Analysis of Arrhythmogenic Profile in a Canine Model of Chronic Atrioventricular Block by Comparing In Vitro Effects of the Class III Antiarrhythmic Drug Nifekalant on the Ventricular Action Potential Indices Between Normal Heart and Atrioventricular Block Heart

  • Takahara Akira
    Department of Pharmacology, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, Japan
  • Nakamura Hideki
    Department of Pharmacology, Toho University Faculty of Pharmaceutical Sciences, Japan
  • Nouchi Hideaki
    Department of Pharmacology, Toho University Faculty of Pharmaceutical Sciences, Japan
  • Tamura Takeshi
    Department of Pharmacology, Toho University Faculty of Pharmaceutical Sciences, Japan
  • Tanaka Toshikazu
    Department of Pharmacology, Toho University Faculty of Pharmaceutical Sciences, Japan
  • Shimada Hideaki
    Department of Pharmacology, Toho University Faculty of Pharmaceutical Sciences, Japan
  • Tamura Miku
    Department of Pharmacology, Toho University Faculty of Pharmaceutical Sciences, Japan
  • Tsuruoka Noriko
    Department of Pharmacology, Toho University Faculty of Pharmaceutical Sciences, Japan
  • Takeda Kentaro
    Department of Pharmacology, Toho University Faculty of Pharmaceutical Sciences, Japan
  • Tanaka Hikaru
    Department of Pharmacology, Toho University Faculty of Pharmaceutical Sciences, Japan
  • Shigenobu Koki
    Department of Pharmacology, Toho University Faculty of Pharmaceutical Sciences, Japan
  • Hashimoto Keitaro
    Department of Pharmacology, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, Japan
  • Sugiyama Atsushi
    Department of Pharmacology, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, Japan

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  • Analysis of Arrhythmogenic Profile in a Canine Model of Chronic Atrioventricular Block by Comparing In Vitro Effects of the Class 3 Antiarrhythmic Drug Nifekalant on the Ventricular Action Potential Indices Between Normal Heart and Atrioventricular Block Heart

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Abstract

The chronic atrioventricular block dog is a useful model for predicting the future onset of drug-induced long QT syndrome in clinical practice. To better understand the arrhythmogenic profile of this model, we recorded the action potentials of the isolated ventricular tissues in the presence and absence of the class III antiarrhythmic drug nifekalant. The action potential durations of the Purkinje fiber and free wall of the right ventricle were longer in the chronic atrioventricular block dogs than in the dogs with normal sinus rhythm. Nifekalant in concentrations of 1 and 10 μM prolonged the action potential durations of Purkinje fiber and the free wall in a concentration-dependent manner. The extent of prolongation was greater in the chronic atrioventricular block dogs than in the normal dogs. However, increase of temporal dispersion of ventricular repolarization including early afterdepolarization was not detected by nifekalant in either group of dogs, indicating lack of potential to trigger arrhythmias in vitro. These results suggest that the ventricular repolarization delay in the chronic atrioventricular block model by nifekalant may largely depend on the decreased myocardial repolarization reserve, whereas the trigger for lethal arrhythmia was not generated in the in vitro condition in contrast to the in vivo experiment.<br>

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