Effects of propranolol on regional myocardial function, electrograms, and blood flow in conscious dogs with myocardial ischemia

S. F. Vatner, H. Baig, W. T. Manders, H. Ochs, M. Pagani

Research output: Contribution to journalArticle

114 Citations (Scopus)

Abstract

The effects of coronary occlusion and of subsequent propranolol administration were examined in 18 conscious dogs. Overall left ventricular (LV) function was assessed by measurements of LV pressure and dP/dt, and regional myocardial function was assessed by measurements of segment length (SL), velocity of SL shortening and regional myocardial 'work', e.i. pressure-length loops in normal, moderately, and severely ischemic zones. Regional intramyocardial electrograms were measured from the same sites along with regional myocardial blood flow as determined by the radioactive microsphere technique. Coronary occlusion resulted in graded loss of function from the normal to severely ischemic zones with graded flow reduction and graded elevation of the ST segment. Propranolol depressed overall LV function, function in the normal zone (work fell by 17 ± 4%) and in the majority of moderately ischemic segments (work fell by 7 ± 3%). In severely ischemic segments the extent of paradoxical motion and post-systolic shortening was reduced by propranolol. After propranolol regional myocardial blood flow fell in the normal zone (11 ± 2%) and rose in the moderately (15 ± 4%) and severely (63 ± 1+%) ischemic zones. Thus, in the conscious dog with regional myocardial ischemia, propranolol induces a redistribution of myocardial blood flow, with flow falling in normal zones and rising in moderately and severely ischemic zones. The improvement in perfusion of ischemic tissue was associated with slight but significant depression of shortening, velocity, and work in the moderately ischemic zones and of paradoxical bulging and post-systolic shortening in the severely ischemic zone.

Original languageEnglish (US)
Pages (from-to)353-360
Number of pages8
JournalUnknown Journal
Volume60
Issue number2
DOIs
StatePublished - Jan 1 1977

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Propranolol
Myocardial Ischemia
Dogs
Coronary Occlusion
Regional Blood Flow
Left Ventricular Function
Ventricular Pressure
Microspheres
Perfusion
Pressure

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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title = "Effects of propranolol on regional myocardial function, electrograms, and blood flow in conscious dogs with myocardial ischemia",
abstract = "The effects of coronary occlusion and of subsequent propranolol administration were examined in 18 conscious dogs. Overall left ventricular (LV) function was assessed by measurements of LV pressure and dP/dt, and regional myocardial function was assessed by measurements of segment length (SL), velocity of SL shortening and regional myocardial 'work', e.i. pressure-length loops in normal, moderately, and severely ischemic zones. Regional intramyocardial electrograms were measured from the same sites along with regional myocardial blood flow as determined by the radioactive microsphere technique. Coronary occlusion resulted in graded loss of function from the normal to severely ischemic zones with graded flow reduction and graded elevation of the ST segment. Propranolol depressed overall LV function, function in the normal zone (work fell by 17 ± 4{\%}) and in the majority of moderately ischemic segments (work fell by 7 ± 3{\%}). In severely ischemic segments the extent of paradoxical motion and post-systolic shortening was reduced by propranolol. After propranolol regional myocardial blood flow fell in the normal zone (11 ± 2{\%}) and rose in the moderately (15 ± 4{\%}) and severely (63 ± 1+{\%}) ischemic zones. Thus, in the conscious dog with regional myocardial ischemia, propranolol induces a redistribution of myocardial blood flow, with flow falling in normal zones and rising in moderately and severely ischemic zones. The improvement in perfusion of ischemic tissue was associated with slight but significant depression of shortening, velocity, and work in the moderately ischemic zones and of paradoxical bulging and post-systolic shortening in the severely ischemic zone.",
author = "Vatner, {S. F.} and H. Baig and Manders, {W. T.} and H. Ochs and M. Pagani",
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Effects of propranolol on regional myocardial function, electrograms, and blood flow in conscious dogs with myocardial ischemia. / Vatner, S. F.; Baig, H.; Manders, W. T.; Ochs, H.; Pagani, M.

In: Unknown Journal, Vol. 60, No. 2, 01.01.1977, p. 353-360.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Effects of propranolol on regional myocardial function, electrograms, and blood flow in conscious dogs with myocardial ischemia

AU - Vatner, S. F.

AU - Baig, H.

AU - Manders, W. T.

AU - Ochs, H.

AU - Pagani, M.

PY - 1977/1/1

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N2 - The effects of coronary occlusion and of subsequent propranolol administration were examined in 18 conscious dogs. Overall left ventricular (LV) function was assessed by measurements of LV pressure and dP/dt, and regional myocardial function was assessed by measurements of segment length (SL), velocity of SL shortening and regional myocardial 'work', e.i. pressure-length loops in normal, moderately, and severely ischemic zones. Regional intramyocardial electrograms were measured from the same sites along with regional myocardial blood flow as determined by the radioactive microsphere technique. Coronary occlusion resulted in graded loss of function from the normal to severely ischemic zones with graded flow reduction and graded elevation of the ST segment. Propranolol depressed overall LV function, function in the normal zone (work fell by 17 ± 4%) and in the majority of moderately ischemic segments (work fell by 7 ± 3%). In severely ischemic segments the extent of paradoxical motion and post-systolic shortening was reduced by propranolol. After propranolol regional myocardial blood flow fell in the normal zone (11 ± 2%) and rose in the moderately (15 ± 4%) and severely (63 ± 1+%) ischemic zones. Thus, in the conscious dog with regional myocardial ischemia, propranolol induces a redistribution of myocardial blood flow, with flow falling in normal zones and rising in moderately and severely ischemic zones. The improvement in perfusion of ischemic tissue was associated with slight but significant depression of shortening, velocity, and work in the moderately ischemic zones and of paradoxical bulging and post-systolic shortening in the severely ischemic zone.

AB - The effects of coronary occlusion and of subsequent propranolol administration were examined in 18 conscious dogs. Overall left ventricular (LV) function was assessed by measurements of LV pressure and dP/dt, and regional myocardial function was assessed by measurements of segment length (SL), velocity of SL shortening and regional myocardial 'work', e.i. pressure-length loops in normal, moderately, and severely ischemic zones. Regional intramyocardial electrograms were measured from the same sites along with regional myocardial blood flow as determined by the radioactive microsphere technique. Coronary occlusion resulted in graded loss of function from the normal to severely ischemic zones with graded flow reduction and graded elevation of the ST segment. Propranolol depressed overall LV function, function in the normal zone (work fell by 17 ± 4%) and in the majority of moderately ischemic segments (work fell by 7 ± 3%). In severely ischemic segments the extent of paradoxical motion and post-systolic shortening was reduced by propranolol. After propranolol regional myocardial blood flow fell in the normal zone (11 ± 2%) and rose in the moderately (15 ± 4%) and severely (63 ± 1+%) ischemic zones. Thus, in the conscious dog with regional myocardial ischemia, propranolol induces a redistribution of myocardial blood flow, with flow falling in normal zones and rising in moderately and severely ischemic zones. The improvement in perfusion of ischemic tissue was associated with slight but significant depression of shortening, velocity, and work in the moderately ischemic zones and of paradoxical bulging and post-systolic shortening in the severely ischemic zone.

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