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Chronotropic effects (from chrono-, meaning time, and tropos, "a turn") are those that change the heart rate. Chronotropic drugs may change the heart rate and rhythm by affecting the electrical conduction system of the heart and the nerves that influence it , such as by changing the rhythm produced by the sinoatrial node .
Efonidipine has a negative chronotropic effect. Working on sino atrial node cells by inhibiting T-type calcium channel activation, Efonidipine prolongs the late phase-4 depolarization of the sino atrial node action potential and suppresses an elevated HR.
The negative chronotropic effects of CCBs make them a commonly used class of agents in individuals with atrial fibrillation or flutter in whom control of the heart rate is generally a goal. Negative chronotropy can be beneficial when treating a variety of disease processes because lower heart rates represent lower cardiac oxygen requirements.
increase cardiac output by increasing heart rate (positive chronotropic effect), conduction velocity (positive dromotropic effect), stroke volume (by enhancing contractility – positive inotropic effect), and rate of relaxation of the myocardium, by increasing calcium ion sequestration rate (positive lusitropic effect), which aids in ...
Epinephrine (adrenaline). Activation of β 1 receptors induces positive inotropic, chronotropic output of the cardiac muscle, leading to increased heart rate and blood pressure, secretion of ghrelin from the stomach, and renin release from the kidneys.
Antianginal effects result from negative chronotropic and inotropic effects, which decrease cardiac workload and oxygen demand. Negative chronotropic properties of beta blockers allow the lifesaving property of heart rate control. Beta blockers are readily titrated to optimal rate control in many pathologic states. [citation needed]
The Bainbridge reflex is the predominant, [16] [17] but not the only mechanism mediating increases in heart rate in response to increased atrial stretch: stretching of the pacemaker cells of the sinoatrial node has a direct positive chronotropic effect on the rate of the sinoatrial node. [18]
153 11554 Ensembl ENSG00000043591 ENSMUSG00000035283 UniProt P08588 P34971 RefSeq (mRNA) NM_000684 NM_007419 RefSeq (protein) NP_000675 NP_031445 Location (UCSC) Chr 10: 114.04 – 114.05 Mb Chr 19: 56.71 – 56.72 Mb PubMed search Wikidata View/Edit Human View/Edit Mouse The beta-1 adrenergic receptor (β 1 adrenoceptor), also known as ADRB1, can refer to either the protein-encoding gene ...