The direct effect of hypoglycaemic sulphonylureas on myocardial contractile force and arterial blood pressure
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Summary
The cardiovascular effects of glibenclamide, gliclazide and carbutamide were studied on myocardial contractile force, cardiac output, mean arterial pressure and heart rate in 43 intact, 14 pancreatectomized and 18 adrenalectomized dogs. It is shown that a positive inotropic and hypertensive effect of hypoglycaemic sulphonylureas develops without the mediation of glucagon, insulin or adrenaline. Contrary to the other investigated sulphonylureas, glibenclamide reduced myocardial contractile force and arterial blood pressure.
Key words
Glibenclamide gliclazide carbutamide myocardial contractile force cardiac output arterial blood pressure heart rate Download
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References
- 1.Bradley, R.F., Dolger, H., Forsham, P.H., Seltzer, H.: Settling the UGDP controversy? J. A. M. A.232, 813–817 (1975)PubMedGoogle Scholar
- 2.Covell, J.W., Braunwald, E., Ross, J. jr., Sonnenblick, E.H.: Studies on digitalis. XVI. Effects on myocardial oxygen consumption. J. Clin. Invest.45, 1535–1542 (1966)PubMedGoogle Scholar
- 3.Crass III, M.F., Spanheimer, R.G., Stone, D.B., Brown II, R.J.: Tolbutamide-induced inotropic responses in the perfused working heart: effects of albumin. Proc. Soc. Exp. Biol. Med.142, 861–866 (1973)PubMedGoogle Scholar
- 4.Crockett, S.E., Marsh, D., Lewis, R.P., Tzagournis, M.: Lack of cardiac inotropic effect of tolbutamide in intact man. Metabolism23, 763–769 (1974)PubMedGoogle Scholar
- 5.Curtis, G.P., Setchfield, J., Lucchesi, B.R.: The cardiac pharmacology of tolbutamide. J. Pharmacol. Exp. Ther.194, 264–273 (1975)PubMedGoogle Scholar
- 6.Garcia, M., Miller, M., Moses, A.M.: Chlorpropamide-induced water retention in patients with diabetes mellitus. Ann. Intern. Med.75, 549–553 (1971)Google Scholar
- 7.Graham, T.P. jr., Covell, J.W., Sonnenblick, E.H., Ross, J. jr., Braunwald, E.: Control of myocardial oxygen consumption: relative influence of contractile state and tension development. J. Clin. Invest.47, 375–385 (1968)PubMedGoogle Scholar
- 8.Hyvärinen, A., Nikkilä, E.A.: Specific determination of blood glucose with o-toluidine. Clin. Chim. Acta7, 140–143 (1962)PubMedGoogle Scholar
- 9.Lasseter, K.C., Levey, G.S., Palmer, R.F., McCarthy, J.S.: The effect of sulfonylurea drugs on rabbit myocardial contractility, canine Purkinje fiber automatidty, and adenyl cyclase activity from rabbit and human hearts. J. Clin. Invest.51, 2429–2434 (1972)PubMedGoogle Scholar
- 10.Levey, G.S., Palmer, R.F., Lasseter, K.C., McCarthy, J.: Effects of tolbutamide on adenyl cyclase in rabbit and human heart and contractility of isolated rabbit atria. J. Clin. Endocrinol. Metab.33, 371–374 (1971)PubMedGoogle Scholar
- 11.Levey, G.S., Lasseter, K.C., Palmer, R.F.: Sulfonylureas and the heart. Annu. Rev. Med.25, 69–74 (1974)PubMedGoogle Scholar
- 12.Lucchesi, B.R., Curtis, G.P., Lomas, T., Setchfield, J.: The effects of tolbutamide on cardiac contractility and coronary blood flow in the canine heart. Univ. Mich. Med. Cent. J.39, 30–34 (1973)Google Scholar
- 13.Maroko, P.R., Kjekshus, J.K., Sobel, B.E., Watanabe, T., Covell, J.W., Ross, J., Braunwald, E.: Factors influencing infarct size following experimental coronary artery occlusions. Circulation43, 67–82 (1971)PubMedGoogle Scholar
- 14.Radó, J.P., Borbély, L.: Enhancement of polyuria by glibenclamide in diabetes insipidus. Lancet1971 II, 216Google Scholar
- 15.Roth, J., Prout, T.E., Goldfine, I.D., Wolfe, S.M., Muenzer, J., Grauer, L.E., Marcus, M.L.: Sulfonylureas: Effects in vivo and in vitro. Ann. Intern. Med.75, 607–621 (1971)PubMedGoogle Scholar
- 16.The University Group Diabetes Program: A study of the effects of hypoglycémic agents on vascular complications in patients with adult-onset diabetes. II. Mortality results. Diabetes19 (Suppl. II), 789–830 (1970)Google Scholar
- 17.Wales, J.K., Grant, A.M., Wolff, F.W.: The effect of tolbutamide on blood pressure. J. Pharmacol. Exp. Ther.178, 130–140 (1971)PubMedGoogle Scholar
- 18.Young, J.L. jr., Burr, I.M., Perry, J.M., Nelson, J.H., Nies, A.S.: Inotropic effects of tolbutamide in man. Am. Heart J.89, 189–194 (1975)PubMedGoogle Scholar
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