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卡波罗孟对洋地黄毒性作用的影响(作者译)

[Actions of carbocromen of toxic effects of digitalis (author's transl)].

作者信息

Scholtholt V J, Fiedler V, Göbel H, Nitz R E, Pötzsch E

出版信息

Arzneimittelforschung. 1976;26(5):876-81.

PMID:989361
Abstract

Experiments an anaesthetized dogs, rabbits and guinea pigs show that with clinically relevant doses of 3-(2-diethyl-aminoethyl)-4-methyl-7-(carbethoxy-methoxy)-2-oxo-1,2-chromene-hydrochloride (carbocromen, Intensain¿) the LD100 of digoxin (+50%) and ouabain (+60%) considerably increase. The positive inotropic effect of digoxin is not influenced by carbocromen. The appearance of arrhythmias is significantly delayed, the coupling between atrial and ventricular activity continues for a longer time. Besides effects on myocardial metabolism a membrane effect of carbocromen could be responsible for the improvement of the therapeutic range of digoxin and ouabain.

摘要

对麻醉犬、兔和豚鼠进行的实验表明,给予临床相关剂量的3-(2-二乙氨基乙基)-4-甲基-7-(乙氧羰基甲氧基)-2-氧代-1,2-色烯盐酸盐(卡波孟,英坦赛因)后,地高辛(增加50%)和哇巴因(增加60%)的半数致死量显著增加。卡波孟不影响地高辛的正性肌力作用。心律失常的出现明显延迟,心房和心室活动之间的偶联持续更长时间。除了对心肌代谢的影响外,卡波孟的膜效应可能是地高辛和哇巴因治疗范围改善的原因。

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