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The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin, Ph.D. The Pennsylvania State University, Berks-Lehigh Valley College

The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

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Page 1: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro

Chicken Embryo

Adrienne Dorward, Susan Mette,Jacqueline McLaughlin, Ph.D.

The Pennsylvania State University, Berks-Lehigh Valley College

Page 2: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

Introduction

The development of the embryonic chicken heart begins with a series of cellular migrations, fusions, and specific differentiations.

The heart develops from the fusion of a pair of precardiac mesodermal tubes that give rise to four regions located anterior to posterior: bulbus cordis, ventricle, atrium, and sinus venosus (McLaughlin and McCain, 1999).

The 120-hour chicken embryo heart develops into 4 chambers: left and right atria, and left and right ventricles; at this time the sinus venosus has become the mature pacemaker or the SA node, which regulates the electrical signals that cause muscle contractions in the embryonic heart.

http://www.lv.psu.edu/jxm57/chicklab/outline.html#introduction

Page 3: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

Background

Nitroglycerin (NG) is a common cardiac drug used to treat angina pectoris, and is also administered to prevent a myocardial infarction; this drug lowers blood pressure.

It is well known that NG relaxes vascular smooth muscle, venous more than arterial.

Diagram from www.chemfinder.cambridgesoft.com

C3H5N3O9

Figure 1A: ChemicalStructure of NG

Page 4: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

Background

The dilation of venous smooth muscle promotes peripheral pooling of blood, which results in a lower venous return, and the amount of blood that the heart has to pump results in a decreased left ventricular end-diastolic pressure. This decreases the workload on the heart and the amount of oxygen as well (Physicians’ Desk Reference, 2001).

Page 5: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

Background

When NG is administered in the body, enzymes within the cell convert it to the gas, nitrous oxide (NO).

NO then functions as a hormone by stimulating an enzyme in the plasma membrane, which creates a second messenger.

The second messenger relaxes nearby smooth muscle, which allows the blood vessels to dilate.

In the heart, the dilation of the coronary vessels occurs.

(Campbell, 2002).

Page 6: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

Purpose

We investigated the effects of Nitroglycerin (NG) on the in vivo and in vitro 120-hour embryonic chicken heart rate before and after exposure to 0.008%, 0.08%, and 0.8% NG concentrations.

In a side study, we explored the effects of adding a 0.02% alcohol (Etoh) solution, a known vasodilator and depressant, after administering the 0.8% concentration of NG in both the in vivo and in vitro embryos.

Page 7: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

Purpose

We hypothesized that exposure to NG would cause bradycardia on both the in vivo and in vitro heart rates, directly proportional to the NG concentration, due to vasodilation of the coronary vessels and increase in cardiac output.

The addition of Etoh would enhance the effects of NG by further inducing bradycardia, leading to fibrillation and cardiac arrest because both are known vasodilators.

Page 8: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

Methods

Prepared NG concentrations of 0.8%, 0.08%, and 0.008% from an 80% NG liquid stock and chick saline.

An Etoh concentration of 0.02% was available for use.

Obtained four, 120-hour chicken embryos/eggs.

Employed Cruz’s (1993) “window” method.

Determined in vivo heart rate for 15 seconds (5 times) for each.

Added 2 drops of a separate concentration of NG to each embryo.

Determined subsequent heart rates. Added Etoh to embryo #4. Determined its heart rate.

Page 9: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

Methods

Obtained three, 120-hour chicken embryos/eggs.

Windowed the eggs using Cruz’s (1993) “window” method.

Explanted the embryos using Cruz’s (1993) “explantation” method.

Determined in vitro heart rate for each. Added 2 drops of a separate concentration

of NG to each embryo. Determined subsequent heart rates for each. Added Etoh to embryo # 3. Determined heart rate.

Page 10: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

Data Interpretation

In all trials, a decrease in heart rate was noted after the specific NG concentrations were added for both in vivo and in vitro.

A decrease in heart rate was noted after adding the Etoh in the in vivo embryo, but the heart rate increased in the in vitro embryo.

Periods of bradycardia, fibrillation, tachycardia, and other arrhythmias were noted with all trials, except the 0.008% NG concentrations.

Page 11: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

Results

The average heart rate for chick embryo #1 in vivo was 138 bpm.

The average heart rate after adding 0.008% NG was 96 bpm.

The heart rate decreased by 42 bpm after NG was added.

Average In Vivo Heart Rates

0

20

40

60

80

100

120

140

160

Control 0.008%NG

Concentration

Beat

s per

min

ute

Figure #1

Page 12: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

Results

The average heart rate for chick embryo #2 in vivo was 134 bpm.

The average heart rate after adding 0.08% NG was 117 bpm.

