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吲哚洛尔对犬心脏房室传导的电生理效应。

Electrophysiologic effects of pindolol on atrioventricular conduction in canine heart.

作者信息

Arakawa T, Kambe T, Sakamoto N

出版信息

Jpn Heart J. 1979 Jul;20(4):537-47. doi: 10.1536/ihj.20.537.

Abstract

The effects of intravenous pindolol on the electrophysiologic properties of the atrioventricular conduction system was studied in intact dog, using His bundle electrogram and the extrastimulus method. Pindolol was administered intravenously in a dose range of 4 to 40 micrograms/Kg. The latter dosage of pindolol is above those used clinically. Significant effects of intravenous pindolol were observed on sinus cycle length, the A-V nodal conduction time, the ERP of the atrium, the ERP and FRP of the A-V node, and the ERP of the ventricle. Sinus cycle length was prolonged during sinus rhythm. Intraatrial conduction time was not altered by pindolol, while the ERP of the atrium was slightly increased. The A-H interval was generally prolonged by pindolol without Wenckebach type A-V block, but the H-V interval was unchanged. Both ERP and FRP of the A-V node was prolonged. The ERP and RRP of the His-Purkinje system were not statistically evaluated, because no block within the His-Purkinje system were not statistically evaluated, because no block with the His-Purkinje system or prolongation of H-V interval was produced and only a few QRS complexes by extrastimulus showed aberrant configration in the intact canine heart. In addition, pindolol prolonged the ERP of the ventricle.

摘要

采用希氏束电图和额外刺激法,在完整犬体内研究了静脉注射吲哚洛尔对房室传导系统电生理特性的影响。吲哚洛尔静脉注射剂量范围为4至40微克/千克。吲哚洛尔的后一剂量高于临床使用剂量。观察到静脉注射吲哚洛尔对窦性周期长度、房室结传导时间、心房有效不应期(ERP)、房室结ERP和功能不应期(FRP)以及心室ERP有显著影响。窦性心律时窦性周期长度延长。吲哚洛尔未改变心房内传导时间,而心房ERP略有增加。吲哚洛尔通常使A-H间期延长,未出现文氏型房室传导阻滞,但H-V间期未改变。房室结的ERP和FRP均延长。希氏-浦肯野系统的ERP和相对不应期(RRP)未进行统计学评估,因为在完整犬心内未产生希氏-浦肯野系统内阻滞或H-V间期延长,且额外刺激仅产生少数QRS波群呈异常形态。此外,吲哚洛尔延长了心室的ERP。

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