Effects of the optical isomers of verapamil on electrophysiological properties of the heart in conscious dogs.

Abstract:

:We compared the cumulative dose-response relations of verapamil (0.1, 0.2 and 0.4 mg kg(-1)) in different R/S enantiomer ratios (100/0, 90/10, 80/20, 50/50 and 20/80) on the electrophysiological and hemodynamic characteristics of the heart using the conscious dogs. A reduction of mean arterial pressure occurred with 20R/80S producing a 3-times greater decrease than 100R/0S, but an increase in heart rate occurred with 20R/80S producing a 9-times greater increase than 100R/0S. Increased heart rate was concurrent with decreased mean arterial pressure most prevalent with a higher ratio of S-isomer that produced a greater reduction in mean arterial pressure and increase in heart rate at lower overall verapamil doses. Atrio-ventricular conduction time increased 3-5 min after each infusion, with 20R/80S producing a 4-times greater effect than 100R/0S. These results indicate that the peripheral and cardiac electrophysiologic properties of various nonracemic verapamil mixtures are mainly attributable to the concentration of S-isomer.

journal_name

Eur J Pharmacol

authors

Takahata O,Krolikowski JG,McCallum JB,Lathrop DA,Bosnjak ZJ

doi

10.1016/s0014-2999(98)00480-4

subject

Has Abstract

pub_date

1998-08-21 00:00:00

pages

159-66

issue

2-3

eissn

0014-2999

issn

1879-0712

pii

S0014-2999(98)00480-4

journal_volume

355

pub_type

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