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Influence Of Reserpine On Arrhythmias, Inotropic Effects, And Myocardial Potassium Balance Induced By Digitalis Materials

, : Influence Of Reserpine On Arrhythmias, Inotropic Effects, And Myocardial Potassium Balance Induced By Digitalis Materials. Journal of Pharmacology and Experimental Therapeutics 148: 193-201

Altera-tions by reserpine of cardiac responses to ouabain, as well as the effect of reserpine pretreatment on acetylstrophanthidin-induced changes in myocardial K flux, were investigated in the dog. Reserpine pretreatment provided protection against ouabain-induced cardiac arrhythmias. This antiarrhythmic property appears to be at least partially independent of catecholamine depletion. Such depletion, however, may enhance the protective action of reserpine to the extent that it removes the centrally mediated component of digitalis arrhythmias. Reserpine, given simultaneously with ouabain, facilitates toxicity. This facilitation appears best explained by the combined action of ouabain and released catechola-mines to increase ventricular automaticity. Catecholamine-depleting dose schedules of reserpine failed to reduce the positive inotropic response of ouabain. It is concluded that the inotropic action of ouabain does not depend directly upon myocardial catecholamine stores. Reserpine pretreatment did not alter the effects of acetylstrophanthidin on net myocardial K flux.


PMID: 14301010

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