Regional contractility. Selective depression of ischemic myocardium by verapamil.

Abstract:

:The effects of verapamil (0.02-0.2 mg/kg) on contractility in normal and partially ischemic myocardium were compared with the changes following propranolol (0.01-1.0 mg/kg). Regional contractile function was studied in open-chest dogs with ultrasonic crystals and ischemia was controlled by graded occlusion of a carotid-to-coronary artery shunt. Reduction in shunt perfusion pressure (40-55 mm Hg) resulted in hypokinesia. Verapamil depressed contractility in ischemic myocardium in 5/5 dogs, but did not alter the maximum velocity of shortening (max V) or end-diastolic segment length in normal myocardium. Propranolol in doses sufficient to depress ischemic myocardium also depressed contractile function in normal myocardium. In two dogs without coronary occlusion, verapamil (up to 1.0 mg/kg) increased end-diastolic segment length but did not reduce max V. We conclude that verapamil selectively depresses ischemic myocardium, a finding that may have clinical implication since ischemic injury can be decreased by reducing contractility (and thereby MVO2).

journal_name

Circulation

journal_title

Circulation

authors

Smith HJ,Goldstein RA,Griffith JM,Kent KM,Epstein SE

doi

10.1161/01.cir.54.4.629

subject

Has Abstract

pub_date

1976-10-01 00:00:00

pages

629-35

issue

4

eissn

0009-7322

issn

1524-4539

journal_volume

54

pub_type

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