Myocardial Contractile Response to Norepinephrine, Isoproterenol, and Calcium Chloride in Hyperthyroid Guinea Pigs

Myocardial contractility, measured as the maximum left ventricular systolic pressure response to aortic constriction, is greater than normal in the hyperthyroid guinea pig. The effect of inotropic agents on this response was determined in anesthetized, open-chest, euthyroid, and hyperthyroid guinea pigs. Norepinephrine and isoproterenol in single doses, 1 µg/kg, and isoproterenol infused intravenously, 1, 4 and 10 µg/kg/min, caused a smaller increase in myocardial contractile response to aortic constriction in hyperthyroid than in euthyroid animals. Hyperthyroid guinea pigs also responded to an infusion of calcium chloride, 11 mg/kg/min, with an increase in maximum systolic pressure which was less than normal. With each drug the maximum systolic pressure level attained during aortic constriction was greater in the euthyroid than in the hyperthyroid animals. Cardiac pacing of euthyroid guinea pigs at 430 beats/min, a rate similar to the spontaneous rate of the hyperthyroid guinea pig, did not alter the inotropic response to infused calcium, though single injections and intravenous infusions of isoproterenol had less of an effect than in the spontaneously beating normal heart. These results suggest that the increased myocardial contractility of the hyperthyroid guinea pig may have reached a near maximum level. As a result, the added inotropic effects of isoproterenol and calcium in these animals are less than in normal controls.