Key result
Oxprenolol demonstrated a significantly weaker antiarrhythmic effect on halothane-epinephrine arrhythmias compared to propranolol and Ko 1400 (p<0.05), and only suppressed coronary ligation arrhythmias at high doses.
Why the study?
Does oxprenolol suppress halothane-epinephrine and coronary ligation-induced ventricular arrhythmias in beagle dogs?
Does oxprenolol suppress halothane-epinephrine and coronary ligation-induced ventricular arrhythmias in beagle dogs?
p-value: p=<0.05
Oxprenolol exhibits weaker antiarrhythmic effects on halothane-epinephrine arrhythmias compared to propranolol, likely due to its intrinsic positive chronotropic effect, and only suppresses coronary ligation arrhythmias at high doses via local anesthetic action.
May limit oxprenolol preference versus propranolol in arrhythmias; leaves open clinical translation from canine models.
Antiarrhythmic effects of oxprenolol, a beta-blocker, were studied quantitatively on arhythmias produced by epinephrine during halothane anesthesia and by two-stage coronary ligation, and were compared to those of other beta-blockers, propranolol and Kö 1400, which have been already reported. Though oxprenolol has potent beta-blocking activity, the antiarrhythmic effect on halothane-epinephrine arrhythmia was significantly weaker than those of propranolol and Kö 1400. The effective dose of oxprenolol was 60 +/- 18 microgram/kg (mean +/- S.E., N = 6), which is in the range of the so-called beta-adrenergic blocking dose. The weaker antiarrhythmic effect of oxprenolol as compared to propranolol and Kö 1400 is probably due to the intrinsic positive chronotropic effect, which is most clearly observed in oxprenolol as compared to the other two drugs. As for two-stage coronary ligation arrhythmia, oxprenolol suppressed only that observed 48 hours after coronary ligation using higher doses (5 to 10 mg/kg). Other beta-blockers also showed similar effects. Because of the high doses necessary for the antiarrhythmic effects on the coronary ligation arrhythmia, the mechanism for suppressing the arrhythmia is probably due to the local anesthetic action of the beta-blockers.
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Hashimoto et al. (1978) studied Ventricular arrhythmias (halothane-epinephrine and coronary ligation induced) (n=12). Oxprenolol vs. Propranolol and Ko 1400 was evaluated on Minimum antiarrhythmic ratio (molar effective antiarrhythmic dose of β-blocker / molar arrhythmic dose of epinephrine) (p=<0.05). Oxprenolol demonstrated a significantly weaker antiarrhythmic effect on halothane-epinephrine arrhythmias compared to propranolol and Ko 1400 (p<0.05), and only suppressed coronary ligation arrhythmias at high doses.
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