Key result
Dopamine induced dose-related positive chronotropic and inotropic effects in the isolated dog atrium, partly due to a tyramine-like effect causing norepinephrine release.
Why the study?
What is the pharmacological mechanism of dopamine's chronotropic and inotropic effects in the isolated dog atrium?
What is the pharmacological mechanism of dopamine's chronotropic and inotropic effects in the isolated dog atrium?
Answers are grounded in this paper and cite their sources.
Dopamine's positive chronotropic and inotropic effects in the dog atrium are partly mediated by a tyramine-like release of norepinephrine from sympathetic storage sites.
The isolated right atrium of the dog was perfused with arterial blood introduced from a carotid artery of a support dog. The selective injection of dopamine, tyramine and norepinephrine into the cannulated sinus node artery induced dose-relatedly positive chronotropic and inotropic effects. However, for an equal increase in sinus rate, dopamine caused less increase in tension development than norepinephrine. Tyramine caused least increase in contractility. Effects induced by dopamine were not blocked by treatment with tetrodotoxin which blocked those induced by nicotine. Desmethylimipramine treatment significantly suppressed dopamine-induced effects and completely blocked tyramine-induced ones but rather enhanced norepinephrine-induced ones. Alprenolol inhibited effects of dopamine, tyramine and norepinephrine. From these results, it is concluded that positive chronotropic and inotropic effects of dopamine are partly due to tyramine-like effect which causes the release of norepinephrine from sympathetic storage sites.
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Shigetoshi Chiba (1975) studied Healthy animal tissue (isolated dog atrium) (n=25). Dopamine vs. Norepinephrine and tyramine was evaluated on Atrial rate and isometric tension development. Dopamine induced dose-related positive chronotropic and inotropic effects in the isolated dog atrium, partly due to a tyramine-like effect causing norepinephrine release.
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