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1 From the Division of Experimental Medicine, University of Vermont, College of Medicine, Burlington, Vermont
Injection of epinephrine or acetylcholine in atropinized cats, faradic stimulation of the stellate ganglia in cats with the adrenals tied, and faradic stimulation of the splanchnic nerves were found to be followed both by an accumulation of epinephrine and epinephrine-like catechol compounds (probably sympathin) in the heart muscle, and by cardiac acceleration.
Simultaneous intravenous administration of nitroglycerine, papaverine, priscol and dibenamine hydrochloride abolished those types of adreno-sympathetic cardiac acceleration against which they were tested, either partially or completely.
Nitroglycerine and priscol interfered only to a moderate extent with the accumulation of epinephrine-like material in the myocardium; papaverine inhibited it markedly; dibenamine hydrochloride prevented it completely during stimulation of the stellate ganglia. Thus, the mode of antagonistic action against adreno-sympathetic cardiac acceleration appears to be of a different nature in these drugs.
The anti-epinephrine-sympathin effects of nitroglycerine and papaverine regarding myocardial function suggest that the therapeutic action of these drugs in angina pectoris is not due to coronary dilatation alone but also to a specific counteraction against the myocardial metabolic effects of an excess influx of adreno-sympathogenic epinephrine in the heart.
Submitted on October 4, 1946
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