Why the study?
Does systemic adenosine injection cause bradycardia in a canine model of pacing-induced cardiac failure?
Does systemic adenosine injection cause bradycardia in a canine model of pacing-induced cardiac failure?
The loss of vagal tone in heart failure unmasks the direct negative chronotropic effect of adenosine on the sinoatrial node, causing bradycardia instead of reflex tachycardia.
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Suggests caution with adenosine in heart failure; hypothesis-generating in canine model, leaves open human relevance.
Belloni et al. (1992) studied this question.
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