Muir W W
Department of Veterinary Clinical Sciences, Ohio State University, Columbus 43210, USA.
Equine Vet J Suppl. 1992 Feb(11):24-9.
The cardiovascular effects of serial increasing infusions of dopexamine HCl were investigated in six conscious (1, 2, 4, 6, 10 micrograms/kg bodyweight [bwt]/min) and eight (0.5, 1, 5, 10, 20 micrograms/kg bwt/min) halothane-anaesthetised horses. Dopexamine produced dose-dependent increases in heart rate, +dP/dtmax' -dP/dtmax and cardiac output, and a decrease in systemic vascular resistance in conscious and halothane-anaesthetised horses. Mean arterial blood pressure did not change in conscious horses but increased to a maximum value at 10 micrograms/kg bwt/min in halothane-anaesthetised horses. Thereafter, median artery blood flow decreased. Ventricular arrhythmias occurred in two conscious horses during the infusion of 10 micrograms/kg bwt/min dopexamine HCl. No cardiac arrhythmias other than sinus tachycardia were observed in halothane-anaesthetised horses. The administration of propanolol eliminated the haemodynamic response to the infusion of 5 and 10 micrograms/kg bwt/min dopexamine HCl in halothane-anaesthetised horses. The haemodynamic effects of dopexamine HCl offer specific advantages over dopamine and dobutamine for the treatment of low cardiac output states in horses.
研究了在六匹清醒(剂量为1、2、4、6、10微克/千克体重[bwt]/分钟)和八匹氟烷麻醉(剂量为0.5、1、5、10、20微克/千克bwt/分钟)的马匹中,连续递增输注盐酸多培沙明的心血管效应。盐酸多培沙明使清醒和氟烷麻醉马匹的心率、+dP/dtmax、-dP/dtmax和心输出量呈剂量依赖性增加,全身血管阻力降低。清醒马匹的平均动脉血压未发生变化,但氟烷麻醉马匹在剂量为10微克/千克bwt/分钟时平均动脉血压升高至最大值。此后,中动脉血流量减少。在输注10微克/千克bwt/分钟盐酸多培沙明过程中,两匹清醒马匹出现室性心律失常。氟烷麻醉马匹除窦性心动过速外未观察到其他心律失常。给予普萘洛尔可消除氟烷麻醉马匹输注5和10微克/千克bwt/分钟盐酸多培沙明时的血流动力学反应。与多巴胺和多巴酚丁胺相比,盐酸多培沙明的血流动力学效应在治疗马匹低心输出量状态方面具有特定优势。