Cholinergic regulation of resting coronary blood flow in domestic swine.

Cholinergic vasoconstriction in vivo and the influence of resting cholinergic activity on basal coronary tone were investigated by measuring coronary blood flow, cardiac function, and blood gases during either acetylcholine injection, muscarinic receptor blockade, or vagal ligation, in open-chest chloralose-urethan-anesthetized swine. Intracoronary injections of acetylcholine (0.5-3.0 micrograms) caused significant (P less than 0.05) dose-dependent reductions in coronary blood flow (19.0-75.5%) and conductance (14.3-78.2%). Atropine (200 micrograms) completely blocked these responses. Cholinergic mediation of basal coronary tone was initially evaluated by determining the effects of muscarinic blockade with intracoronary injection of atropine (200 micrograms). Intracoronary injection of atropine had no significant effects on coronary blood flow or conductance. Finally, to ensure that parasympathetically released acetylcholine was not overcoming the muscarinic blockade, vagal ligation was performed during pacing. Neither coronary blood flow nor conductance was significantly altered by vagal ligation. The present studies demonstrate that acetylcholine induces a muscarinic vasoconstriction of coronary arteries in the domestic swine. However, these studies do not support a role for parasympathetic mediation of basal coronary vascular tone.