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British Journal of Anaesthesia, 2001, Vol. 86, No. 4 545-549
© 2001 The Board of Management and Trustees of the British Journal of Anaesthesia

Naloxone improves functional recovery of myocardial stunning in conscious dogs through its action on the central nervous system

T. P. Weber1, J. Stypmann2, A. Meißner1, M. Große Hartlage1, H. Van Aken1 and N. Rolf1

1Klinik und Poliklinik für Anästhesiologie und operative Intensivmedizin, Westfälische Wilhelms-Universität, Albert-Schweitzer-Strasse 33, D-48145 Münster, Germany. 2Klinik und Poliklinik für Kardiologie und Angiologie, Innere Medizin C, Westfälische Wilhelms-Universität, Albert-Schweitzer-Strasse 33, D-48145 Münster, Germany

This study tests the hypothesis that naloxone, but not its quarternary salt, naloxone methiodide (which does not enter the central nervous system), improves recovery from myocardial stunning in conscious dogs. Twenty dogs were chronically instrumented for measurement of heart rate, left atrial, aortic and left ventricular pressure (LVP), LV dP•dtmax–1 and myocardial wall thickening fraction (WTF). Regional myocardial blood flow was determined with coloured microspheres. Occluder around the left anterior descending artery (LAD) allowed induction of reversible LAD ischaemia. Each of the 20 dogs underwent two LAD ischaemic challenges. Experiments (performed on separate days, in crossover fashion) were: (i) 10 min of LAD occlusion after application of naloxone 63 µg kg–1 or naloxone methiodide 63 µg kg–1 and (ii) occlusion without naloxone or naloxone methiodide. WTF was measured at baseline and until complete recovery occurred. LAD ischaemia significantly reduced LAD WTF with (mean (SD) 54 (15)% lower than baseline) and without naloxone (55 (16)% lower than baseline), without significant haemodynamic differences. Between 1 to 30 min of reperfusion, WTF was significantly higher with naloxone (P<0.05). There was no difference in WTF with or without naloxone methiodide. We conclude that naloxone improved recovery from myocardial stunning in conscious dogs, and that this was centrally mediated.

Br J Anaesth 2001; 86: 545–9


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