Circulation, Vol 53, 985-988, Copyright © 1976 by American Heart Association
WJ Mroczek, WR Lee, ME Davidov and FA Finnerty Jr
To explore the possibility that the presence of propranolol-induced
beta-adrenergic blockade might have an adverse effect upon homeostatic
circulatory reflexes activated by the administration of a potent
vasodilator agent, arterial blood pressure and pulse rate response to rapid
intravenous diazoxide injection was monitored before and after pretreatment
with propranolol in ten hypertensive patients. It appeared that
beta-adrenergic blockade had no clinically significant effect on the
magnitude of hypotension or the degree of heart rate acceleration induced
by the administration of the potent vasodilator diazoxide. This reflex
vasodilator-induced cardio-acceleration after propranolol adminstration
could be the result of incomplete blockade of endogenously released
neurotransmitter, inhibition of the parasympathetic nervous system, or a
direct pharmacologic action of diazoxide. Diazoxide administration to
hypertensive patients in the presence of beta-adrenergic blockade was not
associated with any clinically significant hemodynamic consequences.
ARTICLES
Vasodilator administration in the presence of beta-adrenergic blockade
This article has been cited by other articles:
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W. W. McCrory, E. C. Kohaut, J. E. Lewy, E. Lieberman, and L. B. Travis Safety of Intravenous Diazoxide in Children with Severe Hypertension Clinical Pediatrics, November 1, 1979; 18(11): 661 - 671. [Abstract] [PDF] |
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