Jayachandran C, Prakash N
Indian J Physiol Pharmacol. 1983 Jan-Mar;27(1):50-2.
(+) Propranolol is considered to prevent adrenaline-induced pulmonary edema (A.P.E.) due to the beta-adrenoceptor blockade. However, local anaesthetics also are known to prevent pulmonary edema. To assess the role of beta-adrenergic blockade in A.P.E., the effect of a beta 1-blocker possessing local anaesthetic action (+/- Metaprolol) and a beta 1-blocker possessing no local anaesthetic action (+/- practolol) was studied along with propranolol derivatives. The study revealed that (+), (-), (+/-) propranolol and (+/-) metaprolol completely prevented A.P.E. whereas (+/-) practolol did not. This shows that local anaesthetic action but not the-beta adrenergic blockade may be responsible for prevention of A.P.E.
(+)普萘洛尔被认为可通过β - 肾上腺素能受体阻滞预防肾上腺素诱导的肺水肿(A.P.E.)。然而,局部麻醉药也已知可预防肺水肿。为评估β - 肾上腺素能阻滞在A.P.E.中的作用,研究了具有局部麻醉作用的β1受体阻滞剂(+/- 美托洛尔)和不具有局部麻醉作用的β1受体阻滞剂(+/- 普拉洛尔)以及普萘洛尔衍生物的效果。研究表明,(+)、(-)、(+/-)普萘洛尔和(+/-)美托洛尔完全预防了A.P.E.,而(+/-)普拉洛尔则没有。这表明预防A.P.E.的原因可能是局部麻醉作用而非β - 肾上腺素能阻滞。