Skip to main content
Log in

Cardiovascular and respiratory effects of the beta-adrenoceptive antagonist sotalol

Studies in health, angina pectoris and obstructive lung disease

  • Originals
  • Published:
European Journal of Clinical Pharmacology Aims and scope Submit manuscript

Summary

The cardiovascular and respiratory actions of the adrenergic beta adrenoceptive drug sotalol have been studied in an open, short term trial. Fifteen patients with angina performed standardized orthostatic and exercise tests before and after injection of 20 mg sotalol intravenously. Although there was a significant reduction of heart rate and blood pressure at the time of appearance of angina pectoris and ST-segment depression, there was only a slight and statistically insignificant increase in work before the appearance of angina pectoris, and ischaemic changes in the ECG disappeared more rapidly after work.

In a different group of patients suffering from obstructive lung disease, sotalol 10 mg intravenously produced a significant increase in airway resistance. It had no such effect on normalsubjects.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Åberg, G., Dzedin, T., Lundholm, L., Olsson, L. Svedmyr, N.: A comparative study of some cardiovascular effects of sotalol (MJ 1999) and propranolol. Life Sci.8 353 (1969)

    Google Scholar 

  • Adolfsson, L., Areskog, N.-H.: Effects of propranolol in patients with coronary insufficiency (in Swedish). Läkartidningen3 Suppl. III, 83–88 (1967)

    Google Scholar 

  • Adolfsson, L., Areskog, N.-H., Rasmuson, T.: Effects of alprenol and sorbidnitrate during exercise in patients with coronary insufficiency. Europ. J. clin. Pharmacol.3 68–73 (1971)

    Google Scholar 

  • Adolfsson, L., Areskog, N.-H., Furberg, C., Granath, A., Zetterqvist, S.: Synergistic effects of a new beta-adrenergic blocker (pindolol) and isosorbidedinitrate during exercise in patients with coronary insufficiency. Europ. J. clin. Pharmacol.5 37–43 (1972)

    Google Scholar 

  • Areskog, N.-H., Adolfsson, L.: Effects of a cardio-selective beta-adrenergic blocker (ICI 50172) at exercise in angina pectoris. Brit. med. J.1969 II 601–603

    Google Scholar 

  • Areskog, N.-H., Hallén, A.: ECG at rest and ECG response to exercise. In A. Hallén, Angina pectoris. Acta chir. scand. Suppl.323 70–88 (1964)

    Google Scholar 

  • Brooks, H., Banas, J., Meister, S., Szucs, M., Dalen, J., Dexter, L.: Sotalol-induced beta blockade in cardiac patients. Circulation42 99 (1970)

    Google Scholar 

  • Cook, C.D., Sutherland, J.M., Segal, S., Cherry, R.B., Mead, J., McIroy, M.B., Smith, C.A.: Studies of respiratory physiology in the new-born infant. III. Measurements of mechanics of respiration. J. clin. Invest.36 440 (1957)

    Google Scholar 

  • Farmer, J.B., Levy, G.P.: A comparison of some cardiovascular properties of propranolol, MJ 1999 and quinidine in relation to their effects in hypertensive animals. Brit. J. Pharmacol.34 116 (1968)

    Google Scholar 

  • Fogelman, F., Lightman, S.L., Sillett, R.W., McNicol, M.W.: The treatment of cardiac arrhythmias with sotalol. Europ. J. clin. Pharmacol.5 72 (1972)

    Google Scholar 

  • Frankl, W.S., Soloff, L.A.: Sotalol: a new, safe beta adrenergic receptor blocking agent. Amer. J. Cardiol.22 266 (1968)

    Google Scholar 

  • Herxheimer, H., Langen, I.: Untersuchungen über die broncho-konstriktorische Wirkung des Beta-Receptorblockers Propranolol bei Meerschweinchen und Patienten mit Asthma bronchiale. Klin. Wschr.45 1149 (1967)

    Google Scholar 

  • Hoffmann, R.P., Grupp, G.: The effects of sotalol and propranolol on contractile force and atrioventricular conduction time of the dog heart in situ. Dis. Chest55 229 (1969)

    Google Scholar 

  • Jonsell, S.: A method for determination of the heart size by teleroentgenography. Acta radiol. (Stockh.)20 325 (1939)

    Google Scholar 

  • Lish, P.M., Weikel, J.H., Dungan, K.W.: Pharmacological and toxicological properties of two new β-adrenergic receptor antagonist. J. Pharmacol. exp. Ther.149 161 (1965)

    Google Scholar 

  • Lish, P.M., Shelanski, M.W., LaBudde, J.A., Williams, W.R.: Inhibition of cardiac chronotropic action of isoproterenol by sotalol (MJ 1999) in rat, dog and man. Curr. ther. Res.9 311 (1967)

    Google Scholar 

  • McDonald, A.G., McNeill, R.S.: A comparison of the effect on airway resistance of a new beta blocking drug, ICI 50,172 and propranolol. Brit. J. Anaesth.40 508 (1968)

    Google Scholar 

  • McNeill, R.S., Ingram, C.G.: Effect of propranolol on ventilatory function. Amer. J. Cardiol.18 473 (1969)

    Google Scholar 

  • Raper, C., Wale, J.: Propranolol, MJ 1999 and Ciba 39089 BA in ouabain and adrenaline induced cardiac arrhythmias. Europ. J. clin. Pharmacol.4 1 (1968 a)

    Google Scholar 

  • Raper, C., Wale, J.: Specificity of β-receptor antagonist. Europ. J. clin. Pharmacol.3 279 (1968 b)

    Google Scholar 

  • Ringqvist, T.: The ventilatory capacity in healthy subjects. Scand. J. clin. Lab. Invest. Suppl.88 (1966)

  • Ringqvist, I., Ringqvist, T.: Respiratory forces and variations of static lung volumes in healthy subjects. Scand. J. clin. Lab. Invest.33 269 (1974)

    Google Scholar 

  • Siegel, S.: Nonparametric statistics. McGraw-Hill Book Co. Inc. 1956

  • Sjöstrand, T.: Changes in the respiratory organs of workmen at an ore smelting works. Acta med. scand., Suppl.196, 687 (1947)

    Google Scholar 

  • Snedecor, G.W.: Statistical methods. 5th Ed. Ames, Iowa: The Iowa State College Press 1956

    Google Scholar 

  • Strandell, T.: Circulatory studies on healthy old men with special reference to the limitation of maximal physical working capacity. Acta med. scand., Suppl414, 44 (1964)

    Google Scholar 

  • Thumala, A., Hammermeister, K.W., Campbell, W.B., Pomerantz, B., Overy, H., Davies, H.: Hemodynamic studies with sotalol in man, performed at rest, during exercise and during right ventricular pacing. Amer. Heart J.82 439 (1971)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Areskog, N.H., Cullhed, I., Ringqvist, I. et al. Cardiovascular and respiratory effects of the beta-adrenoceptive antagonist sotalol. Eur J Clin Pharmacol 8, 403–408 (1975). https://doi.org/10.1007/BF00562313

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00562313

Key words

Navigation