Key result
Chlorpromazine and propranolol dose-dependently reduce heart rate, conduction, LV pressure, and potassium efflux in rat hearts.
Why the study?
Do chlorpromazine and propranolol reduce heart rate, conduction velocity, left ventricular systolic pressure, and potassium efflux in isolated perfused rat hearts?
Do chlorpromazine and propranolol reduce heart rate, conduction velocity, left ventricular systolic pressure, and potassium efflux in isolated perfused rat hearts?
Chlorpromazine and propranolol induce dose-dependent decreases in heart rate, conduction velocity, left ventricular systolic pressure, and potassium efflux in isolated rat hearts, likely secondary to cell membrane changes.
Answers are grounded in this paper and cite their sources.
May warrant caution in extrapolating to patients; leaves open mechanistic insights into membrane effects for further study.
Isolated rat hearts perfused with a perfusate from which K+had been omitted and replaced by Rb+had a spontaneous rate of contraction which was about 5 % slower than that of the hearts perfused with K+‐containing perfusate, while the electrically driven hearts had a contractile force which was about 10 % lower. Isoprenaline and glucagon caused a maximal increase in contractile force of 60 % and 50 % respectively which is equal to the increase obtained with a K+‐containing perfusate. Chlorpromazine (C), d,l‐propranolol (d,l‐P) and d‐propranolol (d‐P) in concentrations from 10‐5M to 5 × 10‐5M caused dose dependent decreases in a) the heart rate from 135 ± 7 beats/min. (mean ± S. D.) (4 controls) to a minimum of 62 (C), 61 (d,l‐P) and 60 (d‐P). b) impulse conduction velocity expressed as PQ‐1 from 12 ± 2.1 sec. (4 controls) to a minimum of 6.6 (C), 4.9 (d,l‐P) and 4.8 (d‐P). c) left ventricular systolic pressure from 95 ± 3 mmHg (4 controls) to a minimum of 56 (C), 45 (d,l‐P) and 44 (d‐P). d) potassium efflux from 4.2 ± 0.2 meq√g dry weight × 10‐2(8 controls) to a minimum of 2.9 (C), 2.7 (d,l‐P) and 2.6 (d‐P). It is suggested that the effects can be explained as secondary to drug induced changes in the cell membrane.
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Langslet et al. (1971) studied Isolated perfused rat heart. Chlorpromazine and propranolol vs. Controls was evaluated on Heart rate, impulse conduction velocity, left ventricular systolic pressure, and potassium efflux. Chlorpromazine and propranolol caused dose-dependent decreases in heart rate, impulse conduction velocity, left ventricular systolic pressure, and potassium efflux in isolated rat hearts.
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