Objective: To determine the effects of vasoactive intestinal peptide, released from the right and left vagal nerves, on ventricular contraction, relaxation, and heart rate. Methods: The muscarinic and P-adrenergic receptors were blocked with atropine and propranolol, and afterload was controlled in 48 anesthetized, open-chest mongrel dogs. Experiments were performed in the absence (Series 1, 10 dogs) and in the presence (Series 2, 22 dogs) of a controlled heart rate and prior to and after the administration of a sensitive and selective vasoactive intestinal peptide antagonist (Series 3, 16 dogs). Results: Right ventricular contraction (+ dp/dt,,,,), relaxation ( -dp/dt,,) and heart rate increased significantly during 20 Hz vagal nerve stimulation for 5 min. Vagal nerve stimulation in Series 1 increased right ventricular +dp/dt,, by 28% from a control value of 480 f 11 (P < 0.001) and right ventricular -dp/dt,, by 23% from a control value of 341 + 11 (P < 0.002). Left ventricular +dp/dt,, and -dp/dt,, increased slightly but not significantly. Vagal nerve stimulation also increased the heart rate by 29% from a control value of 149 rtr 2 (P < 0.001). During controlled heart rate in Series 2, vagal nerve stimulation at 20 Hz consistently increased right ventricular + dp/dt,, and -dp/dtmi, comparable to Series 1 experiments but did not increase left ventricular +dp/dt,, or -dp/dt,,.Injection of the vasoactive intestinal peptide antagonist [4Cl-DPhe6,Leu"]VIP into the right coronary artery of 16 dogs in Series 3 did not affect right ventricular +dp/dt,,, -dp/dt,i,, or heart rate.. However, this antagonist substantially decreased the vagal-induced increases in right ventricular +dp/dt,,, -dp/dt,,, and heart rate by 85, 63, and 71% (P < 0.005), respectively. Conclusion: The present experiments suggest that vagal nerve stimulation releases vasoactive intestinal peptide (VIP) or a 'VIP-like substance' that significantly increases right ventricular contraction, relaxation, and heart rate.
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