Advertisement
Research Article| Volume 51, ISSUE 6, P779-785, June 1962

Vasopressors, vasodilators, and coronary sinus flow

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      Studies relating to the influence of vasopressors and vasodilators upon mean blood pressure and coronary sinus flow are reported. All vasopressors studied increased coronary sinus flow and blood pressure. In normovolemic dogs, Levophed and Aramine increased coronary sinus flow more than Aramine and Neo-synephrine, and Neo-synephrine more than Aramine. Infusions of Levophed brought about far greater increase in flow than infusions of Aramine, in both normovolemic and moderately hypovolemic animals. Both drugs elevated coronary sinus oxygen saturation markedly. Coronary flow in dogs fell substantially after 20 c.c. of blood per kilogram of body weight was withdrawn. Arfonad and Bistran reduced coronary sinus flow in roughly a proportionate degree to the fall in blood pressure induced.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Alella A.
        • Williams F.L.
        • Bolene-Williams C.
        • Katz L.N.
        Interrelation between cardiac oxygen consumption and coronary blood flow.
        Am. J. Physiol. 1955; 183: 570
        • Case R.B.
        • Berglund E.
        • Sarnoff S.J.
        Ventricular function. II. Quantitative relationship between coronary flow and ventricular function with observation of unilateral failure.
        Circulation Res. 1954; 2: 319
        • Catchpole B.N.
        • Hackel D.B.
        • Simione F.A.
        Coronary and peripheral blood flow in experimental hemorrhagic hypotension treated with L-nor-epinephrine.
        Ann. Surg. 1955; 142: 372
        • Corday E.
        • Williams Jr., J.H.
        Effect of shock and of vasopressor drugs on the regional circulation of the brain, heart, kidney and liver.
        Am. J. Med. 1960; 29: 228
        • Dennison A.B.
        • Green H.D.
        Effects of autonomic nerves and their mediators on the coronary circulation and myocardial contraction.
        Circulation Res. 1958; 6: 633
        • Edwards W.S.
        • Siegel A.
        • Bing R.J.
        Studies on myocardial metabolism.
        J. Clin. Invest. 1954; 33: 1646
        • Feinberg H.
        • Katz L.N.
        Effect of catecholamines, l-epinephrine and l-norepinephrine on coronary flow and oxygen metabolism of the myocardium.
        Am. J. Physiol. 1958; 193: 151
        • Gerola A.
        • Feinberg H.
        • Katz L.N.
        Role of catecholamines on energetics of the heart and its blood supply.
        Am. J. Physiol. 1959; 196: 394
        • Gollwitzer-Meier K.
        • Kroetz C.
        Sauerstoffverbrauch und Kranzgefassdurchblutung des innervierten Saugetierherzens unter Adrenalinwirkung.
        Arch. f. d. ges. Physiol. 1939; 241: 248
        • Hackel D.B.
        • Goldale W.T.
        Effects of hemorrhagic shock on the heart and circulation of the intact dog.
        Circulation. 1955; 11: 628
        • Jourdan F.
        • Faucon G.
        Action de la noradrenaline sur le débit coronaire.
        Compt. rend. Soc. biol. 1958; 152: 623
        • Laurent D.
        • Bolene-Williams C.
        • Williams F.L.
        • Katz L.N.
        Effects of heart rate on coronary flow and cardiac oxygen consumption.
        Am. J. Physiol. 1955; 183: 570
        • Lochner W.
        • Mercker H.
        • Schurmeyer E.
        Die Wirkung von Adrenalin, Nor-Adrenalin, Acetylcholin und Vagusreizung auf die Sauerstoffsattigung des Blutes im Sinus coronarius, untersucht mit fortlaufender photometrischer Methode.
        Arch. exper. Path. u. Pharmakol. 1956; 227: 360
        • Opdyke D.F.
        • Foreman R.C.
        Study of coronary flow under conditions of hemorrhagic hypotension and shock.
        Am. J. Physiol. 1947; 148: 726
        • Osher W.J.
        Pressure-flow relationship of the coronary system.
        Am. J. Physiol. 1953; 172: 403
        • Pantzer J.G.
        • Shumacker Jr., H.B.
        Coronary sinus blood flow in hypothermia.
        J. Thoracic & Cardiovas. Surg. 1961; 42: 79
      1. Pantzer, J. G., and Shumacker, H. B., Jr.: Observations in coronary sinus flow, Am. J. Surg. In press.

        • Sarnoff S.J.
        • Case R.B.
        • Waite P.E.
        • Isaacs J.P.
        Insufficient coronary flow and myocardial failure as a complicating factor in late hemorrhagic shock.
        Am. J. Physiol. 1954; 176: 439
        • Sarnoff S.J.
        • Case R.B.
        • Welch Jr., G.H.
        • Braunwald E.
        • Stainsby W.N.
        Performance characteristics and oxygen debt in a non-failing metabolically supported isolated heart preparation.
        Am. J. Physiol. 1958; 192: 141
        • Vowles K.J.J.
        • Barse F.E.
        • Bovard W.J.
        • Couves C.M.
        • Howard J.M.
        Studies of coronary and peripheral blood flow following hemorrhagic shock, transfusion and l-norepinephrine.
        Ann. Surg. 1961; 153: 202