Resch B A, Kovács L, Papp J G
Frauenklinik, Medizinischen Universität Szeged/Ungarn.
Zentralbl Gynakol. 1987;109(23):1446-52.
The effect of fenoterol and fenoterol + verapamil on fetal hearts obtained from termination of pregnancy and surviving in nutrient solution was investigated. In 10--20-week-old fetal hearts, under the influence of fenoterol, a concentration-dependent increase was observed in spontaneous rate and contractility. A close linear correlation was found between the fetal age and the tachycardiac effect of the drug. The positive chronotropic and inotropic effect of fenoterol was significantly decreased by a therapeutically meaningful concentration (20 micrograms/l) of verapamil. The results are in favour of the suggestion that the inhibition by verapamil of the in utero fetal tachycardiac effect of fenoterol might occur, at least in part, in the fetal heart itself.
研究了非诺特罗以及非诺特罗+维拉帕米对取自人工流产胎儿并存活于营养液中的胎儿心脏的影响。在10至20周龄的胎儿心脏中,在非诺特罗的影响下,观察到自发频率和收缩性呈浓度依赖性增加。发现胎儿年龄与该药物的心动过速效应之间存在密切的线性相关性。治疗有效浓度(20微克/升)的维拉帕米可显著降低非诺特罗的正性变时性和变力性效应。这些结果支持以下观点:维拉帕米对非诺特罗在子宫内胎儿心动过速效应的抑制作用可能至少部分发生在胎儿心脏本身。