Goes S, Freire-Maia L, Almeida A P
Departamento de Farmacologia, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
Braz J Med Biol Res. 1993 Oct;26(10):1091-5.
The present study was carried out to evaluate the effect of anesthetics on reperfusion arrhythmias. Male Wistar rats (200-300 g) were injected ip with heparin (200 IU), followed by anesthesia with thiopental (40 mg/kg), pentobarbital (30 mg/kg), urethane (1.2 g/kg), either, or halothane and sacrificed by decapitation. The isolated heart (5 to 8 per group) was perfused with Locke solution by the Langendorff method and the left coronary artery was ligated for 10 min. The incidence of reperfusion arrhythmias (100%) was similar in hearts of control and previously anesthetized rats, but the duration of the arrhythmias was significantly increased by anesthesia (5-fold with thiopental, 15-fold with pentobarbital, ether and halothane, and 30-fold with urethane). In hearts taken from unanesthetized rats and perfused with Locke solution containing anesthetics (5-7 per group), the duration of reperfusion arrhythmias decreased with thiopental (0.23 +/- 0.15 min), did not change with pentobarbital (1.14 +/- 0.26 min) and increased with urethane (16.10 +/- 5.60 min). Our results show that anesthetics alter the duration of reperfusion arrhythmias in the isolated rat heart.
本研究旨在评估麻醉剂对再灌注心律失常的影响。将体重200 - 300克的雄性Wistar大鼠腹腔注射肝素(200国际单位),随后分别用硫喷妥钠(40毫克/千克)、戊巴比妥(30毫克/千克)、氨基甲酸乙酯(1.2克/千克)或氟烷进行麻醉,然后断头处死。通过Langendorff法用洛克溶液灌注分离的心脏(每组5至8个),并结扎左冠状动脉10分钟。对照组和先前麻醉大鼠心脏中再灌注心律失常的发生率(100%)相似,但麻醉显著增加了心律失常的持续时间(硫喷妥钠增加5倍,戊巴比妥、乙醚和氟烷增加15倍,氨基甲酸乙酯增加30倍)。在取自未麻醉大鼠并灌注含麻醉剂洛克溶液的心脏中(每组5 - 7个),硫喷妥钠使再灌注心律失常的持续时间缩短(0.23±0.15分钟),戊巴比妥使其无变化(1.14±0.26分钟),氨基甲酸乙酯使其延长(16.10±5.60分钟)。我们的结果表明,麻醉剂会改变离体大鼠心脏中再灌注心律失常的持续时间。