Journal of Capital Medical University ›› 1989, Vol. 10 ›› Issue (3): 181-187.

• 论著 • Previous Articles     Next Articles

The Relationship between Dromotropic and Chronotropic Arrhythmias and Endogenous Adenosine during Myocardial Hypoxia

Xu Jiang, Sun Jiwen   

  1. Department of Pathophysiology, Capital Institute of Medicine
  • Received:1988-09-15 Revised:1900-01-01 Online:1989-07-15 Published:1989-07-15

Abstract: The experiments were performed on 64 guinea pigs. Artificial respiration was carried out under general anesthesia. Before and after graded hypoxia lead Ⅱ electrocardiogram was recorded and myocardial adenosine level, blood K+, pH and po2 Were measured to explore the relationship between dromotropic and chronotropic arrhythmias and endogenous adenosine during hypoxia by synchronous quantitative study of three variables-degree of poxemia, changes in electrocardiogram and myocardial level of adenosine. Experimental results disclosed that (1) A close relation existed between the changes in cardiac rhythm and endogenous myocardial adenosine caused by hypoxia; (2) aminophylliue antagonized the negative dromotropic and chronotripic arrhythmias and there existed a cause and effect relation between the endogenous myocardial adenosine and such hypoxia arrhythmias; (3) Vagal drive, K+ and pH had little if any bearing on the functional inhibition of the S-A and A-V nodes during the period of short-term hypoxia encountered in such cases.

Key words: adenosine, sinus bradycardia, A-V blook, myocardial hyPoxia