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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
20
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pubmed:dateCreated |
1992-6-9
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pubmed:abstractText |
The cardiac vagolytic effects of disopyramide and its mono-N-dealkylated metabolite (MND), and their interactions with the cardiac cholinergic system, were assessed using in vivo and in vitro experiments. In chloralose anesthetized dogs, disopyramide phosphate (0.25 mg/kg/min) and MND at equimolar dose (0.173 mg/kg/min) reduced vagal bradycardia. As indicated by the ED80, MND exhibits a vagolytic activity 1.5-2 times less potent than disopyramide. Concomitantly, increases in heart rate and mean blood pressure were observed with disopyramide, whereas with MND only a rise in mean blood pressure occurred. In conscious dogs, where vagal tone is fully expressed, disopyramide and MND increased heart rate and, interestingly, prevented any atropine-induced additional tachycardia, though heart rate was relatively low. Binding studies on rat heart membranes yielded Ki values 2-2.5 times higher for MND than for disopyramide, and demonstrated that neither disopyramide nor MND binding modified the cardiac muscarinic receptor sites. Taken together, these results show that disopyramide exhibits a more potent cardiac vagolytic action than MND, very likely linked to a greater ability to bind to cardiac muscarinic receptors. They also show that disopyramide and MND are very potent in preventing atropine-induced "excess tachycardia", very likely by inhibiting the ionic pacemaker current(s) involved in its genesis.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0024-3205
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
50
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
PL161-6
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1579041-Animals,
pubmed-meshheading:1579041-Blood Pressure,
pubmed-meshheading:1579041-Disopyramide,
pubmed-meshheading:1579041-Dogs,
pubmed-meshheading:1579041-Electric Stimulation,
pubmed-meshheading:1579041-Female,
pubmed-meshheading:1579041-Heart,
pubmed-meshheading:1579041-Heart Rate,
pubmed-meshheading:1579041-Male,
pubmed-meshheading:1579041-Myocardium,
pubmed-meshheading:1579041-Rats,
pubmed-meshheading:1579041-Rats, Inbred Strains,
pubmed-meshheading:1579041-Receptors, Cholinergic,
pubmed-meshheading:1579041-Vagus Nerve
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pubmed:year |
1992
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pubmed:articleTitle |
Interactions with the cardiac cholinergic system: effects of disopyramide and its mono-N-dealkylated metabolite.
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pubmed:affiliation |
INSERM U.195, Faculty of Medicine, Clermont-Ferrand, France.
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pubmed:publicationType |
Journal Article,
In Vitro
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