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Chest, Vol 70, 24-32, Copyright © 1976 by American College of Chest Physicians


ARTICLES

Both direct and neurally mediated components of the chronotropic actions of aminophylline

F Urthaler and TN James

Aminophylline was selectively perfused through either the sinus node or through the AV (atrioventricular) junction of 35 intact canine hearts in situ. The positive chronotropic action observed was equally powerful in accelerating either sinus rhythm (50 +/- 8 percent increment) or AV junctional rhythm (55 +/- 10 percent increment). This positive chronotropic effect has at least three distinct components: a major direct action on autonomic centers, a lesser effect due to local catecholamine release, and a part due to peripheral vagolytic action.





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Copyright © 1976 by the American College of Chest Physicians.