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肌苷对缺血心肌是否为一种选择性强心剂?

Inosine as a selective inotropic agent on ischaemic myocardium?

作者信息

Woollard K V, Kingaby R O, Lab M J, Cole A W, Palmer T N

出版信息

Cardiovasc Res. 1981 Nov;15(11):659-67. doi: 10.1093/cvr/15.11.659.

DOI:10.1093/cvr/15.11.659
PMID:7326684
Abstract

Intravenous infusion of inosine (15 mg.kg-1.min-1) to the open-chested pig resulted in hypotension, coronary vasodilatation and slightly increased myocardial contractility. Following coronary occlusion, the action of inosine to increase myocardial contractility was apparently selective. Regional myocardial performance of ischaemic myocardium was increased significantly relative to nonischaemic. The selectivity of inotropic action was not mimicked by glucose-insulin-potassium. It is concluded that the selectivity is multifactoral and that the inotropic, vasodilatory and metabolic actions of the nucleoside contribute to the apparent selectivity.

摘要

给开胸猪静脉输注肌苷(15毫克·千克⁻¹·分钟⁻¹)会导致低血压、冠状动脉扩张以及心肌收缩力略有增加。冠状动脉闭塞后,肌苷增加心肌收缩力的作用明显具有选择性。缺血心肌的局部心肌功能相对于非缺血心肌显著增强。葡萄糖 - 胰岛素 - 钾并未模拟出这种变力作用的选择性。得出的结论是,这种选择性是多因素的,并且该核苷的变力、血管舒张和代谢作用促成了这种明显的选择性。

相似文献

1
Inosine as a selective inotropic agent on ischaemic myocardium?肌苷对缺血心肌是否为一种选择性强心剂?
Cardiovasc Res. 1981 Nov;15(11):659-67. doi: 10.1093/cvr/15.11.659.
2
The influence of inosine on the size of myocardial ischaemia and myocardial metabolism in the pig.肌苷对猪心肌缺血面积及心肌代谢的影响。
Clin Physiol. 1982 Jun;2(3):189-97. doi: 10.1111/j.1475-097x.1982.tb00023.x.
3
Inosine : a naturally occurring cardiotonic agent.肌苷:一种天然存在的强心剂。
J Pharmacol. 1983;14 Suppl 3:47-71.
4
Effect of inosine on contractile force and high-energy phosphates in ischemic hearts.肌苷对缺血心脏收缩力和高能磷酸化合物的影响。
Proc Soc Exp Biol Med. 1979 Sep;161(4):468-72. doi: 10.3181/00379727-161-40575.
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Mechanism of the inotropic action of inosine on canine myocardium.肌苷对犬心肌正性肌力作用的机制
Cardiovasc Res. 1983 Dec;17(12):735-9. doi: 10.1093/cvr/17.12.735.
6
Inosine infusion in dogs with acute ischaemic left ventricular failure: favourable effects on myocardial performance and metabolism.犬急性缺血性左心室衰竭时输注肌苷:对心肌性能和代谢的有利影响。
Cardiovasc Res. 1983 Apr;17(4):192-9. doi: 10.1093/cvr/17.4.192.
7
Positive inotropic response to inosine in the in situ canine heart.犬原位心脏对肌苷的正性肌力反应。
Am J Physiol. 1977 Oct;233(4):H438-43. doi: 10.1152/ajpheart.1977.233.4.H438.
8
Effects of fluorocarbons, chlorinated solvents, and inosine on the cardiopulmonary system.碳氟化合物、氯化溶剂和肌苷对心肺系统的影响。
Environ Health Perspect. 1978 Oct;26:207-15. doi: 10.1289/ehp.7826207.
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Nonmetabolically coupled coronary vasodilatation during inosine infusion in dogs.犬输注肌苷期间的非代谢偶联性冠状动脉血管舒张
Am J Physiol. 1980 Apr;238(4):H569-74. doi: 10.1152/ajpheart.1980.238.4.H569.
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[Effect of inosine after early infusion of contrykal and heparin in various hemodynamic types of acute myocardial ischemia].[早期输注抑肽酶和肝素后肌苷对不同血流动力学类型急性心肌缺血的影响]
Kardiologiia. 1988 Oct;28(10):91-4.

引用本文的文献

1
Effects of inosine on reperfusion injury after cardiopulmonary bypass.肌苷对体外循环后再灌注损伤的影响。
J Cardiothorac Surg. 2010 Nov 8;5:106. doi: 10.1186/1749-8090-5-106.
2
Metabolic intervention to affect myocardial recovery following ischemia.影响缺血后心肌恢复的代谢干预。
Ann Surg. 1984 Jul;200(1):1-12. doi: 10.1097/00000658-198407000-00001.