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July 1, 1982Circulation Research77 citations

Regulation of large coronary arteries by beta-adrenergic mechanisms in the conscious dog.

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SVStephen F. VatnerTHThomas H. HintzePMPilar Macho

Key Result

In conscious dogs, beta-adrenergic stimulation with isoproterenol increased mean coronary blood flow by 85% and cross-sectional area by 24%, indicating large coronary arteries are regulated by beta-adrenergic mechanisms.

Structured PICO

P
Population
Conscious dogs evaluated for the effects of beta-adrenergic stimulation on coronary arterial diameter and blood flow.
I
Intervention
Beta-adrenergic stimulation with isoproterenol (0.1 microgram/kg), pirbuterol (1.0 microgram/kg), and prenalterol (20 micrograms/kg), with and without beta 1-adrenergic receptor blockade with atenolol (1 mg/kg)
C
Comparator
Baseline measurements and responses prior to beta-1 blockade
O
Outcome
Left circumflex coronary arterial diameter, blood flow, late diastolic coronary resistance (LDCR), and left circumflex coronary internal cross-sectional area (CSA)surrogate

In conscious dogs, large coronary arteries are regulated by beta-adrenergic mechanisms, with significant dilation mediated by both beta-1 and beta-2 adrenergic receptors.

Abstract

We examined, in conscious dogs, the effects of beta-adrenergic stimulation on measurements of left circumflex coronary arterial diameter and blood flow and on calculations of late diastolic coronary resistance (LDCR) and left circumflex coronary internal cross-sectional area (CSA). Isoproterenol (0.1 microgram/kg) initially decreased mean arterial pressure by 25 +/- 2% (mean +/- SEM), and LDCR by 62 +/- 4%, and increased heart rate by 82 +/- 10%, left ventricular (LV) dP/dt by 79 +/- 12%, and mean coronary blood flow by 85 +/- 5%, while CSA rose slightly. The peak effects on CSA (24 +/- 2%) occurred later, along with decreases in mean arterial pressure (7.4 +/- 1.0%) and LDCR (25 +/-5.3%) and increases in coronary blood flow (14 +/- 2%), LV dP/dt (12 +/- 3%), and heart rate (24 +/- 4%). Pirbuterol (1.0 microgram/kg) induced changes that were qualitatively similar to those induced by isoproterenol. Prenalterol (20 micrograms/kg), a cardioselective beta 1-adrenergic receptor agonist, did not affect mean arterial pressure, but increased heart rate by 40 +/- 5%, LV dP/dt by 72 +/- 10%, mean coronary blood flow by 34 +/- 11%, and CSA by 26 +/- 3%, and decreased LDCR by 29 +/- 5+. Isoproterenol and pirbuterol, but not prenalterol, increased coronary sinus O2 content and decreased A-VO2 difference. After beta 1-adrenergic receptor blockade with atenolol (1 mg/kg), prenalterol no longer induced significant effects, whereas isoproterenol and pirbuterol decreased mean arterial pressure similarly to what was observed prior to blockade, but did not increase LV dP/dt, and induced attenuated increases in mean coronary blood flow, CSA, and decreases in LDCR. Thus, in the intact, conscious animal, large coronary arteries are regulated by beta-adrenergic mechanisms. Surprisingly, a major fraction of large coronary arterial dilation appeared to be either directly or indirectly due to beta 1-adrenergic receptor mechanisms, although beta 2-adrenergic effects were also significant.

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Cite This Study

Vatner et al. (1982) studied Conscious dogs (animal model). Beta-adrenergic stimulation (Isoproterenol, Pirbuterol, Prenalterol) vs. Baseline / beta 1-adrenergic receptor blockade with atenolol was evaluated on Left circumflex coronary arterial diameter, blood flow, late diastolic coronary resistance (LDCR), and cross-sectional area (CSA). In conscious dogs, beta-adrenergic stimulation with isoproterenol increased mean coronary blood flow by 85% and cross-sectional area by 24%, indicating large coronary arteries are regulated by beta-adrenergic mechanisms.

synapsesocial.com/papers/6a238971ffed3004559ed60fhttps://doi.org/10.1161/01.res.51.1.56
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