Objective: α‐adrenergic agonists (α‐Adr) exert positive cardiac inotropic effects. Recent data suggest that rat left ventricle (LV) and right ventricle (RV) respond differently to α‐Adr in vitro. The purpose of this study is to determine whether α‐Adr exerts different effects on the LV and RV in vivo.Methods: Pigs (n=8) were instrumented with micromanometers and sonomicrometry crystals in the LV and RV. Contractility was determined by preload‐adjusted regional external work, a loading condition‐independent index, and regional blood flow by microspheres. Measurements were obtained at baseline, after CaCl2 15 mg‐kg−1 bolus, and during phenylephrine (PHE) 3–6 μg‐kg−1‐min−1 IV for 60 min.Results: LV and RV contractility both increased similarly after CaCl2 (LV: 143±7% of baseline; RV: 145±10% of baseline); in contrast, PHE increased LV but decreased RV contractility (LV: 147±10% of baseline; RV: 90±19% of baseline; p<0.05 for paired difference) despite increased LV and RV pressure. LV and RV regional blood flow both increased during PHE (LV: 0.8±0.2 and RV 0.6±0.1 ml‐gm−1‐min−1 at baseline; LV: 1.5±0.2 and RV: 1.0±0.2 ml‐gm−1‐min−1 during PHE).Conclusions: The α‐Adr agent phenylephrine exerts positive inotropic effects on the LV but negative inotropic effects on the RV in vivo. This difference is not due to differences in loading conditions or regional myocardial blood flow. Supported by NHLBI.
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