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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1992-3-5
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pubmed:abstractText |
The antiarrhythmic effect of esmolol, a selective beta 1 adrenoreceptor blocker, was evaluated in the presence of epinephrine induced arrhythmias in dogs (n = 6). The arrhythmogenic dose of epinephrine (ADE) during 1.2 MAC halothane in dogs was increased from 3.23 +/- 0.25 (mean +/- SD) to 30.90 +/- 3.56 micrograms.kg-1.min-1 (P less than 0.001) by the prior administration of esmolol 0.5 microgram.kg-1 bolus followed by an infusion at the rate of 150 micrograms.kg-1.min-1. Higher esmolol infusion doses of 200 micrograms.kg-1.min-1 further increased ADE to 99.0 +/- 2.92 micrograms.kg-1.min-1 (P less than 0.001). After discontinuation of esmolol and during continued halothane anaesthesia, ventricular tachycardia was induced by increasing the infusion rate of the 100 micrograms.ml-1 solution of epinephrine. In all dogs ventricular tachycardia was restored to sinus rhythm by a bolus dose of esmolol (1 microgram.kg-1). We conclude that esmolol pretreatment increases the ADE during halothane anaesthesia in dogs. Our data suggest that esmolol may be useful as an antiarrhythmic agent in the management of epinephrine-related ventricular arrhythmias during anaesthesia in man.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Adrenergic beta-Antagonists,
http://linkedlifedata.com/resource/pubmed/chemical/Anti-Arrhythmia Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Epinephrine,
http://linkedlifedata.com/resource/pubmed/chemical/Halothane,
http://linkedlifedata.com/resource/pubmed/chemical/Propanolamines,
http://linkedlifedata.com/resource/pubmed/chemical/esmolol
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pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0832-610X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
39
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
83-6
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:1346371-Adrenergic beta-Antagonists,
pubmed-meshheading:1346371-Anesthesia, Inhalation,
pubmed-meshheading:1346371-Animals,
pubmed-meshheading:1346371-Anti-Arrhythmia Agents,
pubmed-meshheading:1346371-Arrhythmias, Cardiac,
pubmed-meshheading:1346371-Dogs,
pubmed-meshheading:1346371-Epinephrine,
pubmed-meshheading:1346371-Female,
pubmed-meshheading:1346371-Halothane,
pubmed-meshheading:1346371-Male,
pubmed-meshheading:1346371-Propanolamines
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pubmed:year |
1992
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pubmed:articleTitle |
Esmolol prevents and suppresses arrhythmias during halothane anaesthesia in dogs.
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pubmed:affiliation |
Department of Anesthesiology and Surgery, Mount Sinai School of Medicine, City University of New York, New York 10029.
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pubmed:publicationType |
Journal Article
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