Key result
Alpha adrenergic stimulation directly constricted the large epicardial coronary artery in anesthetized dogs, with phenylephrine decreasing diameter by 3.4% (p<0.01).
Why the study?
Does alpha adrenergic stimulation cause vasoconstriction of the large epicardial coronary artery in anesthetized dogs?
Does alpha adrenergic stimulation cause vasoconstriction of the large epicardial coronary artery in anesthetized dogs?
In an in vivo canine model, alpha adrenergic stimulation directly constricts large epicardial coronary arteries, providing insight into the mechanisms of coronary spasm.
Answers are grounded in this paper and cite their sources.
May implicate alpha-adrenergic tone in epicardial spasm; hypothesis-generating in dogs, human studies required before clinical relevance.
The epicardial coronary artery plays an important role not only as a conduit artery but also as a locus of coronary spasm. Accordingly, diameter change of the large epicardial coronary artery of the in situ canine heart was continuously measured by ultrasonic dimension gauge technique and the effects of alpha adrenergic stimulation on the caliber were studied. After the intravenous administration of phenylephrine the aortic pressure increased by 28 mmHg, however, the left circumflex coronary artery diameter decreased by 3.4% (p less than 0.01). Norepinephrine and sciatic nerve stimulation after propranolol (1 mg/kg) induced coronary vasoconstriction by 1.3 (p less than 0.025) and 2.5% (p less than 0.05) against the obvious increases of aortic pressure by 16 and 19 mmHg, respectively. Thus alpha adrenergic stimulation, in situ in dogs, was shown to directly constrict the large epicardial coronary artery.
No takes yet. Share an insight, caveat, or question.
Ootsubo et al. (1984) studied Coronary artery physiology. Alpha adrenergic stimulation (phenylephrine, norepinephrine, sciatic nerve stimulation) vs. Baseline was evaluated on Diameter change of the large epicardial coronary artery (p=<0.01). Alpha adrenergic stimulation directly constricted the large epicardial coronary artery in anesthetized dogs, with phenylephrine decreasing diameter by 3.4% (p<0.01).
Synapse has enriched 10 related papers. Consider them for comparative context: