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The inotropic and chronotropic effects of catecholamines on the dog heart

机译:儿茶酚胺对狗心脏的正性和变时性作用

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摘要

1. The chronotropic and inotropic responses of the denervated dog heart to intravenous infusions of noradrenaline, adrenaline and isoprenaline were studied.2. The maximum rate of rise of pressure in the left ventricle of the heart, (dP/dt max) measured at a constant heart rate and mean systemic arterial pressure during each series of infusions, was used as an index of inotropic changes (Furnival, Linden & Snow, 1970).3. The order of potency of the catecholamines in producing both chronotropic and inotropic effects was isoprenaline > adrenaline > noradrenaline.4. For the same increase in heart rate produced by an infusion of a catecholamine, noradrenaline caused a greater inotropic effect than adrenaline, which in turn caused a greater increase than isoprenaline.5. The chronotropic and inotropic effects of noradrenaline were potentiated by an intravenous injection of cocaine HCl (5 mg/kg), whereas those of isoprenaline were unchanged.6. The relative difference between the responses to noradrenaline and isoprenaline was abolished by an intravenous injection of cocaine HCl.7. It is concluded that the different relative chronotropic and inotropic effects of isoprenaline and noradrenaline are due to the greater uptake of noradrenaline by sympathetic nerve endings in the sinu-atrial node than in the muscle of the left ventricle.
机译:1.研究了去神经后的狗心脏对去甲肾上腺素,肾上腺素和异丙肾上腺素静脉输注的时间反应和正性反应。在每次输注过程中,以恒定的心率和平均全身动脉压测得的心脏左心室最大压力上升率(dP / dt max)被用作变力指数(Furnival,Linden &Snow,1970).3。儿茶酚胺在产生变时性和正性变力作用中的效力顺序为:异丙肾上腺素>肾上腺素>去甲肾上腺素。4。对于相同的儿茶酚胺输注引起的心率增加,去甲肾上腺素比肾上腺素引起的正性肌力作用更大,而肾上腺素则比异丙肾上腺素引起的搏动力更大。5。静脉注射可卡因HCl(5 mg / kg)可增强去甲肾上腺素的变时性和变力作用,而异丙肾上腺素则无变化。6。静脉注射可卡因HCl消除了去甲肾上腺素和异丙肾上腺素反应的相对差异[7]。结论是,异丙肾上腺素和去甲肾上腺素对相对变时性和变力作用的不同是由于窦房结中的交感神经末梢比左心室的肌肉对去甲肾上腺素的吸收更大。

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