Amplification by Hyperoxia of Coronary Vasodilation Induced by Propofol

We tested the hypothesis that in vitro coronary and myocardial effects of propofol (10–300 μM) should be significantly modified in an isolated and erythrocyte-perfused rabbit heart model in the absence (Pao2 = 137 ± 16 mm Hg, n = 12) or in the presence (Pao2 = 541 ± 138 mm Hg, n = 12) of hyperoxia....

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Veröffentlicht in:Anesthesia and analgesia 2004-03, Vol.98 (3), p.595-603
Hauptverfasser: Ouattara, Alexandre, Boccara, Gilles, Lecomte, Patrick, Souktani, Rachid, Le Cosquer, Philippe, Mouren, Stéphane, Coriat, Pierre, Riou, Bruno
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container_issue 3
container_start_page 595
container_title Anesthesia and analgesia
container_volume 98
creator Ouattara, Alexandre
Boccara, Gilles
Lecomte, Patrick
Souktani, Rachid
Le Cosquer, Philippe
Mouren, Stéphane
Coriat, Pierre
Riou, Bruno
description We tested the hypothesis that in vitro coronary and myocardial effects of propofol (10–300 μM) should be significantly modified in an isolated and erythrocyte-perfused rabbit heart model in the absence (Pao2 = 137 ± 16 mm Hg, n = 12) or in the presence (Pao2 = 541 ± 138 mm Hg, n = 12) of hyperoxia. The induction of hyperoxia provoked a significant coronary vasoconstriction (−13% ± 7%). Propofol induced increased coronary vasodilation in the presence of hyperoxia. Because high oxygen tension has been reported to induce a coronary vasoconstriction mediated by the closure of adenosine triphosphate-sensitive potassium channels, we studied the effects of propofol in 2 additional groups of hearts (n = 6 in each group) pretreated by glibenclamide (0.6 μM) and cromakalim (0.5 μM) in the absence and presence of hyperoxia, respectively. The pretreatment by glibenclamide induced a coronary vasoconstriction (−16% ± 7%) which did not affect propofol coronary vasodilation. The pretreatment by cromakalim abolished the amplification of propofol coronary vasodilation in the presence of hyperoxia. Propofol induced a significant decrease in myocardial performance for a concentration >100 μM both in the absence and presence of hyperoxia. We conclude that propofol coronary vasodilation is amplified in the presence of hyperoxia. This phenomenon is not explained by the previous coronary vasoconstriction induced by glibenclamide. However, the pretreatment of hearts by cromakalim abolished the amplification of propofol coronary vasodilation in the presence of hyperoxia. The myocardial effects of propofol were not affected by the presence of hyperoxia.
doi_str_mv 10.1213/01.ANE.0000100681.15355.AC
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The induction of hyperoxia provoked a significant coronary vasoconstriction (−13% ± 7%). Propofol induced increased coronary vasodilation in the presence of hyperoxia. Because high oxygen tension has been reported to induce a coronary vasoconstriction mediated by the closure of adenosine triphosphate-sensitive potassium channels, we studied the effects of propofol in 2 additional groups of hearts (n = 6 in each group) pretreated by glibenclamide (0.6 μM) and cromakalim (0.5 μM) in the absence and presence of hyperoxia, respectively. The pretreatment by glibenclamide induced a coronary vasoconstriction (−16% ± 7%) which did not affect propofol coronary vasodilation. The pretreatment by cromakalim abolished the amplification of propofol coronary vasodilation in the presence of hyperoxia. Propofol induced a significant decrease in myocardial performance for a concentration &gt;100 μM both in the absence and presence of hyperoxia. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anesthetics, Intravenous - pharmacology</topic><topic>Animals</topic><topic>ATP-Binding Cassette Transporters</topic><topic>Biological and medical sciences</topic><topic>Blood Gas Analysis</topic><topic>Coronary Circulation - drug effects</topic><topic>Coronary Vessels - drug effects</topic><topic>Coronary Vessels - metabolism</topic><topic>Coronary Vessels - physiopathology</topic><topic>Cromakalim - pharmacology</topic><topic>Electrolytes - blood</topic><topic>Glyburide - pharmacology</topic><topic>Hyperoxia - physiopathology</topic><topic>In Vitro Techniques</topic><topic>KATP Channels</topic><topic>Life Sciences</topic><topic>Medical