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Perfusion
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Effect of acute alpha adrenergic stimulation on cardiac function

Stacy Dunaway

Sarver Heart Center, College of Medicine, The University of Arizona, Tucson, AZ, USA

Qianli Yu

Sarver Heart Center, College of Medicine, The University of Arizona, Tucson, AZ, USA

Douglas F. Larson

Sarver Heart Center, College of Medicine, The University of Arizona, Tucson, AZ, USA, dflarson{at}u.arizona.edu

Background. Phenylephrine (PE) is a {alpha}-adrenergic agent commonly administered by perfusion and anesthesia. It is important to identify the effect of PE, especially on cardiac function. This study was intended to show the effects of PE on cardiac function in the murine model via pressure-volume loops. Methods. Six C57BL/6J twelve-week-old female mice were studied prior to and following PE administration at 50 µg/kg IV. In vivo pressure-volume loops were recorded at both time points. Results. There was an expected increase in maximum arterial pressure by 30% (p < 0.001) and end-systolic pressure by 34% (p < 0.001). However, there was a decrease in cardiac output by 30% (p = 0.0006), ejection fraction by 36% (p = 0.0003) and stroke volume by 25% (p < 0.004). Conclusions. This study demonstrates that PE has an effect on cardiac function beyond increasing vascular resistance. The data suggest the negative effects of PE on cardiac function may be related to stimulation of cardiac {alpha}-adrenergic receptors. Perfusion (2007) 22, 289—292.

Perfusion, Vol. 22, No. 4, 289-292 (2007)
DOI: 10.1177/0267659107084145
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