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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1993-6-1
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pubmed:abstractText |
1. To investigate the effects of acute beta 1-adrenoceptor blockade on sympathetic nervous activity, cardiac and whole-body noradrenaline kinetics were determined during intravenous infusions of saline placebo and of metoprolol (10-15 mg plus 150 micrograms min-1 kg-1) in 10 patients undergoing diagnostic cardiac catheterization, in whom beta-adrenoceptor antagonists had been discontinued for 7 days. 2. Coronary haemodynamics were measured in these 10 patients plus two others. Compared with saline placebo, metoprolol administration was associated with decreases in heart rate (68 +/- 2 to 59 +/- 3 beats/min, P < 0.001) and coronary sinus blood flow (86 +/- 8 to 68 +/- 6 ml/min, P < 0.001) and an increase in calculated coronary vascular resistance (1.42 +/- 0.19 to 1.75 +/- 0.22 mmHg min ml-1, P < 0.001). Arterial and femoral venous noradrenaline concentrations, whole-body noradrenaline clearance and whole-body noradrenaline spillover to arterial plasma did not change. In contrast, cardiac noradrenaline spillover (33.7 +/- 5.1 to 20.2 +/- 4.3 pmol/min, P < 0.05) and cardiac noradrenaline clearance (31 +/- 3 to 23 +/- 3 ml/min, P < 0.001) were significantly decreased during metoprolol administration. 3. These results may be explained by inhibition of pre-junctional facilitatory beta-adrenoceptors, which we hypothesize may be predominantly of the beta 1-subtype in the heart and of the beta 2-subtype in the periphery.
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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:month |
Apr
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pubmed:issn |
0143-5221
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
84
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
413-7
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:8097683-Adrenergic beta-Antagonists,
pubmed-meshheading:8097683-Coronary Circulation,
pubmed-meshheading:8097683-Female,
pubmed-meshheading:8097683-Heart,
pubmed-meshheading:8097683-Heart Catheterization,
pubmed-meshheading:8097683-Heart Rate,
pubmed-meshheading:8097683-Hemodynamics,
pubmed-meshheading:8097683-Humans,
pubmed-meshheading:8097683-Male,
pubmed-meshheading:8097683-Metabolic Clearance Rate,
pubmed-meshheading:8097683-Metoprolol,
pubmed-meshheading:8097683-Middle Aged,
pubmed-meshheading:8097683-Norepinephrine,
pubmed-meshheading:8097683-Vascular Resistance
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pubmed:year |
1993
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pubmed:articleTitle |
Noradrenaline kinetics and coronary haemodynamics during acute beta 1-adrenoceptor blockade in man.
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pubmed:affiliation |
Department of Cardiovascular Medicine, John Radcliffe Hospital, Oxford, U.K.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Controlled Clinical Trial
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