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抗心律失常药物对犬玻璃珠诱导心肌梗死后室性心律失常的影响(作者译)

[Effects of antiarrhythmic agents on ventricular arrhythmias following myocardial infarct induced with glass beads in dogs (author's transl)].

作者信息

Kimoto S, Haruna M, Nakao T, Ueda M

出版信息

Nihon Yakurigaku Zasshi. 1981 Sep;78(3):163-71.

PMID:7327447
Abstract

Ventricular arrhythmias due to myocardial infarct were produced in 14 dogs, and the antiarrhytmic effects of quinidine (Qd), lidocaine (Lid), aprindine (Apr), and dl-propranolol (dl-Prop) were investigated. While recording the blood pressure and lead II ECG, a coronary cannula was inserted into a coronary orifice via the left carotid artery and a glass bead (diameter, 1.5 mm) was flushed into the left coronary artery. Beads were found at the descending branches in 12 and circumflex branches in 2 out of 14 gods, at autopsy. Using a telemetry system to record the lead II ECG of conscious, non-restricted dogs, the antiarrhythmic effects of Qd, Lid, Apr, and dl-Prop on ventricular arrhythmias 24 hours after coronary occlusion were compared. Apr and dl-Prop were about three times more potent than Qd and Lid. Although the durations of the antiarrhythmic effects of Apr, Lid, and dl-Prop were 20 to 30 min, that of Qd lasted longer. Since stable ventricular arrhythmias can be obtained by surgical intervention and the antiarrhythmic effects of standard compounds with glass beads can be used to study antiarrhythmic effects.

摘要

在14只犬身上诱发了心肌梗死所致的室性心律失常,并研究了奎尼丁(Qd)、利多卡因(Lid)、安搏律定(Apr)和dl-普萘洛尔(dl-Prop)的抗心律失常作用。在记录血压和II导联心电图的同时,经左颈动脉将冠状动脉插管插入冠状动脉口,并将一颗玻璃珠(直径1.5毫米)冲入左冠状动脉。尸检发现,14只犬中有12只的玻璃珠位于降支,2只位于回旋支。使用遥测系统记录清醒、未受限制犬的II导联心电图,比较了Qd、Lid、Apr和dl-Prop对冠状动脉闭塞24小时后室性心律失常的抗心律失常作用。Apr和dl-Prop的效力约为Qd和Lid的三倍。虽然Apr、Lid和dl-Prop的抗心律失常作用持续时间为20至30分钟,但Qd的作用持续时间更长。由于通过手术干预可诱发稳定的室性心律失常,且玻璃珠诱发的标准化合物的抗心律失常作用可用于研究抗心律失常效果。

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