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  2. Keyword: Epinephrine
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ABC
Original Article

Passive Cigarette Smoking Impact on Blood Pressure Response to Epinephrine and Felypressin in 1K1C Hypertensive Rats Treated or not with Atenolol

Camila A. Fleury et al. Elizandra P. M. Almeida Thiago J. Dionisio Adriana M. Calvo … Gabriela M. Oliveira Sandra L. Amaral Carlos F. Santos Flávio A. C. Faria

Abstract

Background:

Cigarette smoking is usually associated with hypertension and may modify vasoconstrictor response.

Objective:

The present study aimed to analyze and compare the interaction of passive cigarette smoking and hypertension on epinephrine and felypressin blood pressure effects after intravascular injection.

Method:

45-day male Wistar rats had the main left renal artery partially constricted and the right kidney removed (1K1C model). Rats were placed in the chamber for exposition to passive cigarette smoking (10 cigarettes) during 10 min (6 days a week). Hypertensive rats received atenolol (90 mg/kg/day) by gavage for two weeks. Hypotensive and hypertensive response, response duration and heart rate were recorded from direct blood pressure values. The significance level was 5%.

Results:

Passive cigarette smoking increased maximal hypertensive response to epinephrine in normotensive and 1K1C-atenolol treated rats and to felypressin only in 1K1C-atenolol treated rats; it also reduced epinephrine hypotensive response. Epinephrine increased heart rate in normotensive and hypertensive passive smokers or non-smoker rats. Comparing the two vasoconstrictors, epinephrine showed greater hypertensive response in normotensive smokers, 1K1C-atenolol treated smokers and non-smokers. However, in normotensive-nonsmoker rats, felypressin showed a greater and longer hypertensive effect.

Conclusions:

Our results suggest that passive cigarette smoking may reduce epinephrine vasodilation and increase hypertensive response when compared to felypressin. Therefore, felypressin may be safe for hypertensive patients to avoid tachycardia and atenolol interaction, but for normotensive and non-smoker patients, epinephrine may be safer than felypressin.

  • Atenolol
  • Epinephrine
  • Felypressin
  • Hypertension
  • Nicotine/adverse effects
  • Rats
  • Tobacco Smoke Pollution
  • Tobacco Use Disorder
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Creative Commons Attribution (CC BY) Creative Commons license
20/03/2020 DOI: 10.36660/abc.20180433 Views 1
ABC
Editorial

Short Editorial – Effect of Passive Smoking on Blood Pressure Response to Epinephrine and Felypressin in 1K1C Hypertensive Rats Treated or not with Atenolol

Paulo J. F. Tucci

I begin this text highlighting the importance of multidisciplinarity in the development of knowledge.

In 1842, Johann Christian Doppler, an Austrian physicist, defined that the frequency of the star’s light changed with its motion, as it moved closer or away. One and a half century later, such “useless curiosity” started to be applied for the diagnosis of congenital heart diseases. And for a long time, we do know when the train is coming or going.

[…]

  • Anesthesia, Dental
  • Atenolol
  • Epinephrine
  • Felipressin
  • Hypertension
  • Rats
  • Tobacco Use Disorder
  • Tobacco/adverse effects
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Creative Commons Attribution (CC BY) Creative Commons license
20/03/2020 DOI: 10.36660/abc.20200032 Views 1
Experimental cardiac arrest treatment with adrenaline, vasopressin, or placebo
ABC
Artigo Original

Experimental cardiac arrest treatment with adrenaline, vasopressin, or placebo

Manoel Ângelo Gomes Palácio et al. Edison Ferreira de Paiva Luciano Cesar Pontes de Azevedo Ari Timerman

BACKGROUND: The effect of vasoconstrictors in prolonged cardiopulmonary resuscitation (CPR) has not been fully clarified. OBJECTIVES: To evaluate adrenaline and vasopressin pressure effect, and observe the return of spontaneous circulation (ROSC). METHODS: A prospective, randomized, blinded, and placebo-controlled study. After seven minutes of untreated ventricular fibrillation, pigs received two minutes cycles of CPR. Defibrillation was attempted (4 J/kg) once at 9 minutes, and after every cycle if a shockable rhythm was present, after what CPR was immediately resumed. At 9 minutes and every five minutes intervals, 0.02 mg/kg (n = 12 pigs) adrenaline, or 0.4 U/kg (n = 12) vasopressin, or 0.2 mL/kg (n = 8) 0.9% saline solution was administered. CPR continued for 30 minutes or until the ROSC. RESULTS: Coronary perfusion pressure increased to about 20 mmHg in the three groups. Following vasoconstrictors doses, pressure level reached 35 mmHg versus 15 mmHg with placebo (p < 0.001). Vasopressin effect remained at 15-20 mmHg after three doses versus zero with adrenaline or placebo. ROSC rate differed (p = 0.031) among adrenaline (10/12), vasopressin (6/12), and placebo (2/8). Time-to-ROSC did not differ (16 minutes), nor the number of doses previously received (one or two). There was no difference between vasoconstrictors, but against placebo, only adrenaline significantly increased the ROSC rate (p = 0.019). CONCLUSION: The vasoconstrictors initial pressure effect was equivalent and vasopressin maintained a late effect at prolonged resuscitation. Nevertheless, when compared with placebo, only adrenaline significantly increased the ROSC rate.

