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Direct cardiac effects in isolated perfused rat hearts measured at increasing concentrations of morphine, alfentanil, fentanyl, ketamine, etomidate, thiopentone, midazolam and propofol

Published online by Cambridge University Press:  16 August 2006

Ö. Süzer
Affiliation:
Department of Pharmacology, Istanbul University Cerrahpaşa Medical Faculty, 34303 Istanbul
A. Süzer
Affiliation:
Siyami Ersek Thoracic and Cardiovascular Surgery Center, Istanbul, Turkey
Z. Aykaç
Affiliation:
Siyami Ersek Thoracic and Cardiovascular Surgery Center, Istanbul, Turkey
Z. Özüner
Affiliation:
Department of Pharmacology, Istanbul University Cerrahpaşa Medical Faculty, 34303 Istanbul
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Abstract

The direct cardiac effects of morphine, alfentanil, ketamine, etomidate, thiopentone, midazolam and propofol were measured in isolated Wistar rat hearts. Experiments were performed using a multiple conlumnar Langendorff apparatus and the hearts were perfused with a modified Tyrode solution under constant pressure. Each drug was applied from a different column in rising concentrations at 5-min intervals. Dose ranges were chosen to compare effects at sub-clinical, clinically relevant and more than clinical concentrations. Six rat hearts were chosen at random for each drug. Only thiopentone reduced contractile force at a clinically relevant concentration: measured as g contractility per g heart weight−1 (mean±standard deviation), base-line contractility was 8.8±2.4, and contractility at 10−4 mol litre−1 thiopentone was 7.1±1.5 (P<0.01). Alfentanil was the only drug to have no significant effect on the isolated heart at any concentration. Propofol was not cardiodepressant at clinically relevant concentrations, but had a lower therapeutic range than the other drugs.

Type
Laboratory Study
Copyright
1998 European Society of Anaesthesiology

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