The effects of epinephrine administration on impedance cardiographic measures of cardiovascular function

Int J Psychophysiol. 1999 Mar;31(3):189-96. doi: 10.1016/s0167-8760(98)00058-0.

Abstract

The effects of epinephrine administration on cardiovascular function were examined in 26 men who were given a bolus injection of either 1:10,000 epinephrine hydrochloride or physiological saline. Impedance cardiographic and continuous blood pressure measures were recorded during a 2-min pre-injection baseline and in the post-injection period. Compared to a saline control, epinephrine elicited greater shortening of heart period, pre-ejection period, and the R-B interval; greater increases in cardiac output, stroke volume, dZ/dt amplitude, Heather Index, and systolic and diastolic pressures; and greater decreases in total peripheral resistance (all P < 0.05). Left ventricular ejection time and the Q-R interval were not affected. The results indicate that inotropic indices that are readily measured by impedance cardiography should be considered as important non-invasive indices of adrenergically mediated responses to stress.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Analysis of Variance
  • Cardiography, Impedance / drug effects
  • Cardiovascular Physiological Phenomena / drug effects*
  • Epinephrine / administration & dosage*
  • Epinephrine / pharmacology
  • Humans
  • Injections, Subcutaneous
  • Male

Substances

  • Epinephrine