Ma Y X, Zhao H Y
Department of Internal Medicine, Tongji Hospital, Tongji Medical University, Wuhan.
J Tongji Med Univ. 1994;14(3):165-8. doi: 10.1007/BF02886799.
The effects of amrinone on cardiac contraction and relaxation were assessed in isolated, perfused rat hearts. It was found that the left ventricular developed pressure (LVDP), dp/dtmax and -da/dtmax did not significantly increase, and the time constant (tau) did not markedly shorten with perfusion of low concentration (1 nmol/L, 100 nmol/L) of amrinone. The perfusion with higher concentration (1000 nmol/L) of amrinone reduced LVDP (P < 0.01), dp/dtmax (P < 0.01), -dp/dtmax (P < 0.01), and prolonged tau (P < 0.05) significantly. It was assumed that amrinone has no direct positive inotropic effect, and can not improve cardiac relaxation. On the contrary, the cardiac contraction and relaxation will be inhibited at higher concentration of amrinone.
在离体灌流的大鼠心脏中评估了氨力农对心脏收缩和舒张的影响。发现低浓度(1纳摩尔/升、100纳摩尔/升)氨力农灌注时,左心室舒张末压(LVDP)、dp/dtmax和 -da/dtmax没有显著增加,时间常数(tau)也没有明显缩短。高浓度(1000纳摩尔/升)氨力农灌注显著降低LVDP(P < 0.01)、dp/dtmax(P < 0.01)、-dp/dtmax(P < 0.01),并显著延长tau(P < 0.05)。推测氨力农没有直接的正性肌力作用,也不能改善心脏舒张。相反,高浓度氨力农会抑制心脏收缩和舒张。