Contribution of the vagus to the haemodynamic responses following intravenous boluses of isoprenaline

Br J Clin Pharmacol. 1983 Apr;15(4):423-9. doi: 10.1111/j.1365-2125.1983.tb01525.x.

Abstract

1 Eight healthy subjects (six male, two female, aged 18-21 years) received graded intravenous bolus injections of isoprenaline sulphate. Heart rate and intra-arterial blood pressure were continuously monitored PRE- and POST-atropine (0.04 mg/kg). 2 PRE-atropine, an increase in heart rate of 25 beats/min was produced by 2.15 +/- 0.53 micrograms of isoprenaline and was associated with a fall in mean, systolic and diastolic pressures (18.9 +/- 2.8, 17.7 +/- 3.4 and 20.4 +/- 2.3 mm Hg respectively). 3 POST-atropine, the heart rate dose response curve was shifted to the right so that the dose of isoprenaline which increased heart rate 25 beats/min PRE-atropine, produced a significantly smaller heart rate rise of 20.3 +/- 1.7 beats/min (P less than 0.001). This was associated with a shift of the blood pressure dose-response curves to the left, and larger falls in mean, systolic and diastolic pressures (30.9 +/- 2.8, 31.8 +/- 3.3, 30.1 +/- 3.3 mm Hg respectively; P less than 0.01). 4 It is concluded that there is a significant contribution from a reflex withdrawal of cardiac vagal tone, to the tachycardia produced by a bolus of isoprenaline.

MeSH terms

  • Adolescent
  • Adult
  • Atropine / pharmacology
  • Blood Pressure / drug effects
  • Dose-Response Relationship, Drug
  • Drug Synergism
  • Female
  • Heart Rate / drug effects
  • Hemodynamics / drug effects*
  • Humans
  • Infusions, Parenteral
  • Isoproterenol / administration & dosage*
  • Isoproterenol / adverse effects
  • Male
  • Respiration
  • Tachycardia / chemically induced
  • Time Factors
  • Vagus Nerve / drug effects*
  • Vagus Nerve / physiology

Substances

  • Atropine
  • Isoproterenol