Effect of felodipine on left ventricular performance in conscious dogs: assessment by left ventricular pressure-volume analysis. 1991

C P Cheng, and Y Igarashi, and K Pettersson, and W C Little
Department of Medicine, Bowman Gray School of Medicine, Winston-Salem, North Carolina.

We assessed the effect of felodipine on left ventricular (LV) performance in 10 healthy, conscious, chronically instrumented dogs, using load-independent measures derived from variably loaded pressure-volume relations. With all reflexes intact, felodipine (25 nmol/kg, intravenously) caused significant decreases in LV end-systolic pressure (132 +/- 13 vs. 109 +/- 14 mm Hg, P less than .05) and effective arterial elastance (11.1 +/- 1.6 vs. 8.7 +/- 1.1 mm Hg/ml, P less than .01), while the heart rate increased (109 +/- 15 vs. 118 +/- 16 min-1, P less than .05). There were no significant changes in LV end-systolic volume, stroke volume or the maximum time derivative of LV pressure. The plasma felodipine concentration was 16.1 +/- 1.4 nmol/l (mean +/- time S.D.). Three relations that provide load-insensitive measures of LV performance were determined from variably loaded pressure-volume loops produced by transient caval occlusions. Felodipine increased the slopes of the LV end-systolic pressure-volume relation (8.1 +/- 0.9 vs. 10.3 +/- 1.3 mm Hg/ml, mean +/- S.D., P less than .05), the maximal time-derivative of LV pressure-end-diastolic volume relation (103 +/- 28 vs. 127 +/- 34 mm Hg/sec ml, P less than .05) and the stroke work-end diastolic volume relation (82 +/- 4 vs. 93 +/- 6 mm Hg, P less than .05). All three relations were shifted toward the left after felodipine. Similar increases in slopes and leftward shifts with felodipine, indicating enhanced contractile effect, were also present after autonomic blockade.(ABSTRACT TRUNCATED AT 250 WORDS)

UI MeSH Term Description Entries
D009200 Myocardial Contraction Contractile activity of the MYOCARDIUM. Heart Contractility,Inotropism, Cardiac,Cardiac Inotropism,Cardiac Inotropisms,Contractilities, Heart,Contractility, Heart,Contraction, Myocardial,Contractions, Myocardial,Heart Contractilities,Inotropisms, Cardiac,Myocardial Contractions
D001794 Blood Pressure PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS. Systolic Pressure,Diastolic Pressure,Pulse Pressure,Pressure, Blood,Pressure, Diastolic,Pressure, Pulse,Pressure, Systolic,Pressures, Systolic
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D006439 Hemodynamics The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM. Hemodynamic
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D015736 Felodipine A dihydropyridine calcium antagonist with positive inotropic effects. It lowers blood pressure by reducing peripheral vascular resistance through a highly selective action on smooth muscle in arteriolar resistance vessels. Agon,Felo Biochemie,Felo-Puren,Felobeta,Felocor,Felodipin 1A Pharma,Felodipin AL,Felodipin AZU,Felodipin AbZ,Felodipin Dura,Felodipin Heumann,Felodipin Stada,Felodipin Von Ct,Felodipin-Ratiopharm,Felodur,Felogamma,Fensel,Flodil,H 154-82,Modip,Munobal,Perfudal,Plendil,Renedil,Felo Puren,Felodipin Ratiopharm,H 154 82,H 15482,Heumann, Felodipin,Von Ct, Felodipin
D016277 Ventricular Function, Left The hemodynamic and electrophysiological action of the left HEART VENTRICLE. Its measurement is an important aspect of the clinical evaluation of patients with heart disease to determine the effects of the disease on cardiac performance. Left Ventricular Function,Function, Left Ventricular,Functions, Left Ventricular,Left Ventricular Functions,Ventricular Functions, Left

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