  • Arginine vasopressin
  • Cardiopulmonary Resuscitation
  • Epinephrine
  • Models, Animal
  • Ventricular Fibrillation
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Creative Commons Attribution (CC BY) Creative Commons license
01/11/2013 DOI: 10.5935/abc.20130213 Views 1
Effects of epinephrine in local dental anesthesia in patients with coronary artery disease
ABC
Artigo Original

Effects of epinephrine in local dental anesthesia in patients with coronary artery disease

Ricardo Simões Neves et al. Itamara Lucia Itagiba Neves Dante Marcelo Artigas Giorgi Cesar José Grupi … Luís Antonio Machado César Whady Hueb Max Grinberg

BACKGROUND: The use of vasoconstrictors for local anesthesia in patients with coronary heart disease is controversial in the literature, and there is concern regarding risk of cardiac decompensation. OBJECTIVE: To evaluate electrocardiographic and blood pressure parameters during restorative dental procedure under local anesthesia with and without a vasoconstrictor in patients with coronary artery disease. METHODS: Sixty-two patients were included in the study, ages ranging from 39 to 80 (mean 58.7 ± 8.8), 51 (83.2%) of whom were male. Thirty patients were randomly assigned to receive 2% lidocaine with epinephrine (epinephrine group), and the remaining patients, 2% lidocaine without epinephrine (non-epinephrine group) for local anesthesia. All patients underwent 24-hour ambulatory blood pressure monitoring and dynamic electrocardiography. Three periods were considered in the study: 1) baseline – recordings obtained during the 60 minutes prior to the procedure; 2) procedure – recordings obtained from the beginning of anesthesia to the end of the procedure and 3) 24 hours. RESULTS: There was an increase in blood pressure in both groups during the procedure, compared with baseline values; but when the two groups were compared no significant difference was detected between them. Heart rate remained unchanged in both groups. No ST-segment depression > 1 mm occurred either at baseline or during the procedure. Seven patients (12.5%) experienced more than ten arrhythmia episodes per hour during the procedure, four (13.8%) in the non-epinephrine group and three (11.1%) in the epinephrine group. CONCLUSION: No difference was observed in blood pressure, heart rate, or evidence of ischemia and arrhythmias in either group. The use of vasoconstrictor has proved to be safe within the range of the present study.

  • anesthesia, local
  • coronary arteriosclerosis
  • dental restoration, permanent
  • Epinephrine
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Creative Commons Attribution (CC BY) Creative Commons license
15/06/2007 DOI: 10.1590/S0066-782X2007000500008 Views 1

How to cite this article

EndNote RIS

Electronic Document Format (Vancouver)

Fleury CA, Almeida EPM, Dionisio TJ, Calvo AM, Oliveira GM, Amaral SL, Santos CF, et al. Passive Cigarette Smoking Impact on Blood Pressure Response to Epinephrine and Felypressin in 1K1C Hypertensive Rats Treated or not with Atenolol. Arquivos Brasileiros de Cardiologia 2020;114(2):295-303.

Electronic Document Format (ABNT)

Fleury, Camila A.; Almeida, Elizandra P. M.; Dionisio, Thiago J.; Calvo, Adriana M.; Oliveira, Gabriela M.; Amaral, Sandra L.; Santos, Carlos F.; Faria, Flávio A. C.. Passive Cigarette Smoking Impact on Blood Pressure Response to Epinephrine and Felypressin in 1K1C Hypertensive Rats Treated or not with Atenolol. Arquivos Brasileiros de Cardiologia, v. 114, n. 2, p. 295-303, Mar. 2020.

Electronic Document Format (APA)

Fleury, C. A., Almeida, E. P. M., Dionisio, T. J., Calvo, A. M., Oliveira, G. M., Amaral, S. L., Santos, C. F., & Faria, F. A. C. (2020). Passive Cigarette Smoking Impact on Blood Pressure Response to Epinephrine and Felypressin in 1K1C Hypertensive Rats Treated or not with Atenolol. Arquivos Brasileiros de Cardiologia, 114(2), 295-303.

Electronic Document Format (ISO)

Fleury, Camila A. and Almeida, Elizandra P. M. and Dionisio, Thiago J. and Calvo, Adriana M. and Oliveira, Gabriela M. and Amaral, Sandra L. and Santos, Carlos F. and Faria, Flávio A. C.. Passive Cigarette Smoking Impact on Blood Pressure Response to Epinephrine and Felypressin in 1K1C Hypertensive Rats Treated or not with Atenolol. Arquivos Brasileiros de Cardiologia [online]. 2020, vol. 114, n. 2, [cited 2026-10-14], pp. 295-303. Available from: <https://journals.cardiol.br/en/article/passive-cigarette-smoking-impact-on-blood-pressure-response-to-epinephrine-and-felypressin-in-1k1c-hypertensive-rats-treated-or-not-with-atenolol/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Tucci PJF. Short Editorial – Effect of Passive Smoking on Blood Pressure Response to Epinephrine and Felypressin in 1K1C Hypertensive Rats Treated or not with Atenolol. Arquivos Brasileiros de Cardiologia 2020;114(2):304.

