1. ZENECA ZD7288 (4-(N-ethyl-N-phenylamino)-1,2-dimethyl-6-(methylamino) pyrimidinium chloride, formerly ICI D7288) is a novel sino-atrial node function modulator which selectively slows heart rate. 2. The haemodynamic effects of ZD7288 (0.1, 0.3 and 1.0 mg kg-1, i.v.) have been evaluated and compared with those of placebo (physiological saline), zatebradine (ULFS 49, 0.1, 0.3 and 1.0 mg kg-1, i.v.) and propanolol (0.03, 0.1, and 0.3 mg kg-1, i.v.) in beagles chronically instrumented for measurement of heart rate, aortic pressure, aortic flow and dPLV/dtmax. The dogs were trained to run at 6.5 k h-1 on a level treadmill for 5 min at half hourly intervals over a period of 4 h. Drugs were dosed cumulatively after the second, fourth and sixth exercise periods. 3. Control experiments demonstrated a degree of accommodation to repeated exercise over a period of 4 h. Resting heart rate decreased by 21 beats min-1, but heart rate response to exercise was maintained, whereas dPLV/dtmax at rest remained steady while the response to exercise decreased significantly (by 25% after 2 h, P < 0.05). 4. ZD7288 and zatebradine both decreased heart rate during exercise in a dose-dependent manner, whilst heart rate at rest did not differ from resting heart rates in saline dosed control animals. In contrast, heart rate at rest and during exercise were lowered equally by the lowest doses of propranolol (approximately by 30 beats min-1), and additional doses caused only minor additional decreases. The exercise-induced tachycardia was maintained within 12% of pre-dose levels, presumably by withdrawal of vagal tone.5. Cardiac inotropism, as indicated by dPLv/dt max, was not affected by ZD7288 or zatebradine at rest,although the inotropic response to exercise decreased in proportion to the decreases in exercise-induced tachycardia. Propranolol caused a marked dose-dependent decrease in the exercise-induced inotropic response (by 85% at 0.3mg kg-1).6. Whilst the sino-atrial node modulators increased stroke volume at rest, and augmented increases in response to exercise, propranolol did not affect resting stroke volume and decreased the responses to exercise.7. Cardiac output at rest and cardiac output increases during exercise were well maintained in the presence of ZD7288 and zatebradine in contrast to propranolol which induced a significant depression of cardiac output, both at rest and during exercise. Propranolol also caused significant systemic vasoconstriction.8. In conclusion, ZD7288 has haemodynamic actions comparable to those of zatebradine despite their chemical dissimilarity. ZD7288 may be of benefit in the treatment of ischaemic heart disease by reducing heart rate without impairing cardiac function.

译文

1。ZENECA ZD7288 (4-(N-乙基-N-苯基氨基)-1,2-二甲基-6-(甲基氨基) 嘧啶鎓氯化物,以前称为ICI D7288) 是一种新型的心房结功能调节剂,可选择性地减慢心率。2.评估了ZD7288 (0.1、0.3和1.0 mg kg-1,静脉注射) 的血流动力学作用,并将其与安慰剂 (生理盐水),扎雷丁 (ULFS 49、0.1、0.3和1.0 mg kg-1,i.v.) 和普洛尔 (0.03,0.1和0.3 mg kg-1,i.v.) 在比格犬中长期用于测量心率,主动脉压,主动脉流量和dPLV/dtmax。训练狗在水平跑步机上以6.5 k h-1在4小时的时间内以半小时间隔跑步5分钟。在第二,第四和第六个运动期之后累计给药。3.对照实验证明了在4小时内对重复运动的适应程度。静息心率min-1降低了21次,但对运动的心率响应得以维持,而静息时dPLV/dtmax保持稳定,而对运动的响应显着降低 (2小时后25%,P <0.05)。4. ZD7288和zatebradine均以剂量依赖性方式降低了运动期间的心率,而静息时的心率与盐水剂量的对照动物的静息心率没有差异。相比之下,最低剂量的普萘洛尔 (min-1约30次搏动) 可使休息和运动期间的心率平均降低,而额外剂量仅引起轻微的额外降低。运动诱发的心动过速维持在给药前水平的12% 内,可能是通过停用迷走神经音来实现的。5.如dPLv/dt max所示,心脏正性肌力在静止时不受ZD7288或zatedradine的影响,尽管对运动的正性肌力反应与运动引起的心动过速的减少成正比。普萘洛尔引起运动诱导的正性肌力反应的显著剂量依赖性降低 (以0.3mg kg-1 85%) 6.尽管窦房结调节剂增加了静息时的中风量,并增加了对运动的反应,但普萘洛尔不影响静息的中风量,并降低了对运动的反应7.在ZD7288和zatebradine的存在下,可以很好地维持静息时的心输出量和心输出量的增加,而普萘洛尔在静息和运动期间均引起明显的心输出量下降。普萘洛尔也引起明显的全身性血管收缩。总之,尽管ZD7288的化学性质不同,但其血液动力学作用可与zatebradine相当。ZD7288可以通过降低心率而不损害心脏功能来治疗缺血性心脏病。

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