Shi W B, Xu Y Q, Chen X L, Yu P D
Department of Physiology, Shanghai Second Medical University, China.
Zhongguo Yao Li Xue Bao. 1995 May;16(3):243-6.
To compare the effects of phenylephrine (Phe) on DAD and TA in the absence or presence of propranolol (Pro).
Using intracellular microelectrode methods to record transmembrane potentials in sheep Purkinje fibers.
Perfused Phe 1 mumol.L(-1) for 60 min, in the absence of Pro, Phe increased the amplitude of DAD from 7.5 +/- 1.2 to 9.0 +/- 2.0 mV (n = 8, P < 0.05), nonsignificantly changed the duration of DAD and induced TA in 3/11 preparations; but in the presence of Pro 0.5 mumol.L(-1) blocking beta-adrenoceptors, the amplitude of DAD increased from 7.2 +/- 1.8 to 8.3 +/- 2.1 mV at the first 20 min (n = 8, P < 0.01), and then decreased to 6.3 +/- 1.6 mV, the duration of DAD prolonged from 192 +/- 17 to 280 +/- 27 ms (n = 8, P < 0.01 vs control), meanwhile Phe could suppress the TA induced by acetylstrophanthidin and this effect was blocked by prazosin.
When Pro is efficiently used in abolishing arrhythmias evoked by catecholmines, apart from directly blocking beta-adrenoceptors, relatively aggravating excitation of alpha-adrenoceptors to suppress DAD and TA is one of the important reasons.
比较去氧肾上腺素(Phe)在有无普萘洛尔(Pro)存在时对延迟后除极(DAD)和触发活动(TA)的影响。
采用细胞内微电极方法记录绵羊浦肯野纤维的跨膜电位。
在无Pro的情况下,灌注1 μmol·L⁻¹的Phe 60分钟,Phe使DAD的幅度从7.5±1.2 mV增加到9.0±2.0 mV(n = 8,P < 0.05),DAD的持续时间无显著变化,并在3/11的标本中诱发TA;但在存在0.5 μmol·L⁻¹的Pro阻断β肾上腺素能受体时,最初20分钟DAD的幅度从7.2±1.8 mV增加到8.3±2.1 mV(n = 8,P < 0.01),然后降至6.3±1.6 mV,DAD的持续时间从192±17毫秒延长至280±27毫秒(n = 8,与对照组相比P < 0.01),同时Phe可抑制毒毛花苷K诱发的TA,且此效应可被哌唑嗪阻断。
当Pro有效用于消除儿茶酚胺诱发的心律失常时,除直接阻断β肾上腺素能受体外,相对加重α肾上腺素能受体的兴奋以抑制DAD和TA是重要原因之一。