双苯氟嗪对哇巴因诱发豚鼠乳头肌迟后除极和触发活动的影响

目的:研究双苯氟嗪(DiP)对哇巴因和高钙诱发豚鼠乳头肌迟后除极(DADs)和触发活动(TA)的影响.方法:应用哇巴因(1 μmol/L)和高钙(5.4 mmol/L)诱发稳定且可重复的迟后除极和触发活动.用细胞内玻璃微电极技术记录DADs和TA诸参数.结果:(1)预先应用DiP(10,30 μmol/L)对DADs和TA有明显的抑制作用.在DiP(30 μmol/L)作用下,DADs的幅度由(10.5±2.2)降到(3.6±0.3)mV,DADs时程由(230±19)缩短到(152±14)ms,引起DADs的时间从(21±5)延长至(66±11)min,TA未见发生.(2)诱发DADs后再给予Dip(10,30μmol/L),DADs和TA被明显抑制.在Dip(30μmol/L)作用下,DADS的幅度由(10.4±1.2)降至(3.3±0.6)mV,DADs的时程由(218±22)缩短至(159±26)ms,TA未见发生.结论:Dip对哇巴因和高钙诱发的豚鼠乳头肌迟后除极和触发活动有抑制作用,这可能与其抑制L-型钙通道和/或肌浆网钙释放从而减轻细胞内钙超载有关,并由此产生抗心律失常作用.

Effects of dipfluzine on delayed afterdepolarizations and triggered activity induced by ouabain in guinea pig papillary muscles

AIM: To investigate the effects of dipfluzine (Dip) on delayed afterdepolarizations (DADs) and triggered activity (TA) induced by ouabain and high Ca2+ in guinea pig papillary muscles. METHODS: Stable and reproducible DADs and TA in guinea pig papillary muscles were induced by ouabain (1 micromol/L) and high Ca2+ (5.4 mmol/L). DADs and TA were recorded using intracellular glass microelectrode technique. RESULTS: (1) DADs and TA were markedly inhibited by pretreatment with Dip (10, 30 micromol/L). The amplitude and duration of DADs were reduced by Dip (30 micromol/L) from 10.5 mV +/- 2.2 mV and 230 ms +/- 19 ms to 3.6 mV +/- 0.3 mV and 152 ms +/- 14 ms, respectively, and the induced time of DADs was prolonged from (21+/-5) to (66+/-11) min. TA was not observed. (2) Dip (10, 30 micromol/L) had significant therapeutic effects on DADs and TA. The amplitude and duration of DADs were reduced by Dip (30 micromol/L) from 10.4 mV +/- 1.2 mV and 218 ms +/- 22 ms to 3.3 mV +/- 0.6 mV and 159 ms+/-26 ms. The occurrence of TA was also abolished. CONCLUSION: Dip has inhibitory effects on DADs and TA induced by ouabain and high Ca2+ in guinea pig papillary muscles, which might be related to alleviation of intracellular calcium overload through inhibiting calcium channel and/or calcium release from sarcoplasmic reticulum. The effects of Dip on DADs and TA might produce anti-arrhythmic effects.