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Am J Physiol Heart Circ Physiol 284: H668-H675, 2003. First published October 24, 2002; doi:10.1152/ajpheart.00636.2002
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Vol. 284, Issue 2, H668-H675, February 2003

Dopamine-1 receptor stimulation impairs intestinal oxygen utilization during critical hypoperfusion

Jorge A. Guzman, Ariosto E. Rosado, and James A. Kruse

Division of Pulmonary, Critical Care, and Sleep Medicine, Wayne State University School of Medicine, Detroit, Michigan 48201

Effects of a dopamine-1 (DA-1) receptor agonist on systemic and intestinal oxygen delivery (DO2)-uptake relationships were studied in anesthetized dogs during sequential hemorrhage. Control (group 1) and experimental animals (group 2) were treated similarly except for the addition of fenoldopam (1.0 µg · kg-1 · min-1) in group 2. Both groups had comparable systemic critical DO2 (DO2crit), but animals in group 2 had a higher gut DO2crit (1.12 ± 1.13 vs. 0.80 ± 0.09 ml · kg-1 · min-1, P < 0.05). At the mucosal level, a clear biphasic delivery-uptake relationship was not observed in group 1; thus oxygen consumption by the mucosa may be supply dependent under physiological conditions. Group 2 demonstrated higher peak mucosal blood flow and lack of supply dependency at higher mucosal DO2 levels. Fenoldopam resulted in a more conspicuous biphasic relationship at the mucosa and a rightward shift of overall splanchnic DO2crit despite increased splanchnic blood flow. These findings suggest that DA-1 receptor stimulation results in increased gut perfusion heterogeneity and maldistribution of perfusion, resulting in increased susceptibility to ischemia.

oxygen supply dependency; splanchnic ischemia; vasodilators


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J. Li, G. Zhang, H. Holtby, T. Humpl, C. A. Caldarone, G. S. Van Arsdell, and A. N. Redington
Adverse Effects of Dopamine on Systemic Hemodynamic Status and Oxygen Transport in Neonates After the Norwood Procedure
J. Am. Coll. Cardiol., November 7, 2006; 48(9): 1859 - 1864.
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