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January 1, 2005Scandinavian Cardiovascular JournalOpen Access

The negative inotropic effect of esmolol on isolated cardiac muscle

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Why the study?

Does esmolol exert a direct negative inotropic effect on isolated cardiac muscle?

Population

Papillary muscles, trabeculae, and isolated myocytes excised from guinea pig and pig hearts

Design

Preclinical

Authors

PAPer ArlockLund UniversityBWBjörn WohlfartFederation of American Societies for Experimental BiologyTSTrygve SjöbergFederation of American Societies for Experimental Biology

Discussion

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Implication

May explain esmolol's hemodynamic impact in vivo; leaves open translation to human myocardium and clinical use.

Structured PICO

Does esmolol exert a direct negative inotropic effect on isolated cardiac muscle?

P
Population
Papillary muscles, trabeculae, and isolated myocytes excised from guinea pig and pig hearts
I
Intervention
Esmolol (55 and 110 micromol/L)
O
Outcome
Force production, action potential duration, plateau voltage, and membrane currentssurrogate

Esmolol exerts a direct negative inotropic effect on cardiac muscle by inhibiting the calcium current during the action potential.

Cite This Study

Arlock et al. (2005) studied this question.

synapsesocial.com/papers/6a836ecb4d9429eb28167611https://doi.org/10.1080/14017430510035952
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Also Consider

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

  1. 1Effects of the New Class III Antiarrhythmic Drug E-4031 on Myocardial Contractility and Electrophysiological Parameters1991 · 91 citations
  2. 2[Ca2+]i following extrasystoles in guinea-pig trabeculae microinjected with fluo-3 – A comparison with frog skeletal muscle fibres2000 · 15 citations
  3. 3M cells and transmural heterogeneity of action potential configuration in myocytes from the left ventricular wall of the pig heart2000 · 115 citations
  4. 4Disastrous physiological effects of saline on the cell membrane demonstrated in cardiac cells2004 · 2 citations
  5. 5Controlled Beta‐Receptor Blockade with Esmolol and Flestolol1988 · 14 citations