Strigl R, Pfeiffer U, Sagerer M, Birk M, Aschenbrenner G, Erhardt W, Kohler W, Blümel G
Z Geburtshilfe Perinatol. 1981 Dec;185(6):313-20.
The influence of the highly selective beta-1-adrenergic blocker Metoprolol on cardiovascular and metabolic side effects of the beta-mimetic Fenoterol, used for labour inhibition, was investigated in anesthetized mongrel dogs. In a dosage of 1.5 microgram/kg BW/min Metoprolol antagonized the positive inotropic and chronotropic cardiac effects of Fenoterol (0.06 microgram/kg BW/min) thus compensating the impaired energetic balance of the myocardium. As expected, there was no influence on the beta-mimetic mediated metabolic alterations. Taking into account its pharmacologic actions, the additional application of Metoprolol in labour inhibition with beta-mimetics seems to be advantageous. On account of the proven results a reduction of the more or less considerable missensations and a cardioprotective effect may be expected.
在麻醉的杂种犬中研究了高选择性β-1肾上腺素能阻滞剂美托洛尔对用于抑制宫缩的β-拟交感神经药非诺特罗的心血管和代谢副作用的影响。以1.5微克/千克体重/分钟的剂量,美托洛尔拮抗了非诺特罗(0.06微克/千克体重/分钟)的正性肌力和变时性心脏效应,从而补偿了受损的心肌能量平衡。正如预期的那样,对β-拟交感神经药介导的代谢改变没有影响。考虑到其药理作用,在使用β-拟交感神经药抑制宫缩时额外应用美托洛尔似乎是有利的。基于已证实的结果,可以预期或多或少会减少明显的不适感并具有心脏保护作用。