Nakajima T, Yatabe Y, Yagata H
Arch Int Pharmacodyn Ther. 1977 Nov;230(1):112-9.
Effect of propanidid on the pacemaker activity of the SA node was investigated in anesthetized dogs by injecting 30 microgram to 3 mg into the SA node artery in a single dose in a period of 4 sec. The doses of more than 100 microgram usually induced a negative chronotropic response. The injection of more than 1 mg frequently caused a sinus arrest followed by AV nodal rhythm. The initial sinus rhythm, however, was restored within 2 min after the propanidid administration. Its negative chronotropic response was not altered by pretreatment with atropine which completely blocked the action of acetylcholine. Bilateral vagotomy also did not affect the response induced by propanidid. A control solution or histamine failed to cause such a depressant effect on the SA node as observed after the propanidid injection. Thus, we conclude that propanidid supresses the SA nodal activity by a direct local action.
在麻醉犬身上,通过在4秒内单次向窦房结动脉注射30微克至3毫克的丙泮尼地,研究了其对窦房结起搏活动的影响。剂量超过100微克通常会引起负性变时反应。注射超过1毫克常常会导致窦性停搏,随后出现房室结心律。然而,在给予丙泮尼地后2分钟内,初始窦性心律得以恢复。其负性变时反应不会因预先用阿托品处理而改变,阿托品可完全阻断乙酰胆碱的作用。双侧迷走神经切断术也不影响丙泮尼地所诱导的反应。对照溶液或组胺未能像注射丙泮尼地后那样对窦房结产生如此明显的抑制作用。因此,我们得出结论,丙泮尼地通过直接的局部作用抑制窦房结活动。