Effect of autonomic blockade on the hemodynamic responses of normal human subjects to acute intravenous milrinone.

Abstract:

:We studied the hemodynamic effects of four doses of milrinone, administered by intravenous (i.v.) infusion alone and after autonomic blockade with prazosin, propranolol, atropine, and clonidine. Plasma concentrations of milrinone (50-600 ng/ml) were similar to those used for the treatment of cardiac failure and were unaltered by autonomic blockade. When given alone, milrinone induced dose-dependent increases in heart rate (maximum increase 21 +/- 4, SEM, beats/min) and cardiac output (CO) (maximum 44 +/- 9%) and reduced systemic vascular resistance (SVR) by a maximum of 32 +/- 5%. After autonomic blockade, milrinone caused a similar fall in SVR and a smaller but significant (7 +/- 2 beats/min) rise in heart rate, but no change in CO. The increase in CO produced in normal humans by acute i.v. infusions of milrinone depends on intact cardiovascular reflexes.

journal_name

J Cardiovasc Pharmacol

authors

Hasking GJ,Dewar E,Nelson L,Oddie CJ,Bobik A,Jennings GL

doi

10.1097/00005344-198705000-00002

subject

Has Abstract

pub_date

1987-05-01 00:00:00

pages

515-8

issue

5

eissn

0160-2446

issn

1533-4023

journal_volume

9

pub_type

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