Electronic Document Format (ABNT)

Tucci, Paulo J. F.. Short Editorial – Effect of Passive Smoking on Blood Pressure Response to Epinephrine and Felypressin in 1K1C Hypertensive Rats Treated or not with Atenolol. Arquivos Brasileiros de Cardiologia, v. 114, n. 2, p. 304-304, Mar. 2020.

Electronic Document Format (APA)

Tucci, P. J. F. (2020). Short Editorial – Effect of Passive Smoking on Blood Pressure Response to Epinephrine and Felypressin in 1K1C Hypertensive Rats Treated or not with Atenolol. Arquivos Brasileiros de Cardiologia, 114(2), 304-304.

Electronic Document Format (ISO)

Tucci, Paulo J. F.. Short Editorial – Effect of Passive Smoking on Blood Pressure Response to Epinephrine and Felypressin in 1K1C Hypertensive Rats Treated or not with Atenolol. Arquivos Brasileiros de Cardiologia [online]. 2020, vol. 114, n. 2, [cited 2026-10-14], pp. 304-304. Available from: <https://journals.cardiol.br/en/article/short-editorial-effect-of-passive-smoking-on-blood-pressure-response-to-epinephrine-and-felypressin-in-1k1c-hypertensive-rats-treated-or-not-with-atenolol/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Palácio MG, Paiva EF, Azevedo LCP, Timerman A. Experimental cardiac arrest treatment with adrenaline, vasopressin, or placebo. Arquivos Brasileiros de Cardiologia 2013;101(6):536-44.

Electronic Document Format (ABNT)

Palácio, Manoel Ângelo Gomes; Paiva, Edison Ferreira de; Azevedo, Luciano Cesar Pontes de; Timerman, Ari. Experimental cardiac arrest treatment with adrenaline, vasopressin, or placebo. Arquivos Brasileiros de Cardiologia, v. 101, n. 6, p. 536-544, Oct. 2013.

Electronic Document Format (APA)

Palácio, M. G., Paiva, E. F. , Azevedo, L. C. P. , & Timerman, A. (2013). Experimental cardiac arrest treatment with adrenaline, vasopressin, or placebo. Arquivos Brasileiros de Cardiologia, 101(6), 536-544.

Electronic Document Format (ISO)

Palácio, Manoel Ângelo Gomes and Paiva, Edison Ferreira de and Azevedo, Luciano Cesar Pontes de and Timerman, Ari. Experimental cardiac arrest treatment with adrenaline, vasopressin, or placebo. Arquivos Brasileiros de Cardiologia [online]. 2013, vol. 101, n. 6, [cited 2026-10-14], pp. 536-544. Available from: <https://journals.cardiol.br/en/article/experimental-cardiac-arrest-treatment-with-adrenaline-vasopressin-or-placebo/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Neves RS, Neves ILI, Giorgi DMA, Grupi CJ, César LAM, Hueb W, Grinberg M, et al. Effects of epinephrine in local dental anesthesia in patients with coronary artery disease. Arquivos Brasileiros de Cardiologia 2007;88(5):545-51.

Electronic Document Format (ABNT)

Neves, Ricardo Simões; Neves, Itamara Lucia Itagiba; Giorgi, Dante Marcelo Artigas; Grupi, Cesar José; César, Luís Antonio Machado; Hueb, Whady; Grinberg, Max. Effects of epinephrine in local dental anesthesia in patients with coronary artery disease. Arquivos Brasileiros de Cardiologia, v. 88, n. 5, p. 545-551, Jun. 2007.

Electronic Document Format (APA)

Neves, R. S., Neves, I. L. I., Giorgi, D. M. A., Grupi, C. J., César, L. A. M., Hueb, W., & Grinberg, M. (2007). Effects of epinephrine in local dental anesthesia in patients with coronary artery disease. Arquivos Brasileiros de Cardiologia, 88(5), 545-551.

Electronic Document Format (ISO)

Neves, Ricardo Simões and Neves, Itamara Lucia Itagiba and Giorgi, Dante Marcelo Artigas and Grupi, Cesar José and César, Luís Antonio Machado and Hueb, Whady and Grinberg, Max. Effects of epinephrine in local dental anesthesia in patients with coronary artery disease. Arquivos Brasileiros de Cardiologia [online]. 2007, vol. 88, n. 5, [cited 2026-10-14], pp. 545-551. Available from: <https://journals.cardiol.br/en/article/effects-of-epinephrine-in-local-dental-anesthesia-in-patients-with-coronary-artery-disease/>. ISSN 0066-782X

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