We are indebted to Daniel Bovet of the Istituto Superiore di Sanita, Rome, for supplying the 1757 I.S. used and for stimulating this research. We would also like to express our appreciation to D.
The effects of metoprolol 1 mg kg-1 i.v. on the systemic and coronary circulations and on myocardial performance were studied in nine open-chested dogs ventilated with halothane 0.8% in oxygen at normocarbia. In terms of the chronotropic effect, this dose of metoprolol produced a substantial shift to the right of the dose-response curve to isoprenaline; substantial reductions of arterial pressure (10%), cardiac output (21%), aortic blood acceleration (13%), left ventricular dP/dt max (13%) and left ventricular power (25%) were observed. Both preload, represented by left ventricular end diastolic pressure, and afterload, represented by systemic vascular resistance, increased. Left circumflex coronary blood flow and myocardial oxygen consumption decreased by approximately the same amount as peak ventricular power.
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