de Carvalho J I, Pitchon M, Lima W de S, Gomes O M
Hospital São Francisco de Assis-Belo Horizonte, MG.
Arq Bras Cardiol. 1995 Aug;65(2):159-62.
The myocardial contractility variations and the cardiac rate were studied in isolated hearts of rats with injection of diazepam, dopamine and the association of both.
In all animals, after anesthesia, the hearts were removed and perfused with Krebs-Henseleit solution enriched by 95% O2 under a constant pressure of 90 cm H2O, until complete stabilization, for control value recordings. The following groups were studied: I) ten hearts: after stabilization the control values were recorded and dopamine (3 micrograms/ml) injected; IIA and IIB): also ten hearts were used and submitted to 50 micrograms and 100 micrograms of diazepam injections respectively. III) ten hearts studied with 50 micrograms of diazepam and 3 micrograms/ml of dopamine injection in a sequential form.
Myocardial contractility arose in group I, from 37 g.seg-1 (control mean-value) to 70 and 53 g.seg-1 (1st and 3rd min); p < 0.001. In the groups IIA and IIB the dT/dt fell considerably in relation to the control: 35 g.seg-1 to 24 and 30 g.seg-1 (1st and 3rd min)--group IIA; p < 0.001 -32 g.seg-1 to 22 and 25 g.seg-1 (1st and 3rd min)--group IIB; p < 0.001. In the group III, a partial inhibition of the inotropic effects of dopamine by the injection of diazepam was observed. Heart rate follows fully the dT/dt variations in the groups IIA, IIB and III.
Diazepam presents inotropic and chronotropic negative effects with the 50 micrograms as well as with 100 micrograms injection and the chronotropic and inotropic effect of dopamine (3 micrograms) injection was partially inhibited by the previous injection (50 micrograms) of diazepam.
研究注射地西泮、多巴胺以及两者联合使用对大鼠离体心脏心肌收缩力变化和心率的影响。
对所有动物进行麻醉后取出心脏,在90 cm H2O的恒定压力下用含95%氧气的Krebs-Henseleit溶液灌注,直至完全稳定,以记录对照值。研究了以下几组:I)十颗心脏:稳定后记录对照值,然后注射多巴胺(3微克/毫升);IIA组和IIB组:同样使用十颗心脏,分别注射50微克和100微克地西泮。III)十颗心脏,先注射50微克地西泮,然后依次注射3微克/毫升多巴胺。
I组心肌收缩力从37克·秒-1(对照平均值)升至70和53克·秒-1(第1和第3分钟);p<0.001。IIA组和IIB组的dT/dt相对于对照显著下降:IIA组从35克·秒-1降至24和30克·秒-1(第1和第3分钟);p<0.001;IIB组从32克·秒-1降至22和25克·秒-1(第1和第3分钟);p<0.001。在III组中,观察到注射地西泮会部分抑制多巴胺的正性肌力作用。IIA组、IIB组和III组的心率完全随dT/dt变化。
注射50微克和100微克地西泮均呈现负性肌力和负性变时作用,先前注射50微克地西泮会部分抑制注射3微克多巴胺的变时和变力作用。