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In ATP-depleted cells in the infarct border zone, resting membrane potential declines with a concomitant increase in excitability that may be further exacerbated by activation of ?-adrenoceptors. Together, both processes promote the risk of fatal ventricular arrhythmias.
The metabolic effects of catecholamines are not amenable to therapeutic use. Due to its equally high affinity for all ?- and ?-receptors, epinephrine does not permit selective activation of a particular receptor subtype. Like most catecholamines, it is also unsuitable for oral administration (catechol is a trivial name for o-hydroxyphenol). |
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