G. Gayanramirez et M. Decramer, INOTROPIC EFFECTS OF THEOPHYLLINE ON FORESHORTENED CANINE DIAPHRAGM, American journal of respiratory and critical care medicine, 149(4), 1994, pp. 920-924
Citations number
33
Categorie Soggetti
Emergency Medicine & Critical Care","Respiratory System
We previously demonstrated that theophylline exerted greater inotropic
effects on foreshortened canine diaphragm than on diaphragm placed at
resting length in vivo (1). To ensure that these effects result from
an effect on the muscle itself, they were examined in vitro. Thus, the
effects of increasing doses of theophylline (20, 100, 200, and 400 mg
/L) or addition of Krebs solution on twitch tension (Pt) of bundles pl
aced at optimal length (L(0)) and 70% L(0) were compared. At L(0), com
pared with time-matched control, Pt significantly increased after theo
phylline (e.g., 37 +/- 32 versus -8 +/- 12% after 400 mg/L) except wit
h 20 mg/L. At 70% L(0), Pt increased with all theophylline concentrati
ons in a dose-related manner (e.g, 14 +/- 15 versus -6 +/- 7% and 114
+/- 57 versus -8 +/- 11% after 20 and 400 mg/L, respectively). Time to
peak tension and half-relaxation time remained unchanged after theoph
ylline both at L(0) and 70% L(0). In addition, for a given concentrati
on, twitch potentiation was significantly greater at 70% L(0) than at
L(0), the difference increasing with increasing concentration (e.g., 3
times greater with 400 mg/L). We conclude that theophylline-induced i
notropic effects on Pt were more pronounced on foreshortened canine di
aphragm bundles than on bundles placed at L(0). These observations con
firm that theophylline-induced inotropic effects on foreshortened musc
le previously observed in vivo are likely to result from a direct effe
ct on muscle contractility.