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[乙吗噻嗪和乙卡噻嗪(乙吗噻嗪的二乙氨基类似物)对局部心肌血流量及心脏颤动阈值的影响]

[Effect of etmozin and ethacizin (diethylamino analog of etmozin) on local microcardiac blood flow and the fibrillation threshold of the heart].

作者信息

Aniukhovskiĭ E P, Vegkh A, Rozenshtraukh L V, Sekeresh L

出版信息

Kardiologiia. 1984 May;24(5):58-61.

PMID:6379261
Abstract

Using the thermoclearance method, the antiarrhythmic drugs ethmozine and ethacizine (a diethylamine analogue of ethmozine) were shown to improve the blood supply of the ischemic zone which developed acute occlusion of the canine coronary following artery. The effects of the drugs were most prominent in the subepicardial area. The occlusion of the coronary artery resulted in a reduction of the local blood flow in the subepicardial are by 75.6 +/- 4.6% in the control group, by 54.2 +/- 9.7% (p less than 0.05) in the ethmozine group (3 mg/kg) and by 34.2 +/- 8.2% (p less than 0.05) in the group receiving ethacizine (1 mg/kg). In acute experiments on cats both drugs increased the threshold of cardiac fibrillation induced by high frequency electric stimulation. Following the administration of ethmozine (3 mg/kg), the threshold of right atrial fibrillation enhanced by 187 +/- 70% (p less than 0.05) while with ethacizine (1 mg/kg) it rose by 181 +/- 66% (p less than 0.05). The increase in the threshold of right ventricle fibrillation for ethmozine constituted 82 +/- 41% (p less than 0.05) and for ethacizine 77 +/- 38% (p less than 0.05).

摘要

采用热清除法研究表明,抗心律失常药物乙吗噻嗪和乙卡嗪(乙吗噻嗪的二乙胺类似物)可改善犬冠状动脉急性闭塞后缺血区的血液供应。药物作用在心肌下区域最为显著。冠状动脉闭塞导致对照组心肌下区域局部血流减少75.6±4.6%,乙吗噻嗪组(3mg/kg)减少54.2±9.7%(p<0.05),乙卡嗪组(1mg/kg)减少34.2±8.2%(p<0.05)。在猫的急性实验中,两种药物均提高了高频电刺激诱发心脏颤动的阈值。给予乙吗噻嗪(3mg/kg)后,右心房颤动阈值提高了187±70%(p<0.05),给予乙卡嗪(1mg/kg)后提高了181±66%(p<0.05)。乙吗噻嗪使右心室颤动阈值提高82±41%(p<0.05),乙卡嗪提高77±38%(p<0.05)。

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