• Camila A Fleury, Elizandra P M Almeida, Thiago J Dionisio, Adriana M Calvo, Gabriela M Oliveira, Sandra L Amaral, Carlos F Santos, and Faria Flávio A C FAC Faculdade de Odontologia de Bauru - Universidade de São Paulo - Ciências Biológicas - Farmacologia, Bauru, SP - Brazil..
• Faculdade de Odontologia de Bauru - Universidade de São Paulo - Ciências Biológicas - Farmacologia, Bauru, SP - Brazil.
• Arq. Bras. Cardiol. 2020 Feb 1; 114 (2): 295-303.

BackgroundCigarette smoking is usually associated with hypertension and may modify vasoconstrictor response.ObjectiveThe present study aimed to analyze and compare the interaction of passive cigarette smoking and hypertension on epinephrine and felypressin blood pressure effects after intravascular injection.Method45-day male Wistar rats had the main left renal artery partially constricted and the right kidney removed (1K1C model). Rats were placed in the chamber for exposition to passive cigarette smoking (10 cigarettes) during 10 min (6 days a week). Hypertensive rats received atenolol (90 mg/kg/day) by gavage for two weeks. Hypotensive and hypertensive response, response duration and heart rate were recorded from direct blood pressure values. The significance level was 5%.ResultsPassive cigarette smoking increased maximal hypertensive response to epinephrine in normotensive and 1K1C-atenolol treated rats and to felypressin only in 1K1C-atenolol treated rats; it also reduced epinephrine hypotensive response. Epinephrine increased heart rate in normotensive and hypertensive passive smokers or non-smoker rats. Comparing the two vasoconstrictors, epinephrine showed greater hypertensive response in normotensive smokers, 1K1C-atenolol treated smokers and non-smokers. However, in normotensive-nonsmoker rats, felypressin showed a greater and longer hypertensive effect.ConclusionsOur results suggest that passive cigarette smoking may reduce epinephrine vasodilation and increase hypertensive response when compared to felypressin. Therefore, felypressin may be safe for hypertensive patients to avoid tachycardia and atenolol interaction, but for normotensive and non-smoker patients, epinephrine may be safer than felypressin.

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