Infusion of the beta-adrenergic blocker esmolol attenuates myocardial dysfunction in septic rats.
OBJECTIVE
Since beta-blocker therapy is known to be effective in patients with an injured heart, such as infarction, we designed the present study to examine the protective effects of infusion of the beta1-selective blocker esmolol on myocardial function in peritonitis-induced septic rats using an isolated working heart preparation.


METHODS
Randomized animal study.


METHODS
University research laboratory.


METHODS
Thirty-one rats treated with cecal ligation and perforation to evoke peritonitis.


METHODS
After cecal ligation and perforation, rats were randomly allocated to the control group (normal saline 2 mL/hr, n = 11), low-dose esmolol group (10 mg/kg/hr, n = 10), or high-dose esmolol group (20 mg/kg/hr, n = 10). After obtaining blood samples for measurement of arterial lactate and tumor necrosis factor-alpha at 24 hrs, we assessed cardiac output, myocardial oxygen consumption, and cardiac efficiency (cardiac output x peak systolic pressure/myocardial oxygen consumption) at various preloads in an isolated perfused heart preparation.


RESULTS
Esmolol infusion did not cause an elevation of arterial lactate levels but reduced tumor necrosis factor-alpha concentrations vs. the control group (p < .05). Both cardiac output and cardiac efficiency in the esmolol-treated rats were significantly higher throughout the study periods vs. the control group (p < .05).


CONCLUSIONS
Esmolol infusion in sepsis improved oxygen utilization of myocardium and preserved myocardial function.
Suzuki
Takeshi
T
Department of Anesthesiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.
Morisaki
Hiroshi
H
Serita
Ryohei
R
Yamamoto
Michiko
M
Kotake
Yoshifumi
Y
Ishizaka
Akitoshi
A
Takeda
Junzo
J
D058671:Adrenergic beta-1 Receptor Antagonists; D000818:Animals; D009202:Cardiomyopathies / Q000209:etiology / Q000517:prevention & control*; D002316:Cardiotonic Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D016207:Cytokines / Q000378:metabolism; D004195:Disease Models, Animal; D006439:Hemodynamics; D007262:Infusions, Intravenous; D008297:Male; D009206:Myocardium / Q000378:metabolism / Q000473:pathology; D010101:Oxygen Consumption; D011412:Propanolamines / Q000008:administration & dosage / Q000627:therapeutic use*; D051381:Rats; D017208:Rats, Wistar; D018805:Sepsis / Q000150:complications* / Q000378:metabolism / Q000503:physiopathology
D058671:Adrenergic beta-1 Receptor Antagonists; D002316:Cardiotonic Agents; D016207:Cytokines; D011412:Propanolamines; C036604:esmolol