Synthetic catecholamine with β1-, α1-, and β2-adrenergic agonist activity. Increases myocardial contractility, atrioventricular conduction, and heart rate. Structurally related to dopamine, q.v. Prepn: R. R. Tuttle, J. Mills, DE 2317710; eidem, US 3987200 (1973, 1976 to Lilly). Pharmacology: R. Weber, R. R. Tuttle in Pharmacological and Biochemical Properties of Drug Substances vol. 1, M. E. Goldberg, Ed. (Am. Pharm. Assoc., Washington, DC, 1977) pp 109-124; E. H. Sonnenblick et al., N. Engl. J. Med. 300, 17 (1979). Comprehensive description: R. H. Bishara, H. B. Long, Anal. Profiles Drug Subs. 8, 139-158 (1979). Review of diagnostic use in stress echocardiography: M. L. Geleijnse et al., J. Am. Coll. Cardiol. 30, 595-606 (1997); in myocardial perfusion imaging: A. Elhendy et al., J. Nucl. Med. 43, 1634-1646 (2002); in cardiovascular magnetic resonance: S. Mandapaka, W. G. Hundley, J. Magn. Reson. Imaging 24, 499-512 (2006).
Cardiotonic; diagnostic aid (cardiac stress testing).
Cardiotonic; Diagnostic Aid; β-Adrenergic Agonist