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犬心脏应激试验期间多巴酚丁胺输注的生理反应。

Physiologic response to dobutamine infusion during cardiac stress testing of dogs.

作者信息

McEntee K, Amory H, Clercx C, Soyeur D, Michaux C, Vanhaeverbeek O, Jacqmot O, Henroteaux M

机构信息

Small Animal Clinic, Faculty of Veterinary Medicine, University of Liège, Belgium.

出版信息

Am J Vet Res. 1998 Sep;59(9):1160-5.

PMID:9736396
Abstract

OBJECTIVE

To evaluate response of various cardiovascular variables after administration of incremental doses of dobutamine in healthy conscious dogs, using standardized dobutamine stress echocardiography (DSE).

ANIMALS

8 healthy dogs.

PROCEDURE

A DSE was performed twice on each dog within 24 hours. Dobutamine was infused at a rate of 12.5 to 42.5 microg/kg/min, using incremental increases of 10 microg/kg/min. Doppler sphygmomanometry, electrocardiography, and echocardiography were performed. Left ventricular size, global ventricular performance, and left ventricular systolic myocardial function were measured by means of echocardiography.

RESULTS

At the highest dosage, dobutamine induced an increase of 20+/-3% and 109+/-12% in systolic blood pressure and cardiac index, respectively. The latter was associated with a significant increase in heart rate and stroke index. Fractional shortening of the left ventricle, fractional thickening of the left ventricular free wall and interventricular septum, ejection fraction, and mean velocity of fiber shortening had a progressive and significant increase during dobutamine infusion. Preejection period and left ventricular ejection time had a progressive and significative decrease during the stress test.

CONCLUSIONS

The technique used was feasable, safe, and repeatable in healthy conscious dogs. Control values were determined.

CLINICAL RELEVANCE

Data for these healthy dogs might be useful for comparison with results obtained from dogs with known or suspected cardiovascular disease.

摘要

目的

使用标准化多巴酚丁胺负荷超声心动图(DSE)评估健康清醒犬在递增剂量多巴酚丁胺给药后各种心血管变量的反应。

动物

8只健康犬。

步骤

在24小时内对每只犬进行两次DSE。以12.5至42.5微克/千克/分钟的速率输注多巴酚丁胺,每次递增10微克/千克/分钟。进行多普勒血压测量、心电图检查和超声心动图检查。通过超声心动图测量左心室大小、整体心室功能和左心室收缩心肌功能。

结果

在最高剂量时,多巴酚丁胺使收缩压和心脏指数分别增加20±3%和109±12%。后者与心率和每搏指数的显著增加相关。在多巴酚丁胺输注期间,左心室缩短分数、左心室游离壁和室间隔增厚分数、射血分数以及心肌纤维缩短平均速度呈渐进性显著增加。在应激试验期间,射血前期和左心室射血时间呈渐进性显著缩短。

结论

所使用的技术在健康清醒犬中可行、安全且可重复。确定了对照值。

临床意义

这些健康犬的数据可能有助于与已知或疑似心血管疾病犬的结果进行比较。

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