The heart rate decreased by 17 bpm after NG was added.

Average In Vivo Heart Rates

105

110

115

120

125

130

135

140

Control 0.08%NG

Concentration

beat

s pe

r min

ute

Figure #2

Page 13: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

Results

The average heart rate for chick embryo #3 in vivo was 146 bpm.

The average heart rate after adding 0.8% NG was 120 bpm.

The heart rate decreased by 26 bpm after NG was added.

Average In Vivo Heart Rates

0

20

40

60

80

100

120

140

160

Control 0.8%NG

Concentration

beat

s pe

r min

ute

Figure #3

Page 14: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

Results

The average heart rate for chick embryo #4 in vivo was 105 bpm.

The average heart rate after adding 0.8% NG and 0.02% Etoh was 53 bpm.

The heart rate decreased by 52 bpm after both NG and Etoh were added.

Average In Vivo Heart Rates

0

20

40

60

80

100

120

Control 0.8%NG&0.02%Etoh

Concentration

beat

s pe

r min

ute

Figure #4

Page 15: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

Results

The average heart rate for in vitro chick embryo #1 was 106 bpm.

The average heart rate after adding 0.008% NG was 90 bpm.

The heart rate decreased by 16 bpm after adding the NG.

Average In Vitro Heart Rates

80

85

90

95

100

105

110

Control 0.008%NG

Concentrations

beat

s pe

r m

inut

e

Figure #5

Page 16: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

Results

The average in vitro heart rate for chick embryo #2 was 64 bpm.

The average heart rate after adding 0.08% NG was 36 bpm.

The heart rate decreased by 28 bpm after adding the NG.

Average In Vitro Heart Rates

0

10

20

30

40

50

60

70

Control 0.08%NG

Concentration

beat

s pe

r min

ute

Figure #6

Page 17: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

Results

The average in vitro heart rate for chick embryo #3 was 89 bpm.

The average heart rate after adding 0.8% NG was 58 bpm.

The average heart rate after adding 0.8% NG and 0.02% Etoh was 84 bpm.

The heart rate decreased by 31 bpm after adding the NG, but increased 26 bpm after adding the Etoh.

Average In Vitro Heart Rates

0

10

20

30

40

50

60

70

80

90

100

Control 0.8%NG 0.08%NG & 0.02%Etoh

Concentration

beat

s pe

r min

ute

Figure #7

Page 18: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

Conclusion

Bradycardia did occur for all concentrations of NG in both the in vivo and in vitro embryos, which supports our hypothesis.

The heart rate of the in vitro embryo decreased in direct proportion to the increase in NG concentration, but did not in the in vivo embryo.

The discrepancy may be due to the irregularities in heart rate, such as fibrillation and other arrhythmias that were noted with the greater concentrations.

Page 19: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

Conclusion

The side study of adding 0.002% Etoh after the administration of the 0.8% NG solution produced mixed results.

The heart rate of the in vivo embryo decreased significantly, however, the in vitro heart rate increased, but was still lower than the control.

This increase may be due to the observed constant fibrillation that occurred after the administration of Etoh, which also supports our hypothesis.

Page 20: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

Conclusion

Overall, NG proved to be a vasodilator and decreased HR.

The findings in this experiment correlate with the known effects that this drug has on the human heart.

NG indirectly creates a secondary messenger that causes the dilation of coronary vessels. This vasodilation decreases the workload on the heart, lowers blood pressure, and ultimately results in a lower heart rate.

In all trials, the heart muscles were relaxed at some point.

Page 21: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

Future Experiments

Use lower concentrations of NG to see if bradycardia will still occur.

Use higher concentrations of NG to test if too much will induce cardiac arrest.

Administer the Etoh before the NG to see if NG will increase the effects of Etoh for a side study.

Use caffeine, a known stimulant, instead of Etoh to see if the caffeine would reverse the effects of the NG for a side study.

Page 22: The Effects of Nitroglycerin on the Heart Rate of the 120-hour in vivo and in vitro Chicken Embryo Adrienne Dorward, Susan Mette, Jacqueline McLaughlin,

References

McLaughlin, J.S. and McCain, E.R. “Development and physiological aspects of the chicken embryonic heart”. 1999. http://www.lv.psu.edu/jxm57/chicklab/(12 Feb. 2003).

Physicians’ Desk Reference (55th ed.). 2001. Public Medical Economics Co., Montvale, New Jersey,1604 pages. [ISBN 1-56363- 375-2] [book].

Campbell, N.A. and Reece, J.B. Biology (6th ed.). 2002. Benjamin Cummings, New York, 1038 pages. [ISBN 0- 8053-6624-5] [book].