电位的缩短及起搏活动的降低。对钠电流或钾电流有影响吗?
Circ Res. 1982 Feb;50(2):257-72. doi: 10.1161/01.res.50.2.257.
8
Mechanisms of action of lidocaine and quinidine on action potential duration in rabbit cardiac Purkinje fibers. An effect on steady state sodium currents?利多卡因和奎尼丁对兔心脏浦肯野纤维动作电位时程的作用机制。对稳态钠电流有影响吗?
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Antiarrhythmic agents: the modulated receptor mechanism of action of sodium and calcium channel-blocking drugs.抗心律失常药物:钠通道阻滞剂和钙通道阻滞剂的受体调节作用机制
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10
Electrophysiological effects of alpha-adrenoceptor antagonists in rabbit sino-atrial node, cardiac Purkinje cells and papillary muscles.α-肾上腺素能受体拮抗剂对兔窦房结、心脏浦肯野细胞和乳头肌的电生理效应。
Br J Pharmacol. 1984 Oct;83(2):419-26. doi: 10.1111/j.1476-5381.1984.tb16502.x.