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Role of some components of ischemia in the genesis of spontaneous ventricular arrhythmias

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Summary

The importance of single components of ischemia including hypoxia, lactic acidosis, high potassium, and sympathetic stimulation to the spontaneous occurrence of ventricular arrhythmias was studied in chloralose-anesthetized cats using systemic and local intracoronary administration. Hypoxia and acidosis provoked no spontaneous arrhythmias regardless of systemic or regional administration. Systemic or local hyperpotassemia induced regularly ventricular ectopic activity including recurrent ventricular tachycardias that were characterized by a sudden onset and termination and by a stable rate. Stimulation of the left, right or bilateral stellate ganglia failed to provoke ventricular arrhythmias during hypoxia or acidosis and had also no influence on the initiation or rate of K+-induced ventricular tachycardias. The results indicate that high extracellular K+ may be the predominant arrhythmogenic factor of the components of ischemia we studied and that sympathetic ganglia stimulation does not affect K+-induced ventricular tachycardia.

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References

  1. Antoni H, Zerweck T (1967) Besitzen die sympathischen Überträgerstoffe einen direkten Einfluß auf die Leitungsgeschwindigkeit des Säugetiermyokards? Pflügers Arch 293:310–330

    Google Scholar 

  2. Brachmann J, Scherlag J, Harrison LA, Berbari EJ, Lazzara R (1981) Epinephrine selectively improves electrical function in the infarcted dog heart. Circulation 69, Suppl IV, IV-320

    Google Scholar 

  3. Brown RH, Noble D (1972) Effect of pH on ionic currents underlying pacemaker activity in cardiac Purkinje fibers. J Physiol 224:39P-40P

    Google Scholar 

  4. Cranefield PF, Hoffman BF (1971) Conduction of the cardiac impulse: II. Summation and inhibition. Circ Res 28:220–233

    PubMed  Google Scholar 

  5. Cranefield PF, Klein HO, Hoffman BF (1971) Conduction of the cardiac impulse: I. Delay, block and one-way block in depressed Purkinje fibers. Circ Res 28:199–219

    PubMed  Google Scholar 

  6. Cranefield PF, Wit AL, Hoffman BF (1972) Conduction of cardiac impulses: III. Characteristics of very slow conduction. J Gen Physiol 59:227–246

    PubMed  Google Scholar 

  7. Cranefield PF (1975) The conduction of the cardiac impulse. Future Publishing C, New York

    Google Scholar 

  8. Downar E, Janse MJ, Durrer D (1977) The effect of “ischemic” blood on transmembrane potentials of normal porcine ventricular myocardium. Circulation 55:455–462

    PubMed  Google Scholar 

  9. Engstfeld G, Antoni H, Fleckenstein A, Nast A, Hattingberg M v (1961) Die Restitution der Erregungsfortleitung und Kontraktionskraft des K+-gelähmten Frosch- und Säugetiermyokards durch Adrenalin. Pflügers Arch 273:145–163

    Google Scholar 

  10. Fozzard HA (1975) Validity of myocardial infarction models. Circulation 51/52 Suppl III, 131–138

    Google Scholar 

  11. Hirche HJ, Franz Chr, Bös L, Bissig R, Lang R, Schramm M (1980) Myocardial extracellular K+ and H+ increase and noradrenaline release as possible cause of early arrhythmias following acute coronary artery occlusion in pigs. J Mol Cell Cardiol 12:579–593

    PubMed  Google Scholar 

  12. Hoffman BF (1978) Role of the sympathetic nervous system in arrhythmias occurring after coronary artery occlusion and myocardial infarction. In: Neural mechanisms in cardiac arrhythmias, p 115. Ed: Schwartz PJ, Brown AM, Malliani A, Zanchetti A. Raven Press, New York

    Google Scholar 

  13. Lown B, Verrier RL, Rabinowitz SH (1977) Neural and psychologic mechanisms and the problem of sudden cardiac death. Am J Cardiol 39:890–902

    PubMed  Google Scholar 

  14. Merx W, Yoon MS, Han J (1977) The role of local disparity on conduction and recovery on ventricular vulnerability to fibrillation. Am Heart J 94:603–610

    PubMed  Google Scholar 

  15. Opie L, Owen P, Thomas W, Samson R (1973) Coronary sinus lactate measurements in assessment of myocardial ischemia. Am J Cardiol 32:295–305

    PubMed  Google Scholar 

  16. Pappano AJ (1970) Calcium-dependent action potentials produced by catecholamines in guinea pig atrial muscle fibers depolarized by potassium. Circ Res 27:379–390

    PubMed  Google Scholar 

  17. Sasynuik BI, Mendez C (1971) A mechanism for reentry in canine ventricular tissue. Circ Res 28:3–15

    PubMed  Google Scholar 

  18. Schömig A, Dietz R, Strasser R, Kübler W (1981) Noradrenaline metabolism during myocardial ischemia. J Mol Cell Cardiol 13 (Suppl 1), 85

    Google Scholar 

  19. Senges J, Brachmann J, Pelzer D, Mizutani T, Kübler W (1979) Effects of some components of ischemia on electrical activity and reentry in the canine ventricular conducting system. Circ Res 44:864–872

    PubMed  Google Scholar 

  20. Trautwein W, Gottstein U, Dudel J (1954) Der Aktionsstrom der Myokardfaser im Saucrstoffmangel. Pflügers Arch 260:40–60

    Google Scholar 

  21. Trautwein W, Schmidt RF (1960) Zur Membranwirkung des Adrenalins an der Herzmuskelfaser. Pflügers Arch 271:715–726

    Google Scholar 

  22. Vassalle M, Branabel O (1971) Norepinephrine and potassium fluxes in cardiac fibers. Pflügers Arch 322:287–303

    Google Scholar 

  23. Wellens AJJ, Lie KI, Durrer D (1974) Further observations on ventricular tachycardia as studied by electrical stimulation of the heart: Chronic recurrent ventricular tachycardia and ventricular tachycardia during acute myocardial infarction. Circulation 49:647–653

    PubMed  Google Scholar 

  24. Wit AL, Hoffman BF, Cranefield PF (1972a) Slow conduction and reentry in the ventricular conducting system. I. Return extrasystole in canine Purkinje fibers. Circ Res 30:1–10

    PubMed  Google Scholar 

  25. Wit AL, Cranefield PF, Hoffman BF (1972b) Slow conduction and reentry in the ventricular conducting system: II. Single and sustained circus movement in networks of canine and bovine Purkinje fibers. Circ Res 30:11–22

    PubMed  Google Scholar 

  26. Wit AL, Bigger JT (1975) Possible electrophysiological mechanisms for lethal arrhythmias accompanying myocardial ischemia and infarction. Circulation 51/52 (Suppl III), 96–115

    Google Scholar 

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This work was supported by the Deutsche Forschungsgemeinschaft within the SFB 90 “Cardiovasculäres System”

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Senges, J., Seller, H., Brachmann, J. et al. Role of some components of ischemia in the genesis of spontaneous ventricular arrhythmias. Basic Res Cardiol 79, 68–74 (1984). https://doi.org/10.1007/BF01935808

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  • DOI: https://doi.org/10.1007/BF01935808

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