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[急性静脉注射索他洛尔在人体中的电生理特性]

[Electrophysiological properties of acute intravenous sotalol in man].

作者信息

Clémenty J, Falquier J F, Danis C, Bémurat M, Dallocchio M, Bricaud H

出版信息

Arch Mal Coeur Vaiss. 1981 Sep;74(9):1089-97.

PMID:6794520
Abstract

The electrophysiological properties of of 0,6 mg/Kg SOTALOL administered intravenously were studied in 15 subjects aged between 32 and 81 years. The following parameters were recorded: sinus rate (SR), corrected sinus node recovery time (SNRT), sinoatrial conduction time (SACT), PA interval, right atrial effective refractory period (ERP), right atrial functional refractory period (FRP), AH interval at rest, at 100 bpm, Luciani-Wenckebach point (LWP), AV node ERP and FRP, HV interval, His-Purkinje ERP, right ventricular ERP, corrected QT interval. At this dosage, intravenous SOTALOL displays two types of behaviour: --That common to the betablocker drugs: slowing SR by 16%, increasing the AV nodal conduction, increasing the AH interval at rest (5%), at 100 bpm (23%), increasing AV nodal ERP (26%) and FRP (20%), decreasing the LWP (18%). --Other properties: increasing intraatrial PA interval (3%), increasing right atrial ERP (II%), FRP (I7%), increasing right ventricular ERP (8%), increasing His-Purkinje ERP (when measurable) (about 6%), no change in corrected QT interval. At this dosage, SOTALOL exhibits electrophysiological behaviour similar to drugs in Class III (Touboul): those with a "wide electrophysiological spectrum".

摘要

对15名年龄在32至81岁之间的受试者静脉注射0.6毫克/千克的索他洛尔,研究其电生理特性。记录了以下参数:窦性心率(SR)、校正窦房结恢复时间(SNRT)、窦房传导时间(SACT)、PA间期、右心房有效不应期(ERP)、右心房功能不应期(FRP)、静息时、100次/分时的AH间期、卢西亚尼 - 温克巴赫点(LWP)、房室结ERP和FRP、HV间期、希氏 - 浦肯野ERP、右心室ERP、校正QT间期。在此剂量下,静脉注射索他洛尔表现出两种行为:——β受体阻滞剂药物共有的行为:使SR减慢16%,增加房室结传导,增加静息时的AH间期(5%)、100次/分时的AH间期(23%),增加房室结ERP(26%)和FRP(20%),降低LWP(18%)。——其他特性:增加心房内PA间期(3%),增加右心房ERP(11%)、FRP(17%),增加右心室ERP(8%),增加希氏 - 浦肯野ERP(可测量时)(约6%),校正QT间期无变化。在此剂量下,索他洛尔表现出与III类药物(图布尔)相似的电生理行为:即具有“宽电生理谱”的药物。

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