Anesthetic drugs & techniques

Effect of Propofol on Heart Rate and Its Coupling to Cortical Slow Waves in Humans

AnesthesiologyPublished Secondary analysis of a previously published volunteer study

Authors' conclusion

The authors observed a robust increase in heart rate with increasing propofol concentrations in healthy volunteers and patients.

Study context

Population
Healthy volunteers receiving slow propofol infusion up to estimated effect-site concentration 4 µg/ml; older ASA II/III clinical population (AlphaMax trial)
Participants
16 healthy volunteers
Methodological detailspost hoc analysis in AlphaMax trial population
  • Post hoc analysis in AlphaMax trial population

Primary result

As reported in the abstract

Heart rate with propofol concentration

Dose-dependent HR increase, mean ± SD (beats/min/[μg ml-1]); P < 0.001

+4.2 ± 1.5

Further findings

ECG R-wave amplitude (healthy volunteers)

Decrease, median [25th to 75th percentile] (μV); P < 0.001
−83 [−245 to −28]

Heart rate variability

Loss of high-frequency parasympathetic activity

Coupling of cortical slow waves to heartbeat

Individual cortical slow waves coupled to the heartbeat; heartbeat incidence peaked about 450 ms before slow-wave onset
Mean slow-wave frequency correlated with mean HR

Original publication

Effect of Propofol on Heart Rate and Its Coupling to Cortical Slow Waves in Humans. Anesthesiology. Published 6 October 2023. doi:10.1097/aln.0000000000004795

Composed by AI from the published abstract and checked against it. How Briefs are made →

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