Key result
Dopamine infusion induces arrhythmias in ~43% of halothane-anesthetized dogs, increasing heart rate and myocardial oxygen consumption.
Why the study?
The arrhythmogenicity of dopamine and its effects on cardiac function, hemodynamics, and diuresis under halothane anesthesia were not fully characterized.
In dogs under halothane anesthesia, dopamine infusion at doses of 5 micrograms/kg/min or higher induces arrhythmias and alters hemodynamics.
Hypothesis-generating for dopamine arrhythmogenicity under halothane; leaves open translation to human perioperative care.
The arrhythmogenicity of dopamine, its effects on cardiac function, hemodynamics, and diuresis under halothane anesthesia were evaluated in dogs. The induction time of arrhythemias and the effect of arrhythmias on cardiac function, hemodynamics, and diuresis were determined after infusion of dopamine for 30-min period at increasing doses of 3, 5, 7, 10, and 15 micrograms/kg/min. The results were as follows. 1. Arrhythmia induction percentage was 28.6% at 5 micrograms/kg/mn, 42.9% at 7 micrograms/kg/min, 25% at 10 micrograms/kg/min, and 41.7% at 15 micrograms/kg/min. The induction time of arrhythemias (sec) was 459 at 5 micrograms/kg/min, 332 at 7 micrograms/kg/min, 152 at 10 micrograms/kg/min, and 279 at 15 micrograms/kg/min. No arrhythmias were present at 3 micrograms/kg/min. 2. Heart rate and myocardial oxygen consumption was increased in the arrhythmia-induced group compared to the non-arrhythmia-induced group. 3. Myocardial contractility, mean aortic pressure, mean pulmonary arterial pressure, and diuresis increased dose-dependently in the non-arrhythmia-induced group; however, these measures were increased in the arrhythmia-induced group without regard to dose.
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Sato et al. (1989) studied Dogs under halothane anesthesia. Dopamine vs. Different doses / non-arrhythmia-induced group was evaluated on Arrhythmia induction percentage and induction time. Dopamine infusion in dogs under halothane anesthesia induced arrhythmias at doses ≥5 mcg/kg/min (rates of 25% to 42.9%), increasing heart rate and myocardial oxygen consumption.
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