[Animal experimental studies on the therapeutic action of 5-(4-pyridino)-3-amino-1,2-dihydro-pyridinone (Cordemcura, AWD 08-250) in acute cardiocirculatory failure caused by poisoning by beta receptor blockers].
The therapeutical procedure in case of acute cardio-circulatory failure due to intoxication by beta-blockers has gained great importance owing to suicidal and accidental poisonings with lethal outcome. The use of beta-adrenergic agonists is difficult because a not predeterminable overdosage has to be applied in consequence of the competitive inhibition of the beta-receptor. Cardiotonics with a non-adrenergic mechanism of action thus make expect a surer handling. A severe cardio-circulatory failure is provoked by talinolol in the anaesthetized dog. The therapeutical effect of 4 mg/kg Cordemcura, given i.v. is represented by comparing the parameters cardiac rate, dp/dtmax, filling pressure in the left ventricle, arterial pressure, cardiac output, total peripheral resistance, and PQ time with a control group. The results prove a sure therapeutical effect, which is compared with other cardiotonics. A clinical use is recommended. The aptitude of the intoxication by beta-receptor blokkers as a model for the cardiac insufficiency is discussed.