美托咪定对正常猫心功能的影响

G.B. Daniel , L. Golden , J.M. Bright , D. Fefee , K. Young , D. Schmidt , R.C. Harvey
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引用次数: 3

摘要

为了评价α - 2肾上腺素能受体激动剂美托咪定对心功能的影响,对7只正常麻醉猫在给药前后进行了放射性核素脑室图(RNV)检查。测定射血分数(EF)、射血峰值(PVER)、充血峰值(PVFR)、射血峰值时间(TPE)和充血峰值时间(TPF)。美托咪定显著降低EF(基线55.0±10.8%,美托咪定后43.3±10.7%)、PVER(基线4.38±0.83 EDV/s,美托咪定后3.28±0.73 EDV/s)和PVFR(基线4.46±1.42 EDV/s,美托咪定后3.05±1.27 EDV/s)。美托咪定给药后心率也显著降低(基线115±27.2 bpm,美托咪定后100±21.2 bpm)。美托咪定治疗后TPE和TPF无明显变化。观察到的心功能下降可能是由药物引起的全身血管阻力增加和中枢神经系统抑制引起的心动过缓引起的。
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The effects of medetomidine on cardiac function in normal cats measured by radionuclide ventriculography

To assess the effects of medetomidine, an α2-adrenoceptor agonist, on cardiac function, radionuclide ventriculograms (RNV) were performed in 7 normal anesthetised cats before and after im administration of the drug. Ejection fraction (EF), peak ventricular ejection rate (PVER), peak ventricular filling rate (PVFR), time to peak ejection (TPE) and time to peak filling (TPF) were determined. Medetomidine caused significant reductions in EF (baseline 55.0 ± 10.8%, post medetomidine 43.3 ± 10.7%), PVER (baseline 4.38 ± 0.83 EDV/s, post medetomidine 3.28 ± 0.73 EDV/s) and PVFR (baseline 4.46 ± 1.42 EDV/s, post medetomidine 3.05 ± 1.27 EDV/s). There was also a significant decrease in heart rate following medetomidine administration (baseline 115 ± 27.2 bpm, post medetomidine 100 ± 21.2 bpm). The TPE and TPF did not change significantly following medetomidine. The observed decrease in cardiac function may have been caused by a drug-induced increase in systemic vascular resistance, and the bradycardia due to central nervous system depression.

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