Effects of Tityus serrulatus scorpion venom and one of its purified toxins (toxin gamma) on the isolated guinea-pig heart.

1. The effects of Tityus serrulatus scorpion venom and its most important toxin (toxin gamma) were investigated on isolated guinea-pig hearts, perfused with Locke solution, by the Langendorff's method. 2. The cardiac contraction, the coronary flow and the electrocardiogram (ECG) were simultaneously recorded. 3. Bolus injections of 25, 50 or 100 micrograms of scorpion venom and 2.5, 5 or 10 micrograms of toxin gamma in the heart evoked complex effects which were divided into 3 phases: an initial phase (tachycardia or bradycardia associated with an increase in contractile force), an intermediate phase (oscillations of cardiac rate, contractile force and coronary flow, due to wandering pacemakers) and a third phase (sinus tachycardia). 4. The bradycardia and the oscillations of rhythm were prevented by atropine, whereas the tachycardia and the increase in contractile force were prevented either by reserpine or propranolol. 5. Scorpion venom or toxin gamma induced a ST segment displacement in the ECG, explained by a transitory myocardial hypoxia, due to an increase in the contractile force and a simultaneous decrease of the coronary flow. 6. Perfusion of the heart with Locke solution containing 2% scorpion antivenom prevented almost totally the effects elicited by the venom. 7. It is concluded that the complex effects induced by scorpion venom and toxin gamma are due to the simultaneous release of acetylcholine and catecholamines from postganglionic nerve fibers in the heart.