Inoue K, Arndt J O
Br J Anaesth. 1982 Oct;54(10):1105-16. doi: 10.1093/bja/54.10.1105.
The effects of methohexitone, Althesin, ketamine and etomidate on single fibre discharge of cardiac vagal efferents and on heart rate were studied in cats. Cardiac vagal efferents were inhibited markedly and regularly for equihypnotic doses of methohexitone (2.0 mg kg-1), Althesin (0.1 ml kg-1) and ketamine (5.0 mg kg-1), but not of etomidate (0.8 mg kg-1). These inhibitory effects were independent of arterial pressure and mirrored the increases of heart rate elicited by the first three agents. Etomidate did not consistently affect cardiac vagal discharge or heart rate. Thus methohexitone. Althesin and ketamine inhibit efferent cardiac vagal drive by their central action independently of baroreflex function. This central vagolysis is probably the cause of their positive chronotropic effects.
在猫身上研究了美索比妥、阿法沙龙、氯胺酮和依托咪酯对心脏迷走神经传出纤维单纤维放电及心率的影响。对于等效催眠剂量的美索比妥(2.0毫克/千克)、阿法沙龙(0.1毫升/千克)和氯胺酮(5.0毫克/千克),心脏迷走神经传出纤维受到明显且规律的抑制,但依托咪酯(0.8毫克/千克)则无此作用。这些抑制作用与动脉血压无关,且与前三种药物引起的心率增加情况相符。依托咪酯并未持续影响心脏迷走神经放电或心率。因此,美索比妥、阿法沙龙和氯胺酮通过其中心作用抑制心脏迷走神经传出驱动,与压力反射功能无关。这种中枢性迷走神经阻滞可能是它们产生正性变时作用的原因。