Effect of verapamil on regional myocardial contraction during graded ischemia in the dog

Joseph L. Romson, Charles W. Buffington, Donald Williams, Takashi Itoh, Robert Thomas, Donald G. Breazeale, Tom D. Ivey

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Verapamil benefits patients with angina pectoris during exercise. The mechanism underlying this effect is controversial. A direct oxygen-sparing effect on ischemic myocardium has been proposed, but previous studies seeking to demonstrate this effect have been inconclusive because of inadequate control of systemic hemodynamics. This study has assessed the direct effects of verapamil on regional myocardial contraction during graded coronary flow reductions while blood pressure and heart rate were held constant. Verapamil caused a decrease in regional contraction at normal levels of coronary flow, a finding consistent with a negative inotropic effect. At lower coronary flows, however, ischemic dysfunction was similar in the presence and absence of verapamil. These findings fail to support the concept that verapamil either selectively depresses ischemic myocardium or enhances myocardial function during ischemia. Thus, these direct mechanisms would seem unlikely causes of the observed beneficial effect during excercise in patients with coronary artery disease.

Original languageEnglish (US)
Pages (from-to)71-76
Number of pages6
JournalJournal of Cardiovascular Pharmacology
Volume8
Issue number1
StatePublished - 1986
Externally publishedYes

Fingerprint

Myocardial Contraction
Verapamil
Ischemia
Dogs
Myocardium
Angina Pectoris
Coronary Artery Disease
Heart Rate
Hemodynamics
Exercise
Oxygen
Blood Pressure

Keywords

  • Angina pectoris
  • Calcium channel blocking drugs
  • Coronary artery disease
  • Coronary blood flow
  • Myocardial ischemia
  • Regional myocardial contraction
  • Verapamil

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pharmacology

Cite this

Romson, J. L., Buffington, C. W., Williams, D., Itoh, T., Thomas, R., Breazeale, D. G., & Ivey, T. D. (1986). Effect of verapamil on regional myocardial contraction during graded ischemia in the dog. Journal of Cardiovascular Pharmacology, 8(1), 71-76.

Effect of verapamil on regional myocardial contraction during graded ischemia in the dog. / Romson, Joseph L.; Buffington, Charles W.; Williams, Donald; Itoh, Takashi; Thomas, Robert; Breazeale, Donald G.; Ivey, Tom D.

In: Journal of Cardiovascular Pharmacology, Vol. 8, No. 1, 1986, p. 71-76.

Research output: Contribution to journalArticle

Romson, JL, Buffington, CW, Williams, D, Itoh, T, Thomas, R, Breazeale, DG & Ivey, TD 1986, 'Effect of verapamil on regional myocardial contraction during graded ischemia in the dog', Journal of Cardiovascular Pharmacology, vol. 8, no. 1, pp. 71-76.
Romson JL, Buffington CW, Williams D, Itoh T, Thomas R, Breazeale DG et al. Effect of verapamil on regional myocardial contraction during graded ischemia in the dog. Journal of Cardiovascular Pharmacology. 1986;8(1):71-76.
Romson, Joseph L. ; Buffington, Charles W. ; Williams, Donald ; Itoh, Takashi ; Thomas, Robert ; Breazeale, Donald G. ; Ivey, Tom D. / Effect of verapamil on regional myocardial contraction during graded ischemia in the dog. In: Journal of Cardiovascular Pharmacology. 1986 ; Vol. 8, No. 1. pp. 71-76.
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