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作 者:连亚军[1] 王治平[1] 胡耀东[1] 曹文君[2]
机构地区:[1]长治医学院附属和平医院心内科,山西长治046000 [2]长治医学院心血管病研究所
出 处:《中国老年学杂志》2016年第6期1289-1291,共3页Chinese Journal of Gerontology
基 金:2013年度国家自然科学基金资助项目(No.81302518)
摘 要:目的探讨参松养心胶囊对抗室性心律失常作用及机制。方法氯化钙致大鼠心律失常和缺血再灌注致大鼠心律失常,采用细胞膜片钳技术研究参松养心胶囊对心律失常大鼠L-型钙电流(ICa-L)和瞬时外向钾电流(Ito)的抑制作用。结果 1参松养心胶囊可显著推迟氯化钙致大鼠室性心动过速出现的时间(P<0.01),显著缩短室性心电图的恢复时间(P<0.01),并且作用具有剂量依赖性;2参松养心胶囊中剂量和高剂量可显著降低室性心动过速,室性早搏及心室颤动的发生率(P<0.05或P<0.01);3参松养心胶囊可降低ICa-L电流,使ICa-L电流峰值降低约20%,使ICa-L I-V曲线上移;4参松养心胶囊可降低Ito电流,使Ito峰值降低约30%,使Ito I-V曲线下移。结论参松养心胶囊具有抗室性心律失常的作用,并且对心室肌细胞的ICa-L和Ito具有抑制作用。Objective To study the antiarrhythmia effect of Shensong Yangxin Capsules on arrhythmia rat and its mechanism. Methods The arrhythmia rat were induced by Ca Cl2 and ischemia reperfusion,and the whole-cell patch clamp technique was used to investigate the inhibitive effect of Shensong Yangxin Capsules on ICa-L and Ito. Results 1 Shensong Yangxin Capsules significantly retarded the occurrence of ventricular arrhythmia induced by Ca Cl2( P 0. 01),and significantly shortened the recovery time of abnormal ECG( P 0. 01)with dose-dependence manner. 2 The middle and high dosage of Shensong Yangxin Capsules significantly reduced the incidence rate of ventricular tachycardia,ventricular premature beat,and ventricular fibrillation( P 0. 05 or P 0. 01). 3Shensong Yangxin Capsules decreased ICa-L,and made the peak value of ICa-L decreased approximately 20%; Shensong Yangxin Capsules made the I-V curve of ICa-L shift up. 3Shensong Yangxin Capsules decreased Ito with the peak value of ICa-L approximately decreased 20%,and I-V curve of ICa-L shift up; 2Shensong Yangxin Capsules decreased Ito with the peak value of Ito approximately decreased 30%,and I-V curve of Ito shift down. Conclusions Shensong Yangxin Capsules have the antiarrhythmia effect and can inhibit ICa-L and Ito in ventricular myocytes.
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