The effects of isopropylnoradrenaline on the heart and peripheral circulation in man were first studied by Barcroft & Konzett (1949). Since trace amounts of this amine have been reported in the adrenal glands of the cat, monkey and man (Lockett, 1954) and in the pulmonary venous blood of cats after stimulation of the cervical sympathetic chain (Lockett, 1957), a more detailed study has been made of its circulatory, respiratory and metabolic effects in man; a preliminary summary of the findings has already been reported (Cobbold, Galbraith, Ginsburg & Paton, 1958).
METHODSThe majority of experiments were performed on healthy adults; studies were also made in two patients after cervical sympathectomy and in one subject after lumbar sympathectomy. Subjects were tested at rest after a fast of 8-10 hr.DL-Isopropylnoradrenaline (Isuprel, Winthrop) was infused intravenously in a dose of 0.1 ug/kg body weight/min for 30 min periods; the administration of the amine was preceded and followed by control infusions of sodium chloride solutions 0-9 % (w/v). Ascorbic acid 0-03 % was added to all solutions (Gaddum, Peart & Vogt, 1949).. Blood flow was recorded in hand, foot, forearm, or calf, at half-minute intervals by venous occlusion plethysmography (Barcroft & Swan, 1953). Blood pressure was measured at 2-5 min intervals by means of a sphygmomanometer; pulse rate was counted at the wrist. In some experiments arterial pressure and pulse rate were recorded continuously by a capacitance manometer system connected to a needle inserted into the brachial artery.The rate of respiration was recorded by a chest pneumograph. Pulmonary ventilation was measured over successive 5 min periods by passing the expired air through low-resistance valves into a series of Douglas bags, or through a recording gas meter. In some subjects oxygen consumption was measured with the Benedict-Roth spirometer. In three subjects the pH of the arterial blood was estimated with the glass electrode, precautions being taken to prevent C02 loss from the blood.Blood glucose was estimated by a modified Shaffer-Hartmann method (Haslewood & Strookman, 1939) in samples taken from the ear lobe or brachial artery. Lactic acid was measured by the method of Barker & Summerson (1941) in blood taken from a deep vein of the antecubital fossa.In eighteen experiments isopropylnoradrenaline was infused into a brachial artery for 4-10 min, in doses ranging between 0-05 and 0-2 ,glmin. Blood flow was measured in both hands in twelve of these infusions, and in both forearms in the remainder.