STUDIES ON THE POSITIVE INOTROPIC EFFECT OF PHENYLEPHRINE: A COMPARISON WITH ISOPRENALINE

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Abstract
1 The effects of phenylephrine and isoprenaline on the isometric contraction of guinea‐pig ventricle were compared over the whole range of their respective dose‐response curves. 2 In preparations driven at 2.5 Hz the increase in contractile force induced by either isoprenaline or phenylephrine was linearly correlated to an increase in maximum velocity of force development. The relaxation time was shortened by isoprenaline but not by phenylephrine. 3 The negative inotropic effect induced by δ[N‐(3,4‐dimethoxyphenethyl)‐N‐methyl‐amino]‐α‐(3,4,5‐trimethoxyphenyl)α‐isopropylvaleronitrile hydrochloride (D600) was reversed by isoprenaline, but little influenced by phenylephrine. 4 The study of the interval‐force relationship shows that the increase in contractile force induced by phenylephrine (3 × 10−5 M) was relatively greater at low frequencies of stimulation, and that the maximum effect was reached at the frequency of 1 Hz. 5 The positive inotropic effect of phenylephrine (10−4 M) was significantly higher at a frequency of 1 Hz than at 2.5 Hz; the effect of isoprenaline (3 × 10−8 M) was not significantly different at the two driving frequencies. 6 In preparations driven at 1 Hz the inotropic effect of the lower concentrations of phenylephrine was due to an increase in the time to peak tension without any change of the maximum velocity of force development; however an increase of this parameter became evident only after higher concentrations of the amine (10−5 M or more), associated with a progressive shortening of the time to peak. 7 A correlation between mechanical and electro physiological effects of phenylephrine is attempted; the suggestion is advanced that the prolongation of the action potential and of the active state duration may be an important factor in the inotropic effect of phenylephrine.