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Research Article Free access | 10.1172/JCI108783

Effects of Propranolol on Regional Myocardial Function, Electrograms, and Blood Flow in Conscious Dogs with Myocardial Ischemia

Stephen F. Vatner, Hank Baig, W. Thomas Manders, Hermann Ochs, and Massimo Pagani

Departments of Medicine, Harvard Medical School and Peter Bent Brigham Hospital, Boston, Massachusetts 02115

Department of Cardiology, Children's Hospital Medical Center, Boston, Massachusetts 02115

New England Regional Primate Research Center, Southboro, Massachusetts 01772

Find articles by Vatner, S. in: PubMed | Google Scholar

Departments of Medicine, Harvard Medical School and Peter Bent Brigham Hospital, Boston, Massachusetts 02115

Department of Cardiology, Children's Hospital Medical Center, Boston, Massachusetts 02115

New England Regional Primate Research Center, Southboro, Massachusetts 01772

Find articles by Baig, H. in: PubMed | Google Scholar

Departments of Medicine, Harvard Medical School and Peter Bent Brigham Hospital, Boston, Massachusetts 02115

Department of Cardiology, Children's Hospital Medical Center, Boston, Massachusetts 02115

New England Regional Primate Research Center, Southboro, Massachusetts 01772

Find articles by Manders, W. in: PubMed | Google Scholar

Departments of Medicine, Harvard Medical School and Peter Bent Brigham Hospital, Boston, Massachusetts 02115

Department of Cardiology, Children's Hospital Medical Center, Boston, Massachusetts 02115

New England Regional Primate Research Center, Southboro, Massachusetts 01772

Find articles by Ochs, H. in: PubMed | Google Scholar

Departments of Medicine, Harvard Medical School and Peter Bent Brigham Hospital, Boston, Massachusetts 02115

Department of Cardiology, Children's Hospital Medical Center, Boston, Massachusetts 02115

New England Regional Primate Research Center, Southboro, Massachusetts 01772

Find articles by Pagani, M. in: PubMed | Google Scholar

Published August 1, 1977 - More info

Published in Volume 60, Issue 2 on August 1, 1977
J Clin Invest. 1977;60(2):353–360. https://doi.org/10.1172/JCI108783.
© 1977 The American Society for Clinical Investigation
Published August 1, 1977 - Version history
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Abstract

The effects of coronary occlusion and of subsequent propranolol administration were examined in 18 conscious dogs. Overall left ventricular (LV) function was assessed by measurements of LV pressure and dP/dt, and regional myocardial function was assessed by measurements of segment length (SL), velocity of SL shortening and regional myocardial “work”, i.e., pressure-length loops in normal, moderately, and severely ischemic zones. Regional intra-myocardial electrograms were measured from the same sites along with regional myocardial blood flow as determined by the radioactive microsphere technique. Coronary occlusion resulted in graded loss of function from the normal to severely ischemic zones with graded flow reduction and graded elevation of the ST segment. Propranolol depressed overall LV function, function in the normal zone (work fell by 17±4%), and in the majority of moderately ischemic segments (work fell by 7±3%). In severely ischemic segments the extent of paradoxical motion and post-systolic shortening was reduced by propranolol. After propranolol regional myocardial blood flow fell in the normal zone (11±2%) and rose in the moderately (15±4%) and severely (63±10%) ischemic zones. Thus, in the conscious dog with regional myocardial ischemia, propranolol induces a redistribution of myocardial blood flow, with flow falling in normal zones and rising in moderately and severely ischemic zones. The improvement in perfusion of ischemic tissue was associated with slight but significant depression of shortening, velocity, and work in the moderately ischemic zones and of paradoxical bulging and post-systolic shortening in the severely ischemic zone.

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