Küçükhüseyín C
Arch Int Pharmacodyn Ther. 1977 Jan;225(1):114-23.
Experiments carried out on spontaneously beating and electrically driven guinea-pig atria, have shown that pentazocine and cyclazocine when used in equal concentrations induce a reduction in rate and contraction amplitude. An initial positive inotropic response always precedes with a negative deflection in electrically driven atria. Atropine and nalorphine do not antagonize the drug-induced reduction in rate and contractility. Practolol does not influence either the initial positive or the negative inotropic effects of pentazocine. An apparent tachyphylaxis to the pentazocine-induced positive inotropic response is observed even after the first exposure when the same concentration of pentazocine is tested on the same preparation. Increasing the Ca++ concentration in the medium antagonizes the negative inotropic and chronotropic effects of adenosine and acetylcholine. It is concluded that the negative inotropic effects of the tested drugs may be due to an interference with the Ca++ balance within the atrial cells and/or a direct nonspecific effect on the cell membrane.
在对豚鼠自发搏动和电驱动心房进行的实验中发现,喷他佐辛和环唑辛在等浓度使用时会导致心率和收缩幅度降低。在电驱动心房中,初始的正性肌力反应总是先于负向偏转出现。阿托品和烯丙吗啡不能拮抗药物引起的心率和收缩力降低。心得宁对喷他佐辛的初始正性肌力作用或负性肌力作用均无影响。即使在首次暴露后,当在同一标本上测试相同浓度的喷他佐辛时,也会观察到对喷他佐辛诱导的正性肌力反应明显的快速耐受性。增加培养基中的钙离子浓度可拮抗腺苷和乙酰胆碱的负性肌力和变时作用。得出的结论是,受试药物的负性肌力作用可能是由于干扰了心房细胞内的钙离子平衡和/或对细胞膜的直接非特异性作用。