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皮质激素治疗的大鼠异丙肾上腺素诱发心律失常时的血流动力学改变

Hemodynamic alterations in isoproterenol-induced cardiac arrhythmias in corticoid-treated rats.

作者信息

Barletta M A, Lehr D, Guideri G

出版信息

J Pharm Sci. 1978 Oct;67(10):1390-4. doi: 10.1002/jps.2600671015.

Abstract

Hemodynamic alterations were studied to determine their role in isoproterenol-induced cardiac arrhythmias in the desoxycorticosterone acetate--saline-treat rat. Since epinephrine, a catecholamine possessing an alpha-adrenergic receptor agonist component, was considerably less potent as an arrhythmogenic agent, an elevation in blood pressure was thought to be protective against arrhythmias. Both albuterol, a beta2-adrenergic agonist, alone and epinephrine administered following tolazoline, an alpha-adrenergic blocking agent, decreased blood pressure to that of isoproterenol but failed to elicit significant arrhythmias. Phenylephrine administered prior to isoproterenol resulted in significant arrhythmias despite the maintenance of mean blood pressure at normal levels. The study shows that blood pressure alterations are not important in the etiology of isoproterenol-induced arrhythmias in the corticoid-pretreated rat.

摘要

研究血流动力学改变以确定其在醋酸去氧皮质酮 - 生理盐水处理大鼠中异丙肾上腺素诱导的心律失常中的作用。由于肾上腺素(一种具有α - 肾上腺素能受体激动剂成分的儿茶酚胺)作为致心律失常剂的效力要低得多,因此血压升高被认为对心律失常有保护作用。单独使用β2 - 肾上腺素能激动剂沙丁胺醇以及在给予α - 肾上腺素能阻滞剂妥拉唑啉后给予肾上腺素,均可使血压降至异丙肾上腺素的水平,但未能引发明显的心律失常。在给予异丙肾上腺素之前给予去氧肾上腺素,尽管平均血压维持在正常水平,但仍导致明显的心律失常。该研究表明,在皮质激素预处理的大鼠中,血压改变在异丙肾上腺素诱导的心律失常病因中并不重要。

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