Cardiac Electrophysiologic Effects of Quinidine and Propranolol Isomers in Anesthetized DogsConcentration‐Response Relationships
作者:
P. Jaillon,
J. Heckle,
J. Aubry,
J. Weissenburger,
G. Cheymol,
期刊:
Journal of Cardiovascular Pharmacology
(OVID Available online 1981)
卷期:
Volume 3,
issue 3
页码: 431-445
ISSN:0160-2446
年代: 1981
出版商: OVID
关键词: Quinidine;Propranolol;Atrioventricular conduction;Cardiac refractory period;Pentobarbital-anesthetized dogs
数据来源: OVID
摘要:
SummaryElectrophysiological properties of quinidine and the two isomers of propranolol were compared in pentobarbital-anesthetized dogs using His bundle recordings and programmed stimulation in order to differentiate the effects resulting from β-blockade from those related to nonspecific membrane-stabilizing effects. Quinidine in the plasma concentration range of 2.7–20 μM/liter resulted in concentration-dependent increases in atrionodal and His-Purkinje system conduction times and in the atrial effective refractory period. Quinidine did not produce any significant concentration-dependent change in atrioventricular (AV) nodal and ventricular refractory periods, sinus node automaticity, or QTc interval duration. Propranolol isomers in concentration range of 0.03–0.85 μM/liter produced a concentration-dependent increase in atrionodal conduction time but exerted no significant effect on His-Purkinje conduction time, QTc duration, or ventricular refractory period. Both isomers increased the atrial effective refractory period, but with slopes of concentration-response regression lines which were significantly different from those of quinidine. Onlyl-propranolol produced concentration-dependent increases in AV nodal refractory period, Wenckebach cycle length, and sinus node recovery time. These results suggest that the electrophysiological effects of propranolol isomers are related to β-blockade and are significantly different from those resulting from the membrane-stabilizing effect of quinidine.
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