Br. Macintosh et al., RAT ATRIAL MUSCLE RESPONSES WITH CAFFEINE - DOSE-RESPONSE, FORCE FREQUENCY, AND POSTREST CONTRACTIONS, Canadian journal of physiology and pharmacology, 70(2), 1992, pp. 275-282
Caffeine has been reported to have a positive and (or) a negative inot
ropic effect on cardiac muscle. In this study, the force-frequency and
postrest characteristics of rat atrium were studied in the presence o
f caffeine (1.0 - 10 mM) to see if the interval between beats affected
the response of cardiac muscle to caffeine. When stimulation frequenc
y was 0.5 or 2.0 Hz, there was a positive followed by a negative inotr
opic response with 1, 5, or 10 mM caffeine. Incomplete relaxation occu
rred under these circumstances, giving rise to contracture. At low fre
quency of stimulation (0.1 Hz) caffeine had only a negative inotropic
effect, and this effect was greater with 1 mM caffeine than with 5 mM
caffeine. In the absence of caffeine, when stimulation at 0.5 or 3 Hz
was interrupted, a pause of 2 - 20 s resulted in potentiation. When ca
ffeine was present (2.0 mM), postrest potentiation was severely attenu
ated, but the steady-state contraction amplitude within the range 0.5
- 3.0 Hz was not different. These results are consistent with the hypo
thesis that caffeine induces a leak of Ca2+ from the sarcoplasmic reti
culum, and this Ca2+ is extruded from the cell, possibly by Na+/Ca2+ e
xchange. Sarcoplasmic reticular uptake of Ca2+ and the translocation t
o release sites appear not to be affected by caffeine within 1 - 5 mM
concentrations.