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肾上腺素、乙酰胆碱、钙离子和镁离子对豚鼠窦房结变时性作用的周期长度依赖性

Cycle length dependence of the chronotropic effects of adrenaline, acetylcholine, Ca2+ and Mg2+ in the Guinea-pig sinoatrial node.

作者信息

Opthof T, de Jonge B, Schade B, Jongsma H J, Bouman L N

出版信息

J Auton Nerv Syst. 1984 Dec;11(4):349-66. doi: 10.1016/0165-1838(84)90083-3.

Abstract

Ca (1.1-5.5 mM) has a positive chronotropic action on isolated right atria of the guinea-pig. The magnitude of the response depends on the cycle length. Magnitude and cycle length dependence of the Ca response are independent of beta-blockade by propranolol. Mg (0.6-6.0 mM) has a negative chronotropic action. At 6.0 mM it interferes with responses to adrenaline and acetylcholine by preventing pacemaker shifts. Adrenaline has a positive chronotropic action in a cycle length dependent manner. A shift of pacemaker dominance under the influence of adrenaline to an identical site in all preparations (as in the rabbit) was not observed. However, pacemaker shifts in the presence of adrenaline do occur and they are always directed towards the inferior part of the node. Acetylcholine has a negative chronotropic action, independent of cycle length. Acetylcholine also induces pacemaker shifts. Contrary to the pacemaker shifts caused by adrenaline, the new, acetylcholine-induced pacemaker center, has an identical site in all preparations. This was previously observed in the rabbit too. The acetylcholine-induced center is located about 1 mm inferior from the primary center. During exposure to acetylcholine different action potentials may be recorded at the epi- and endocardial side of the preparation, but only close to the Ach-induced center. The acetylcholine-induced center is located at the epicardial side. The response to acetylcholine predominates over the response to adrenaline. All results are discussed in comparison with our previous findings in the rabbit.

摘要

钙(1.1 - 5.5毫摩尔/升)对豚鼠离体右心房有正性变时作用。反应的幅度取决于心动周期长度。钙反应的幅度和对心动周期长度的依赖性与普萘洛尔的β受体阻滞作用无关。镁(0.6 - 6.0毫摩尔/升)有负性变时作用。在6.0毫摩尔/升时,它通过阻止起搏点移位来干扰对肾上腺素和乙酰胆碱的反应。肾上腺素以依赖于心动周期长度的方式产生正性变时作用。未观察到在肾上腺素影响下起搏点优势转移到所有标本中的同一个部位(如在兔子中那样)。然而,在有肾上腺素存在时确实会发生起搏点移位,并且它们总是朝着结的下部。乙酰胆碱有负性变时作用,与心动周期长度无关。乙酰胆碱也会引起起搏点移位。与肾上腺素引起的起搏点移位相反,新的、由乙酰胆碱诱导的起搏点中心在所有标本中位于同一个部位。这在兔子中以前也观察到过。乙酰胆碱诱导的中心位于距原中心下方约1毫米处。在暴露于乙酰胆碱期间,在标本的心外膜侧和心内膜侧可能记录到不同的动作电位,但仅在靠近乙酰胆碱诱导的中心处。乙酰胆碱诱导的中心位于心外膜侧。对乙酰胆碱的反应强于对肾上腺素的反应。所有结果都与我们之前在兔子中的发现进行了比较讨论。

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