PMID- 2520639 OWN - NLM STAT- MEDLINE DCOM- 19920615 LR - 20191029 IS - 0888-6296 (Print) IS - 0888-6296 (Linking) VI - 3 IP - 1 DP - 1989 Feb TI - Sinus node function and protamine sulfate. PG - 44-51 AB - This report analyzes the effects of protamine sulfate (PS) on the heart rate and sinoatrial node function in dogs anesthetized with diazepam, fentanyl, and pancuronium bromide, and subjected to different modalities of extracorporeal circulation (ECC). All groups were given 3 mg/kg of heparin sodium and 5 mg/kg of PS. The sinus node function was evaluated by means of sinoatrial conduction time (SACT), absolute sinus node recovery time (SNRTa), and corrected sinus node recovery time (SNRTc). The spontaneous heart rate (HR) of the animals was also analyzed. Under the experimental conditions established in this study, the intravenous administration of a bolus of PS produced a decrease in the HR in all the groups, regardless of the type of ECC used. The modifications in the conduction and recovery times of the sinus node by PS did not correlate with those of the heart rate; the sinoatrial conduction time increased in groups subjected to ECC, while the absolute and corrected recovery times of the sinus node were prolonged only in the group that underwent rapid rewarming. FAU - Alvarez, J AU - Alvarez J AD - Service of Anesthesia, Hospital Santa Cruz y San Pablo, Barcelona, Spain. FAU - Alvarez, L AU - Alvarez L FAU - Escudero, C AU - Escudero C FAU - Castillo Olivares, J L AU - Castillo Olivares JL LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Cardiothorac Anesth JT - Journal of cardiothoracic anesthesia JID - 8709732 RN - 0 (Cardioplegic Solutions) RN - 0 (Protamines) RN - 9005-49-6 (Heparin) SB - IM MH - Animals MH - Aorta/surgery MH - Blood Pressure/drug effects MH - Bundle of His/drug effects/physiology MH - Cardioplegic Solutions/administration & dosage MH - Central Venous Pressure/drug effects MH - Constriction MH - Dogs MH - Electrocardiography MH - *Extracorporeal Circulation MH - Heart Rate/*drug effects/physiology MH - Heparin/therapeutic use MH - Hypothermia, Induced MH - Myocardial Contraction/drug effects/physiology MH - Protamines/*pharmacology MH - Pulmonary Artery MH - Pulmonary Wedge Pressure/drug effects MH - Reaction Time/drug effects MH - Sinoatrial Node/*drug effects/physiology MH - Time Factors EDAT- 1989/02/01 00:00 MHDA- 1989/02/01 00:01 CRDT- 1989/02/01 00:00 PHST- 1989/02/01 00:00 [pubmed] PHST- 1989/02/01 00:01 [medline] PHST- 1989/02/01 00:00 [entrez] AID - 10.1016/0888-6296(89)90010-0 [doi] PST - ppublish SO - J Cardiothorac Anesth. 1989 Feb;3(1):44-51. doi: 10.1016/0888-6296(89)90010-0.