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Related Concept Videos

Heart Failure Drugs: Inotropic Agents01:26

Heart Failure Drugs: Inotropic Agents

Positive inotropic agents are commonly used as the first line of treatment for heart failure. One such agent is digoxin, derived from the genus Digitalis, which has been known for centuries but effectively utilized since 1785. However, these cardiac glycosides can have potentially toxic effects due to their mechanism of action, which involves inhibiting Na+/K+-ATPase and increasing contractility. Digoxin is absorbed orally and distributed in various tissues, including the CNS. It has a long...
Nondepolarizing (Competitive) Neuromuscular Blockers: Pharmacological Actions01:27

Nondepolarizing (Competitive) Neuromuscular Blockers: Pharmacological Actions

Nondepolarizing neuromuscular blockers prevent the membrane depolarization of muscle cells and inhibit muscle contraction. These are usually administered with anesthetics to achieve complete muscle relaxation. Upon administration, these drugs first block the small, rapidly contracting muscles of the face and hands, followed by the larger muscles of the trunk and the intercostal muscles. The diaphragm is the last muscle to be affected.
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Heart Failure Drugs: β-Blockers01:22

Heart Failure Drugs: β-Blockers

β-adrenergic antagonists, commonly known as β-blockers, block the effects of sympathetic neurotransmitters such as noradrenaline (NA) and adrenaline (ADR). They have several beneficial effects in heart failure treatment. They reduce heart rate, the force of contraction, and cardiac muscle relaxation. They also slow the atrial-ventricular conduction rate and raise the threshold for arrhythmias. The concentration of β-blockers determines their effects on bronchodilation, vasodilation, and...
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Adrenergic Antagonists: Pharmacological Actions of β-Receptor Blockers

β-receptor blockers significantly impact the cardiovascular system by counteracting catecholamine-induced sympathetic responses. These medications decrease heart rate, contractility, and cardiac output, potentially leading to cardiac depression, life-threatening bradycardia, and death. Therapeutically, β-blockers function as mild antihypertensives and are utilized in treating angina pectoris and cardiac arrhythmias. However, nonselective β-blockers inhibit β2-receptors in bronchial smooth...
Myocarditis III: Medical Management01:14

Myocarditis III: Medical Management

Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

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Related Experiment Video

Updated: May 31, 2026

Preclinical Drug Testing in Scalable 3D Engineered Muscle Tissues
08:07

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Published on: April 7, 2023

BMS309403 directly suppresses cardiac contractile function.

Christiane Look1, Ingo Morano, Monika Ehrhart-Bornstein

  • 1Medical Clinic III, University of Technology Dresden, Germany. Christiane.Look2@uniklinikum-dresden.de

Naunyn-Schmiedeberg'S Archives of Pharmacology
|July 19, 2011
PubMed
Summary
This summary is machine-generated.

BMS309403, an adipocyte fatty acid-binding protein inhibitor, may cause cardiac issues. This study found it depresses heart contractility and can cause heart arrest, suggesting caution for therapeutic use.

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Area of Science:

  • Cardiovascular Pharmacology
  • Molecular Cardiology
  • Drug Safety Evaluation

Background:

  • Adipocyte fatty acid-binding protein (AFABP) inhibitors, like BMS309403, are explored for type 2 diabetes mellitus and atherosclerosis.
  • Potential cardiovascular side effects of BMS309403 remain largely uncharacterized.
  • Understanding drug-induced cardiac effects is crucial for therapeutic development.

Purpose of the Study:

  • To investigate the in vitro cardiovascular effects of BMS309403.
  • To determine the impact of BMS309403 on cardiac contractility and electrophysiology.
  • To assess the safety profile of BMS309403 concerning cardiac function.

Main Methods:

  • Isolated perfused adult rat heart preparations for contractility analysis.
  • Single adult rat cardiomyocytes for contractile function assessment.
  • Porcine cardiac skinned muscle fibers to evaluate myofilament Ca(2+) sensitivity.

Main Results:

  • BMS309403 induced negative inotropy in isolated perfused hearts, leading to cardiac arrest.
  • Electromechanical dissociation was observed, with no interference in electrocardiographic activity.
  • BMS309403 exhibited a direct, biphasic inhibitory effect on cardiomyocyte contraction, attenuating Ca(2+) levels at higher concentrations.
  • The negative inotropic effect was not due to direct action on cardiac myofilaments.

Conclusions:

  • BMS309403 demonstrates an acute cardiac depressant effect in vitro.
  • The compound induces heart arrest via electromechanical dissociation.
  • Further evaluation is necessary before considering BMS309403 for therapeutic applications due to its cardiac side effects.