Stimulation of beta-1 receptors on cardiac muscle cells will result in:

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Consider the role of beta-1 adrenergic receptors in the heart and what their stimulation does to cardiac physiology.
Option 1: 'Increased cardiac output' — This aligns with the known effects of beta-1 stimulation: enhanced heart rate (positive chronotropy), stronger force of contraction (positive inotropy), and faster conduction through the AV node (positive dromotropy). Collectively, these changes raise stroke volume and heart rate, leading to an overall rise in cardiac output, provided there is adequate ventricular filling.
Option 2: 'Irregular heart rate' — While sympathetic stimulation can predispose to arrhythmias in some contexts, beta-1 receptor activation classically increases rate in a regular, controlled manner via SA node pacing. Describing the outcome as inherently irregular overrules the typical, predictable chronotropic effect and introduces an atypical risk rather than the direct primary response.
Option 3: 'Decreased cardiac output' — This contradicts the pharmacologic action of beta-1 agonists. Beta-1 stimulation enhances contractility and rate, which would not decrease cardiac output under normal conditions. A decreased output would be expected from beta-blockade or severe pathologic states, not from beta-1 receptor activation.
Option 4: 'No change in cardiac output' — Given the direct effects on heart rate and contractility, a lack of change would ignore the well-established inotropic and chronotropic consequences of beta-1 activation. Therefore this option fails to reflect the primary physiological outcome.
In summary, beta-1 receptor stimulation in cardiac muscle primarily elevates the heart’s pumping capability and rate, making increased cardiac output the correct expected result, while the other options describe outcomes that either contradict the mechanism or reflect atypical or unrelated scenarios.

BIOL 251 Clinical Connections 7: Under Pressure

Stimulation of beta-1 receptors on cardiac muscle cells will result in:

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