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脱氢苯哌利多与丙吡胺在房室传导方面的研究

Dehydrobenzperidol and disopyramide in A-V conduction.

作者信息

Pérez-Medina T, Taín J, Rérez A, García-Barreto D

出版信息

Eur J Pharmacol. 1976 Jul;38(1):215-7. doi: 10.1016/0014-2999(76)90222-3.

Abstract

The effects on A-V conduction of dehydrobenzperidol (Droperidol) 0.35 and 1.0 mg/kg i.v.) and disopyramide (1, 5 and 10 mg/kg i.v.) were tested in anesthetized, open chest and paced dogs. His's bundle electrograms were recorded by means of a catheter electrode or by a sutured electrode-bearing plaque in the A-V nodal region. Droperidol at the lower dose did not modify conduction time, while 1.0 mg/kg (3 times the usual clinical dose), prolonged atrial-His conduction without modifying H-V interval. Disopyramide 1 mg/kg caused a non-significant decrease in atrial-His concuction time, while in doses of 5 and 10 mg/kg it prolonged both conduction times (S-H and H-V), due to a predominant direct depressant effect, which is opposite to the atropinic actions of the drug.

摘要

在麻醉、开胸并进行起搏的犬中,测试了静脉注射0.35毫克/千克和1.0毫克/千克的脱氢苯哌利多(氟哌利多)以及1毫克/千克、5毫克/千克和10毫克/千克的丙吡胺对房室传导的影响。通过导管电极或在房室结区域用带缝合电极的板块记录希氏束电图。较低剂量的氟哌利多未改变传导时间,而1.0毫克/千克(为通常临床剂量的3倍)延长了心房 - 希氏束传导时间,同时未改变希氏束 - 心室间期。1毫克/千克的丙吡胺使心房 - 希氏束传导时间出现不显著的缩短,而5毫克/千克和10毫克/千克剂量时,由于其主要的直接抑制作用,延长了两个传导时间(窦房结 - 希氏束和希氏束 - 心室),这与该药物的抗胆碱作用相反。

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