Direct and Indirect Effects of Pseudoephedrine on the Intrinsic Conduction System of the Embryonic Chicken Heart
Pseudoephedrine (PSE) is an over the counter (OTC) medication used to temporarily relieve nasal congestion, hay fever or other upper respiratory allergies by shrinking blood vessels in the nasal passages. Aside from its vasoconstriction properties it is also known to elevate heart rate, and blood pressure, thus being a sympathomimetic drug. There are two hypotheses on how this drug increases heart rate (HR): (1) a direct mechanism wherein PSE works by binding to adrenergic receptors in the heart’s intrinsic conduction system; and, (2) an indirect mechanism wherein PSE causes the release of norepinephrine from sympathetic nerves to activate adrenergic receptors. This research utilized the chick embryonic heart as a model system to examine the chronotropic effects and mechanisms of PSE on the developing vertebrate heart. Research suggests that this drug has both direct and indirect effects, and induces dangerous heart arrhythmias such as atrial flutter, in high doses. KEYWORDS: Pseudophedrine, Sympathomimetic Drugs, Pseudophedrine and Pregnancy, Pseudophedrine and Norepinephrine, Pseudophedrine Related Arrhythmias, Over–the-counter Drugs; Chick Heart Development