A Sodium Channel Blocker, Pilsicainide, Produces Atrial Post-Repolarization Refractoriness through the Reduction of Sodium Channel Availability
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- Fukuda Koji
- Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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- Watanabe Jun
- Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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- Yagi Takuya
- Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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- Wakayama Yuji
- Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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- Nakano Makoto
- Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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- Kondo Masateru
- Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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- Kumagai Koji
- Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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- Miura Masahito
- Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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- Shirato Kunio
- Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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- Shimokawa Hiroaki
- Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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Atrial fibrillation (AF) is the most common tachyarrhythmia. Shortening of atrial action potential duration (APD) and effective refractory period (ERP) is one of the crucial factors in the occurrence and maintenance of AF. ERP is usually shorter than APD, but ERP can be prolonged beyond action potential repolarization in some situations. It is termed as post-repolarization refractoriness (PRR) that is thought to be one of main anti-arrhythmic mechanisms of class I sodium channel blockers (SCBs). Most of anti-arrhythmic agents, including SCBs, have multi-channel blocking effects. It is unknown whether atrial PRR with SCBs is associated with the reduction of sodium channel availability. We therefore explored the relationship between the reduction of sodium channel availability with a pure SCB (pilsicainide or tetrodotoxin) and atrial PRR using the left atrial appendage from male guinea pigs (each group, n = 3~10). Employing a standard microelectrode technique, we evaluated APD measured at 90% repolarization (APD90) and the sodium channel availability, judged from the maximal rate of rise of action potential (Vmax). At a 500-msec basic cycle length (BCL), pilsicainide prolonged atrial ERP assessed by a single extra-stimulus in response to the decrement of the Vmax in a dose-dependent manner without affecting APD90. Furthermore, pilsicainide increased the ERP and decreased the Vmax in a rate-dependent manner without APD90 prolongation at a shorter BCL (200 msec). Importantly, tetrodotoxin reproduced the effects of pilsicainide on atrial ERP, APD90, and Vmax. These results indicate that SCBs produce atrial PRR through the reduction of sodium channel availability.
収録刊行物
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- The Tohoku Journal of Experimental Medicine
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The Tohoku Journal of Experimental Medicine 225 (1), 35-42, 2011
東北ジャーナル刊行会
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詳細情報 詳細情報について
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- CRID
- 1390282679221088896
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- NII論文ID
- 10029508301
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- NII書誌ID
- AA00863920
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- ISSN
- 13493329
- 00408727
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- PubMed
- 21869589
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- PubMed
- CiNii Articles
- KAKEN
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