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儿茶酚胺和酪胺对离体和血液灌注犬心房窦房传导的直接作用。

Direct effects of catecholamines and tyramine on sinoatrial conduction in isolated and blood-perfused dog atria.

作者信息

Kobayashi M, Shimotori M, Chiba S

出版信息

Jpn Heart J. 1984 Mar;25(2):195-205. doi: 10.1536/ihj.25.195.

Abstract

We have investigated the effects of catecholamines (dopamine, norepinephrine, epinephrine and isoproterenol) and tyramine on sinoatrial conduction time (SACT), sinus cycle length (SCL) and developed tension (DT) in isolated atrial muscle, using an isolated and blood-perfused dog atrial preparation, perfused with heparinized blood from the carotid artery of the anesthetized donor dog. Each substance was continuously administered intraarterially into the cannulated sinus node artery. They had dose-dependent positive chronotropic and inotropic effects. Each produced not only a shortening but a prolongation of SACT. In experiments in which only a shortening occurred, the order of the potency for inducing the shortening of the SACT was isoproterenol greater than norepinephrine = epinephrine greater than dopamine greater than tyramine. The ratio of doses required to produce roughly a 15-25% shortening of the SACT was 1: 10: 10: 100: 300, respectively. The isoproterenol-induced shortening of the SACT was inhibited by treatment with propranolol. Tyramine-induced shortening was inhibited by imipramine. From these results, it is suggested that sympathomimetic amines induce a shortening of SACT through adrenergic beta-receptors and also readily induce a pacemaker shift in the SA nodal area.

摘要

我们使用一种分离并经血液灌注的犬心房制备方法,该方法是用来自麻醉供体犬颈动脉的肝素化血液进行灌注,研究了儿茶酚胺(多巴胺、去甲肾上腺素、肾上腺素和异丙肾上腺素)和酪胺对离体心房肌窦房传导时间(SACT)、窦性周期长度(SCL)和舒张期张力(DT)的影响。每种物质通过动脉插管持续注入窦房结动脉。它们具有剂量依赖性的正性变时和变力作用。每种物质不仅能使SACT缩短,还能使其延长。在仅出现缩短的实验中,诱导SACT缩短的效力顺序为异丙肾上腺素大于去甲肾上腺素=肾上腺素大于多巴胺大于酪胺。产生SACT大致15 - 25%缩短所需剂量的比例分别为1:10:10:100:300。异丙肾上腺素诱导的SACT缩短可被普萘洛尔处理所抑制。酪胺诱导的缩短可被丙咪嗪抑制。从这些结果表明,拟交感胺通过肾上腺素能β受体诱导SACT缩短,并且还容易在窦房结区域诱导起搏点移位。

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