Effect of carvedilol on atrioventricular conduction in the ischemic heart

Eur J Pharmacol. 2001 Jan 26;412(2):145-53. doi: 10.1016/s0014-2999(00)00936-5.

Abstract

We compared the effects of carvedilol on atrial-His and His-ventricular conduction with those of propranolol in isolated rat hearts. Hearts were perfused retrograde, and atrial-His and His-ventricular intervals were measured. The effective doses that increased conduction times by 25% were 10(-6) M for atrial-His and 3x10(-6) M for His-ventricular for propranolol, and 8x10(-8) M for atrial-His and 10(-8) M for His-ventricular for carvedilol. Prazosin did not affect the atrial-His and His-ventricular intervals. After ischemia-reperfusion, atrial-His and His-ventricular intervals increased to a greater extent with 10(-6) M carvedilol. To determine the direct membrane effect, we examined the transmembrane action potential in guinea pig papillary muscle. Both drugs decreased the maximum upstroke velocity equally. Our data indicate that carvedilol had a greater effect on atrioventricular conduction in the setting of ischemia-reperfusion than did propranolol. This effect of carvedilol was not due to its alpha-adrenoceptor blocking property or to a direct membrane effect.

MeSH terms

  • Action Potentials / drug effects
  • Action Potentials / physiology
  • Adrenergic alpha-Antagonists / pharmacology
  • Adrenergic alpha-Antagonists / therapeutic use
  • Adrenergic beta-Antagonists / pharmacology*
  • Adrenergic beta-Antagonists / therapeutic use
  • Animals
  • Bundle of His / drug effects*
  • Bundle of His / physiology
  • Carbazoles / pharmacology*
  • Carbazoles / therapeutic use
  • Carvedilol
  • Guinea Pigs
  • Male
  • Myocardial Ischemia / drug therapy
  • Papillary Muscles / drug effects
  • Papillary Muscles / physiology
  • Prazosin / pharmacology
  • Prazosin / therapeutic use
  • Propanolamines / pharmacology*
  • Propanolamines / therapeutic use
  • Propranolol / pharmacology*
  • Propranolol / therapeutic use
  • Rats
  • Rats, Sprague-Dawley
  • Reperfusion Injury / drug therapy

Substances

  • Adrenergic alpha-Antagonists
  • Adrenergic beta-Antagonists
  • Carbazoles
  • Propanolamines
  • Carvedilol
  • Propranolol
  • Prazosin