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使用改良的Langendorff心脏标本对儿茶酚胺的冠状血管反应进行分析。

An analysis of the coronary vascular responses to catecholamines, using a modified Langendorff heart preparation.

作者信息

Broadley K J

出版信息

Br J Pharmacol. 1970 Dec;40(4):617-29. doi: 10.1111/j.1476-5381.1970.tb10642.x.

Abstract
  1. A modified Langendorff heart preparation from the guinea-pig was used to analyse catecholamine responses. Contractile force, heart rate and coronary perfusion pressure were recorded.2. Four components of the vascular response could be identified.(a) The initial phase was a vasoconstriction mediated by alpha-adrenoceptors which preceded any effects on heart rate and force.(b) A secondary constriction followed, which was due to the increased myocardial compression during positive inotropic and chronotropic responses.(c) The third, more predominant, effect was a prolonged dilatation probably associated with the increased metabolic activity of the heart.(d) A fourth component was a direct vasodilatation mediated by beta-adrenoceptors which was evident when small doses of catecholamines were used but was usually masked by the more pronounced metabolically linked dilatation.3. The actions of salbutamol were examined and since it caused direct vasodilatation by stimulation of beta-adrenoceptors without other myocardial effects, these adrenoceptors were classified as the beta(2)-type.4. I.C.I. 50,172 was employed to block selectively the myocardial effects due to stimulation of beta(1)-adrenoceptors and leave the vasodilator beta(2)-adrenoceptors unaffected.5. Adrenaline, noradrenaline and isoprenaline were compared at two dose levels, in the presence or absence of effects on heart rate and force.6. Constrictor or dilator effects were found in the absence of other effects and were shown to depend to some extent on the rate of coronary perfusion.
摘要
  1. 使用豚鼠改良的Langendorff心脏标本分析儿茶酚胺反应。记录收缩力、心率和冠状动脉灌注压。

  2. 可识别出血管反应的四个组成部分。

(a) 初始阶段是由α-肾上腺素受体介导的血管收缩,先于对心率和力的任何影响。

(b) 随后是继发性收缩,这是由于正性肌力和变时性反应期间心肌压缩增加所致。

(c) 第三个更主要的作用是可能与心脏代谢活动增加相关的长时间扩张。

(d) 第四个组成部分是由β-肾上腺素受体介导的直接血管舒张,当使用小剂量儿茶酚胺时明显,但通常被更明显的代谢相关舒张所掩盖。

  1. 研究了沙丁胺醇的作用,由于它通过刺激β-肾上腺素受体引起直接血管舒张而无其他心肌作用,这些肾上腺素受体被归类为β(2)型。

  2. 使用I.C.I. 50,172选择性阻断因刺激β(1)-肾上腺素受体引起的心肌作用,而不影响血管舒张性β(2)-肾上腺素受体。

  3. 在有或无对心率和力的影响的两种剂量水平下比较肾上腺素、去甲肾上腺素和异丙肾上腺素。

  4. 在无其他影响的情况下发现了收缩或舒张作用,并且显示在一定程度上取决于冠状动脉灌注速率。

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