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March 1, 1982Journal of Cardiovascular Pharmacology

Cardiovascular Effects of Quinidine and Procainamide on Intact Dogs and Isolated Cross-Perfused Canine Atria

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Key result

Quinidine shows up to ~10-fold greater hypotensive potency than procainamide, with mixed cardiac effects.

Why the study?

The cardiovascular effects of quinidine and procainamide on intact dogs and isolated canine atria were not fully characterized.

What are the chronotropic, inotropic, and hypotensive effects of quinidine and procainamide in intact dogs and isolated canine atria?

Population

Intact donor dogs and isolated cross-perfused canine atria

Comparison

Quinidine versus procainamide effects

Design

Preclinical experimental study

Authors

HWHidehiko WatanabeOregon Health & Science UniversitySCShigetoshi ChibaMount Sinai Hospital

Discussion

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Member takes

Implication

Alerts to dose-dependent hypotension with class Ia agents in dogs; leaves open human translation.

Structured PICO

What are the chronotropic, inotropic, and hypotensive effects of quinidine and procainamide in intact dogs and isolated canine atria?

P
Population
Canine model evaluating the cardiovascular effects of quinidine and procainamide in intact donor dogs and isolated cross-perfused atria.
I
Intervention
Quinidine and procainamide (administered intravenously to donor dogs and into the sinus node artery of isolated atria)
C
Comparator
Compared to each other and baseline
O
Outcome
Chronotropic, inotropic, and hypotensive effectssurrogate

Quinidine and procainamide exhibit complex, dose-dependent cardiac-depressant and -stimulating properties in canine models, with quinidine showing greater hypotensive potency and a tendency to induce tachycardia.

Cite This Study

Watanabe et al. (1982) studied this question. Quinidine and procainamide was evaluated on Cardiovascular effects including hypotension, chronotropism, and inotropism. Quinidine and procainamide produced dose-related hypotensive effects in dogs, with quinidine being 3-10 times more potent, and both drugs exhibited cardiac-depressant and -stimulating properties.

synapsesocial.com/papers/6ab343f13742ac5ca3067f59https://doi.org/10.1097/00005344-198203000-00010
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Also Consider

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

  1. 1Electrophysiological effects of disopyramide and quinidine on guinea pig atria and canine cardiac purkinje fibers. Dependence on underlying cholinergic tone.1980 · 42 citations
  2. 2COMPARATIVE STUDY OF THE ACTION OF ANTIARRHYTHMIC DRUGS ON SINOATRIAL NODAL PACEMAKER ACTIVITY AND CONTRACTILITY IN THE ISOLATED BLOOD-PERFUSED ATRIUM OF THE DOG1976 · 10 citations
  3. 3Influence of Disopyramide, Compared with Procainamide and Quinidine, on Isolated Dog Arteries in Response to Transmural Stimulation and Norepinephrine1981 · 4 citations
  4. 4EFFECTS OF QUINIDINE ON BLOOD FLOW RATE AND DEVELOPED TENSION IN BLOOD-PERFUSED CANINE PAPILLARY MUSCLE1976 · 13 citations
  5. 5Effects of Procainamide on Automatic and Triggered Impulse Initiation in Isolated Preparations of Canine Cardiac Purkinje Fibers1988 · 9 citations