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应用标准玻璃微电极技术,研究哇巴因诱发豚鼠心室乳头肌的延迟后除极(DAD)和触发电活动(TA)的变化规律及特点;探讨普罗帕酮和维拉帕米对DAD和TA的影响。结果表明:①心室肌细胞在高浓度Ca2+条件下加哇巴因灌流时可以出现DAD及TA,TA的诱发率为77.8%(7/9)。②心室肌细胞诱发的DAD幅度(DAD-Amp)、DAD偶联间期(DAD-C)和DAD升支上升速率(DAD-dv/dt)呈明显的频率依赖性,即刺激频率愈快,DAD-Amp愈高、DAD-dv/dt愈快,DAD-C则愈短。③上述两种抗心律失常药物均通过降低DAD-Amp、减慢DAD-dv/dt和延长DAD-C而发挥其抗触发性心律失常作用;两者对哇巴因诱发的DAD和TA的抑制作用无显著性差异,在普罗帕酮或维拉帕米的作用下,哇巴因对TA的诱发率分别为33.3%(3/9)和22.2%(2/9),与哇巴因的诱发率(高钙条件下,77.8%)比较P<0.01。
The application of standard glass microelectrode technology to study ouabain induced guinea pig ventricular papillary muscle delayed depolarization (DAD) and triggering electrical activity (TA) changes in the law and characteristics; explore propafenone and verapamil on DAD and TA Impact. The results showed that: (1) DAD and TA appeared in ventricular myocytes during perfusion with ouabain in high concentrations of Ca2 +, and the induction rate of TA was 77.8% (7/9). ② The DAD amplitude (DAD-Amp), DAD-C and DAD-dv / dt induced by ventricular myocytes were significantly frequency-dependent, that is, the faster the stimulation frequency, The higher DAD-Amp, the faster the DAD-dv / dt, the shorter the DAD-C. ③ Both antiarrhythmic drugs exert their anti-arrhythmic effects by decreasing DAD-Amp, decreasing DAD-dv / dt and prolonging DAD-C; both of them inhibit ouabain-induced DAD and TA The effect of ouabain on TA was 33.3% (3/9) and 22.2% (2/9), respectively, with propafenone or verapamil, The induction rate of ouabain (77.8% under high calcium conditions) compared P <0.01.