Is reduced cardiac performance the only mechanism for myocardial infarct size reduction during beta adrenergic blockade?

Cardiovascular Research
L StangelandJ Lekven

Abstract

Equal reductions in heart rate (44 beats X min-1) were obtained in cats by treatment with either the beta blocking agent timolol or alinidine, an agent claimed to cause bradycardia without interfering with beta adrenoceptor function. Infarct size was measured by staining with triphenyltetrazolium-chloride after 5 h of coronary occlusion and related to the area of hypoperfused myocardium as measured by autoradiography. Regional myocardial blood flow was measured by 15 micron radiolabelled microspheres. Compared with the control cats, in whom 87.4 (SEM 2.2)% of hypoperfused myocardium developed into necrosis, timolol reduced infarct size to 65.8 (SEM 2.6)% (p less than 0.001) and alinidine to 76.2 (SEM 3.1)% (p less than 0.01) of the hypoperfused area. Timolol reduced infarct size more than did alinidine (p less than 0.01). Necrosis was more extensive in the endocardium than in the epicardium in all groups. In the subendocardium timolol and alinidine reduced infarct size to the same extent, whereas timolol reduced infarct size more than alinidine in the subepicardium. Although heart rate proved to be the dominant haemodynamic predictor of infarct size, this study indicates that mechanisms other than reduced oxygen demand associat...Continue Reading

Citations

Jun 1, 1989·Cardiovascular Drugs and Therapy·L H Opie
Nov 15, 1988·European Journal of Pharmacology·R ReichhalterW Kobinger
Nov 1, 1992·Scandinavian Journal of Clinical and Laboratory Investigation·H BrunvandK Grong
Sep 4, 1999·Anesthesia and Analgesia·M Zaugg, E Lucchinetti

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