scholarly journals The peripheral vascular response to severe exercise in untethered dogs before and after complete heart block

1971 ◽  
Vol 50 (9) ◽  
pp. 1950-1960 ◽  
Author(s):  
Stephen F. Vatner ◽  
Charles B. Higgins ◽  
Saxon White ◽  
Thomas Patrick ◽  
Dean Franklin
1972 ◽  
Vol 31 (2) ◽  
pp. 186-194 ◽  
Author(s):  
Charles B. Higgins ◽  
Stephen F. Vatner ◽  
Dean Franklin ◽  
Eugene Braunwald

PEDIATRICS ◽  
1949 ◽  
Vol 3 (2) ◽  
pp. 222-233
Author(s):  
MARY ALLEN ENGLE

Six patients who recovered from complete heart block in diphtheria have been reported. Four of these had intraventricular conduction disturbances as well. All but one of these patients had massive glandular and periglandular edema of the neck: a "bullneck." The shortest duration of the conduction disorders was two days. The longest was six weeks. Two of the patients who recovered showed evidence of both cardiac decompensation and peripheral vascular collapse. Three of the patients were digitalized without untoward effect and with prompt improvement in at least two of them. Four of the six patients developed peripheral paralyses during convalescence.


1974 ◽  
Vol 8 (2) ◽  
pp. 276-282 ◽  
Author(s):  
S. F. VATNER ◽  
C. B. HIGGINS ◽  
R. W. MILLARD ◽  
D. FRANKLIN

1989 ◽  
Vol 67 (2) ◽  
pp. 110-115 ◽  
Author(s):  
Christine Forster ◽  
Susan L. Carter ◽  
Paul W. Armstrong

The interactions between yohimbine (selective α2-antagonist) with noradrenaline (mixed agonist) and phenylephrine (selective α1-agonist) were studied in the canine dorsal pedal artery in an attempt to characterize the peripheral vascular response to adrenergic agents before and after the development of congestive heart failure in the dog. The contractile responses of the dorsal pedal artery to potassium chloride were also examined. Both noradrenaline and phenylephrine contracted the dorsal pedal artery in a concentration-dependent manner before and at peak heart failure, the responses to the agonists being enhanced at heart failure. The responses of the artery to potassium were not modified by congestive heart failure. Yohimbine caused concentration-dependent antagonism of noradrenaline, without altering the magnitude of the maximum response, providing pA2 values ranging from 8.26 to 7.06 against low and high concentrations of noradrenaline, respectively, before heart failure development. Following heart failure, the pA2 values for yohimbine against noradrenaline remained unchanged, but slopes from the Arunlakshana–Schild plots were significantly different from unity, implying a noncompetitive antagonism. The pA2 values of yohimbine against phenylephrine were at least 10 orders of magnitude lower than those against noradrenaline. After congestive heart failure, yohimbine was even less effective against high concentrations of phenylephrine. These findings suggest that enhanced vasoconstriction during heart failure results, in part, from increased α1-adrenoceptor mechanisms in peripheral arterial smooth muscle.Key words: vascular α-adrenoceptors, congestive heart failure, dorsal pedal artery, yohimbine, noradrenaline.


2007 ◽  
Vol 3 (2) ◽  
pp. 111
Author(s):  
Robert Campbell ◽  
Peter Fischbach ◽  
Patricio Frias ◽  
Margaret Strieper ◽  
◽  
...  

2020 ◽  
Vol 02 ◽  
Author(s):  
Sharada Sivaram Kalavakolanu ◽  
Madan Mohan Balakrishnan ◽  
Deepesh Venkatarama

: We present a case of 75-year-old lady with effort intolerance and baseline ECG showing 2:1 atrio-ventricular block, in whom it was unclear as to requirement of permanent pacing, even after long term ECG monitoring. She underwent a tread mill test during which her QRS became wide and developed complete heart block within 2 minutes of the test. Thus, a simple exercise test helped in confirming level of block to be infra nodal without need for invasive study. In patients with exertional symptoms, even in elderly, and in those where ECG masquerades as a benign entity, exercise testing is useful to differentiate benign cases of atrio-ventricular block from the more serious cases that mandate a pacemaker implantation.


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