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July 1, 2001AJP Heart and Circulatory Physiology

Lack of role for nitric oxide in cholinergic modulation of myocardial contractility in vivo

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Key result

Acetylcholine and vagal stimulation decreased segmental shortening during beta-adrenergic stimulation (-23% with dobutamine, -30% with amrinone) independently of nitric oxide.

Why the study?

Does nitric oxide mediate the cholinergic modulation of myocardial contractility in vivo?

Population

34 anesthetized, open-chest dogs with left anterior descending coronary artery perfused via an…

Comparison

Intracoronary infusion of acetylcholine… vs Baseline conditions and stimulation with…

Design

Preclinical

Authors

GCGeorge J. CrystalIllinois CollegeXZXiping ZhouChengdu Organic Chemicals (China)SASyed Q. AlamLouisiana State University

Discussion

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Implication

Challenges NO mediation of cholinergic negative inotropy during beta-stimulation; leaves open human relevance from this animal model.

Structured PICO

Does nitric oxide mediate the cholinergic modulation of myocardial contractility in vivo?

P
Population
34 anesthetized, open-chest dogs undergoing extracorporeal perfusion of the left anterior descending coronary artery.
I
Intervention
Intracoronary infusion of acetylcholine (20 microg/min), bilateral vagal stimulation, sodium nitroprusside (80 microg/min), or bradykinin (2.5 microg/min), with or without NO synthase inhibitor L-NAME (300 microg/min)
C
Comparator
Baseline conditions and stimulation with dobutamine, CaCl2, or amrinone
O
Outcome
Segmental shortening (SS) measured with ultrasonic crystalssurrogate

Acetylcholine and vagal stimulation exert a negative inotropic effect during beta-adrenergic stimulation that is independent of nitric oxide.

Cite This Study

Crystal et al. (2001) studied this question. Acetylcholine (ACh) and vagal stimulation vs. Baseline / L-NAME was evaluated on Segmental shortening (SS). Acetylcholine and vagal stimulation decreased segmental shortening during beta-adrenergic stimulation (-23% with dobutamine, -30% with amrinone) independently of nitric oxide.

synapsesocial.com/papers/6a2054611d7d35d060d1f3cahttps://doi.org/10.1152/ajpheart.2001.281.1.h198

Topics

Echocardiography
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Biphasic Action of Acetylcholine on Ventricular Myocardium1965 · 99 citations
  2. 2cGMP elevation does not mediate muscarinic agonist-induced negative inotropy in rat ventricular cardiomyocytes1995 · 19 citations
  3. 3Regional myocardial effects of intracoronary bradykinin in conscious dogs1997 · 8 citations
  4. 4Bradykinin increases myocardial contractility: relation to the Gregg phenomenon1991 · 18 citations
  5. 5Vagal stimulation attenuates sympathetic enhancement of left ventricular function1990 · 41 citations