sciences</topic><topic>Myocardial Contraction - drug effects</topic><topic>Myocardium - metabolism</topic><topic>Oxygen - blood</topic><topic>Perfusion</topic><topic>Potassium Channel Blockers - pharmacology</topic><topic>Potassium Channels - agonists</topic><topic>Potassium Channels - drug effects</topic><topic>Potassium Channels, Inwardly Rectifying</topic><topic>Propofol - pharmacology</topic><topic>Rabbits</topic><topic>Vasodilation - drug effects</topic><topic>Vasodilation - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ouattara, Alexandre</creatorcontrib><creatorcontrib>Boccara, Gilles</creatorcontrib><creatorcontrib>Lecomte, Patrick</creatorcontrib><creatorcontrib>Souktani, Rachid</creatorcontrib><creatorcontrib>Le Cosquer, Philippe</creatorcontrib><creatorcontrib>Mouren, Stéphane</creatorcontrib><creatorcontrib>Coriat, Pierre</creatorcontrib><creatorcontrib>Riou, Bruno</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Anesthesia and analgesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ouattara, Alexandre</au><au>Boccara, Gilles</au><au>Lecomte, Patrick</au><au>Souktani, Rachid</au><au>Le Cosquer, Philippe</au><au>Mouren, Stéphane</au><au>Coriat, Pierre</au><au>Riou, Bruno</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Amplification by Hyperoxia of Coronary Vasodilation Induced by Propofol</atitle><jtitle>Anesthesia and analgesia</jtitle><addtitle>Anesth Analg</addtitle><date>2004-03</date><risdate>2004</risdate><volume>98</volume><issue>3</issue><spage>595</spage><epage>603</epage><pages>595-603</pages><issn>0003-2999</issn><eissn>1526-7598</eissn><coden>AACRAT</coden><abstract>We tested the hypothesis that in vitro coronary and myocardial effects of propofol (10–300 μM) should be significantly modified in an isolated and erythrocyte-perfused rabbit heart model in the absence (Pao2 = 137 ± 16 mm Hg, n = 12) or in the presence (Pao2 = 541 ± 138 mm Hg, n = 12) of hyperoxia. The induction of hyperoxia provoked a significant coronary vasoconstriction (−13% ± 7%). Propofol induced increased coronary vasodilation in the presence of hyperoxia. Because high oxygen tension has been reported to induce a coronary vasoconstriction mediated by the closure of adenosine triphosphate-sensitive potassium channels, we studied the effects of propofol in 2 additional groups of hearts (n = 6 in each group) pretreated by glibenclamide (0.6 μM) and cromakalim (0.5 μM) in the absence and presence of hyperoxia, respectively. The pretreatment by glibenclamide induced a coronary vasoconstriction (−16% ± 7%) which did not affect propofol coronary vasodilation. The pretreatment by cromakalim abolished the amplification of propofol coronary vasodilation in the presence of hyperoxia. Propofol induced a significant decrease in myocardial performance for a concentration &gt;100 μM both in the absence and presence of hyperoxia. We conclude that propofol coronary vasodilation is amplified in the presence of hyperoxia. This phenomenon is not explained by the previous coronary vasoconstriction induced by glibenclamide. However, the pretreatment of hearts by cromakalim abolished the amplification of propofol coronary vasodilation in the presence of hyperoxia. The myocardial effects of propofol were not affected by the presence of hyperoxia.</abstract><cop>Hagerstown, MD</cop><pub>International Anesthesia Research Society</pub><pmid>14980904</pmid><doi>10.1213/01.ANE.0000100681.15355.AC</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anesthetics, Intravenous - pharmacology
Animals
ATP-Binding Cassette Transporters
Biological and medical sciences
Blood Gas Analysis
Coronary Circulation - drug effects
Coronary Vessels - drug effects
Coronary Vessels - metabolism
Coronary Vessels - physiopathology
Cromakalim - pharmacology
Electrolytes - blood
Glyburide - pharmacology
Hyperoxia - physiopathology
In Vitro Techniques
KATP Channels
Life Sciences
Medical sciences
Myocardial Contraction - drug effects
Myocardium - metabolism
Oxygen - blood
Perfusion
Potassium Channel Blockers - pharmacology
Potassium Channels - agonists
Potassium Channels - drug effects
Potassium Channels, Inwardly Rectifying
Propofol - pharmacology
Rabbits
Vasodilation - drug effects
Vasodilation - physiology
title Amplification by Hyperoxia of Coronary Vasodilation Induced by Propofol
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