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Anesth Analg 1977; 56:173-179
© 1977 International Anesthesia Research Society
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Mechanisms of Chronotropic Effects of Volatile Inhalation Anesthetics

GOPAL KRISHNA, MD*, and RAYMOND R. PARADISE, PhD{dagger}

*Assistant Professor, Department of Anesthesiology Indiana University School of Medicine, Indianapolis, Indiana 46202. {dagger}Professor, Departments of Pharmacology and Anesthesiology Indiana University School of Medicine, Indianapolis, Indiana 46202.

Abstract

The chronotropic effects of all currently available volatile anesthetics were investigated in isolated rat atrial preparations. Anesthetic ethers, diethyl ether, methoxyflurane, and enflurane elicited a dose-dependent positive chronotropic effect. Fluroxene produced a slight depression at low concentrations. The halogenated hydrocarbon anesthetics, halothane, chloroform, and trichloroethylene, did not show a uniform pattern. Halothane's effect was small and biphasic. Chloroform caused a dose-dependent decrease in heart rate, and trichloroethylene caused a marked positive chronotropic effect. The dose-response curves of all anesthetics remained unaltered in the presence of either 3 x 10–7 M dl-propranolol or 1 x 10–6 M atropine. It is concluded that volatile anesthetics elicit significant direct chronotropic actions on rat atrial preparations. The mechanism of their actions does not involve stimulation of beta-adrenergic or cholinergic receptors.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1977 by the International Anesthesia Research Society.