Gaide M S, Kimura S, Lodge N J, Cameron J S, Kozlovskis P L, Myerburg R J, Bassett A L
Circulation. 1986 Mar;73(3 Pt 2):III36-45.
Normal right ventricular muscles and similar preparations obtained from cats with signs of subacute right ventricular failure (RVF) (3 to 14 days after pressure overload induced by pulmonary artery coarctation) were studied during stimulation (at 0.5 Hz) and exposure to high-K+ Tyrode's solution. Twitch force, rate of force development (dP/dt), and rate of relaxation (-dP/dt) were significantly lower in RVF muscles compared with control muscles; duration of the twitch was significantly longer. Time to peak force was unchanged. Amrinone (5.3 x 10(-4)M) increased twitch force and dP/dt in normal muscle; however, the drug had no significant effects on twitch force and dP/dt in RVF muscles. Also unlike its action in control muscle, duration of the twitch was reduced by amrinone in failed muscle. Amrinone reduced K+ contracture force similarly in control and RVF muscle. In control and RVF muscles, isoproterenol (1.0 x 10(-6)M) significantly increased twitch force and dP/dt and reduced K+ contracture, while ouabain increased twitch force, dP/dt, and K+ contracture. The differential effects of amrinone on RVF and control muscles may reflect cellular defects associated with experimental ventricular failure.
研究了正常右心室肌肉以及从患有亚急性右心室衰竭(RVF)迹象的猫(在肺动脉缩窄诱导压力过载后3至14天)获得的类似标本,研究过程包括刺激(0.5Hz)和暴露于高钾泰罗德溶液中。与对照肌肉相比,RVF肌肉的抽搐力、力发展速率(dP/dt)和松弛速率(-dP/dt)显著降低;抽搐持续时间显著延长。达到峰值力的时间未改变。氨力农(5.3×10⁻⁴M)增加正常肌肉的抽搐力和dP/dt;然而,该药物对RVF肌肉的抽搐力和dP/dt无显著影响。与它在对照肌肉中的作用不同,氨力农在衰竭肌肉中缩短了抽搐持续时间。氨力农在对照和RVF肌肉中类似地降低了钾挛缩力。在对照和RVF肌肉中,异丙肾上腺素(1.0×10⁻⁶M)显著增加抽搐力和dP/dt并降低钾挛缩,而哇巴因增加抽搐力、dP/dt和钾挛缩。氨力农对RVF和对照肌肉的不同作用可能反映了与实验性心室衰竭相关的细胞缺陷。