Japanese
Titleフェンタニール麻酔イヌにおける一酸化窒素合成阻害薬(NG-nitro-L-arginine-methyl ester)の左室収縮能および弛緩能の抑制
Subtitle原著
Authors羽染直樹, 光畑裕正, 斉藤仁, 竹内晴彦, 清水禮壽
Authors(kana)
Organization自治医科大学麻酔科学教室
Journal循環制御
Volume18
Number1
Page30-35
Year/Month1997/
Article原著
Publisher日本循環制御医学会
Abstract「要旨」一酸化窒素(NO)は循環器系の生理的調節機能において重要な役割を果たしている. NO合成酵素阻害薬NG-nitro-L-arginine-methyl ester(L-NAME)を60mg・kg-1投与したときのフェンタニール麻酔イヌでの左室機能について検討した. 左室収縮能, 弛緩能の指標はそれぞれ左心内圧の上昇率の正の最大値(dP/dtmax), 左室等容拡張期の心内圧変化の時定数Tを用いた. 平均動脈圧が有意に上昇し, 心拍出量及び一回拍出量は有意に低下した. (dP/dtmax/平均動脈圧)は投与30分後, 時定数Tは90分後に有意に抑制された. L-NAMEは左室収縮能および左室弛緩能を抑制した.
Practice基礎医学・関連科学
KeywordsNG-nitro-L-arginine-methyl ester, Fentanyl, The time constant, dP/dtmax
English
TitleA Nitric Oxide Synthase Inhibitor, NG-nitro L-arginine-methyl ester, Inhibits Left Ventriclar Systolic and Diastolic Function in Fentanyl-anesthetized Dogs
Subtitle
AuthorsNaoki Hasome, Hiromasa Mitsuhata, Jin Saitoh, Haruhiko Takeuchi, Reiju Shimizu
Authors(kana)
OrganizationDepartment of Anesthesiology, Jichi Medical School
JournalCirculation Control
Volume18
Number1
Page30-35
Year/Month1997/
ArticleOriginal article
PublisherJapan Society of Circulation Control
AbstractNitric oxide (NO), synthesized from the terminal guanidino nitrogen atom of L-arginine by a constitutive nitric oxide synthase in vascular endothelial cells, plays an important role in the physiological regulation of blood flow and blood pressure. We assessed the effect of a nitric oxide synthase inhibitor, NG-nitro-L-arginine-methyl ester (L-NAME), on left ventricular (LV) systolic and diastolic function in fentanyl-anesthetized dogs. The maximum rate of rise of LV pressure (dP/dtmax) and the time constant of the fall of isovolumic LV pressure (T) were measured as indices of LV systolic function and diastolic function, respectively. T is the inverse negative of the slope of the line obtained by plotting the natural logarithm of the fall in LV pressure beginning at maximum negative dP/dt to the level of LV end-diastolic pressure against time. L-NAME significantly increased mean arterial pressure (MAP) and significantly decreased cardiac output and stroke volume. L-NAME significantly inhibited dP/dtmax/MAP (To correct the effects of afterload on dP/dt, the variable was calculated as dP/dtmax divided by MAP) at 30 min, and significantly increased T at 90 min after the administration. In conclusion, L-NAME depresses both LV systolic and diastolic function in fentanyl-anesthetized dogs. (Circ Cont 18:30〜35, 1997)
PracticeBasic medicine
KeywordsNG-nitro-L-arginine-methyl ester, Fentanyl, The time constant, dP/dtmax

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