Stimulatory drugs on
isolated heart
By Dr Sameh AM abdel-ghany
Alpha blockers
• Alpha 1 and alpha 2: phentolmaine,
phenoxybenzamine and tolazoline.
• Alpha 1: prozosin, doxazosin and
terazosin.
• Alpha 2: yohmbine
Beta blockers
• Beta1, beta2: propranolol
• Beta 1: metoprolol and atenolol
• Beta 2: butoxamine
Stimulation of isloated heart
with sympathomimetics
 To increase cardiac contractilty with
Sympathomimetics:
 Stimulate B1 receptors : e.g
• Adrenaline
• Noradrenaline
• Isoprenaline
Stimulation of heart with
Epinephrine
Steps:
1.Inject Epinephrine produces ↑ in both HR and
contractility.
2.Try other B1 stimulants e.g. Norepinephrine and
Isoprenaline
3.Inject B1- Blocker e.g Propranolol
4.Inject Epinephrine rapidly before the action of
propranolol ends No effect of epinephrine
5.Try other B1 stimulants e.g. Norepinephrine and
Isoprenaline after propranolol
THANK YOU

Effect of sympathomimetics on isolated heart of frog

  • 1.
    Stimulatory drugs on isolatedheart By Dr Sameh AM abdel-ghany
  • 3.
    Alpha blockers • Alpha1 and alpha 2: phentolmaine, phenoxybenzamine and tolazoline. • Alpha 1: prozosin, doxazosin and terazosin. • Alpha 2: yohmbine
  • 4.
    Beta blockers • Beta1,beta2: propranolol • Beta 1: metoprolol and atenolol • Beta 2: butoxamine
  • 5.
    Stimulation of isloatedheart with sympathomimetics  To increase cardiac contractilty with Sympathomimetics:  Stimulate B1 receptors : e.g • Adrenaline • Noradrenaline • Isoprenaline
  • 6.
    Stimulation of heartwith Epinephrine Steps: 1.Inject Epinephrine produces ↑ in both HR and contractility. 2.Try other B1 stimulants e.g. Norepinephrine and Isoprenaline 3.Inject B1- Blocker e.g Propranolol 4.Inject Epinephrine rapidly before the action of propranolol ends No effect of epinephrine 5.Try other B1 stimulants e.g. Norepinephrine and Isoprenaline after propranolol
  • 14.