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November 1, 1965Journal of Clinical Investigation477 citationsOpen Access

Effects of beta-adrenergic blockade on the cardiac response to maximal and submaximal exercise in man.

SEStephen E. EpsteinBRB. F. RobinsonRKRichard L. Kahler

Key Points

  • The central question assesses the influence of sympathetic nervous activity on cardiac performance during exercise under beta-adrenergic blockade.
  • Various experimental approaches to study the effects of sympathetic nervous stimulation on cardiac performance.
  • Surgical denervation in dogs and the impact of antiadrenergic drugs were examined in human responses to exercise.
  • Conflicting findings regarding the importance of the sympathetic system in cardiac performance.
  • Some studies show minimal impact of the sympathetic system during exercise, while others indicate a significant role of sympathetic nerves.

Abstract

Many of the changes in cardiac performance that take place during exercise resemble those that result from stimulation of the sympathetic nervous pathways to the heart. It has therefore been thought likely that an increase in sympathetic nervous activity occurs during exercise and is important in the mediation of the associated cardiac response. To test this hypothesis a variety of experimental approaches have been employed. Sev- eral investigators have studied the manner in which surgical denervation of the heart in the dog affects its performance during exercise (1-7), and others have examined the effects of a variety of antiadrenergic drugs on the response to exercise in man (8-12). The results have been conflicting, with some groups ascribing little, if any, impor- tance to the sympathetic system in the over-all performance of the heart (1, 2, 4, 6, 7, 9-11), whereas others believe that the sympathetic nerves do play a major role (3, 5, 8).

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Cite This Study

Epstein et al. (1965) studied this question.

synapsesocial.com/papers/6a19bb70443d3ecd7cdef1f3https://doi.org/10.1172/jci105282
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