Systemic haemodynamics of dihydropyridine derivatives in conscious pigs with or without propranolol

Eur J Pharmacol. 1988 Nov 8;156(3):401-9. doi: 10.1016/0014-2999(88)90286-5.

Abstract

The systemic haemodynamic effects of a 10 min i.v. infusion of three dihydropyridine Ca2+ channel blockers, nifedipine (1, 2 and 4 micrograms.kg-1.min-1), nisoldipine (0.5, 1 and 2 micrograms.kg-1.min-1) and nimodipine (1, 2 and 4 micrograms.kg-1.min-1) were studied in instrumented conscious pigs with or without a propranolol-induced beta-adrenoceptor blockade (0.5 mg.kg-1 bolus followed by 0.5 mg.kg-1.h-1). Initial experiments showed that the solvent used for the Ca2+ channel blockers had no haemodynamic effects and that the effects of propranolol wer constant during a 30 min period. Nisoldipine, nimodipine and nifedipine elicited qualitatively similar effects, causing a dose-dependent decrease in blood pressure and systemic vascular resistance. These effects were accompanied by a reflex-mediated increase in heart rate, cardiac output and left ventricular rate of rise in pressure (LVdP/dtmax). Nisoldipine was about 2-3 times more potent than the other two drugs. Propranolol did not modify the vasodilation induced by the Ca2+ channel blockers but attenuated the increase in heart rate, cardiac output and LVdP/dtmax. In view of the reflex-tachycardia and the absence of negative inotropic actions, these Ca2+ channel blockers can be combined with beta-adrenoceptor antagonists without further compromising the left ventricular pump function.

MeSH terms

  • Animals
  • Calcium Channel Blockers / pharmacology*
  • Dihydropyridines / pharmacology*
  • Hemodynamics / drug effects*
  • Nifedipine / analogs & derivatives
  • Nifedipine / pharmacology
  • Nimodipine / pharmacology
  • Nisoldipine
  • Propranolol / pharmacology*
  • Swine
  • Vasodilation / drug effects

Substances

  • Calcium Channel Blockers
  • Dihydropyridines
  • Nisoldipine
  • Nimodipine
  • Propranolol
  • Nifedipine