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Lipids

, Volume 32, Issue 11, pp 1161–1168 | Cite as

Prevention of ischemia-induced cardiac Sudden death by n−3 polyunsaturated fatty acids in dogs

  • George E. Billman
  • Jing X. Kang
  • Alexander Leaf
Article

Abstract

The objective of this study was to obtain functional information associated with the prevention by n−3 polyunsaturated fatty acids (PUFA) of ischemia-induced fatal cardiac ventricular arrhythmias in the intact, conscious, exercising dog. Thirteen dogs suceptible to ischemia-induced ventricular fibrillation were prepared surgically by ligation of their anterior descending left coronary artery and placement of an inflatable cuff around their left circumflex artery. After 4 wk of recovery, exercise-plus-ischemia tests were performed without and then with an intravenous infusion of an emulsion of free n−3 PUFA just prior to occluding the left circumflex artery while the animals were running on a treadmill. One week later the exercise-plus-ischemia test was repeated but with a control infusion replacing the emulsion of n−3 PUFA. The infusion of the free n−3 PUFA in quantities of 1.0 to 10 g prevented ventricular fibrillation in 10 of the 13 dogs tested (P<0.005), apparently without esterification of the PUFA into membrane phospholipids. The antiarrhythmic effect of the n−3 PUFA was associated with slowing of the heart rate, shortening of the QT-interval (electrical action potential duration), reduction of left ventricular systolic pressure, and prolongation of the electrocardiographic atrial-ventricular conduction time (P-R interval). These effects are comparable with those we have reported in studies with cultured neonatal rat cardiac myocytes.

Keywords

Free Fatty Acid Polyunsaturated Fatty Acid Ventricular Fibrillation Antiarrhythmic Effect Intralipid 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Abbreviations

DHA

cis-5,8, 11, 14, 17, 20-docosahexaenoic acid (22:6n−3)

ECG

electrocardiogram

EPA

cis-5,8,11,14,17-eicosapentaenoic acid (20:5n−3)

NEFA

nonesterified fatty acids [fraction of plasma lipids which includes the free fatty acids of which over 99.9% are bound to albumin and other plasma proteins plus a very small fraction of monometric free or aggregated clusters of fatty acids (lamellar or micellar aggregates) in plasma water]

P-R interval

duration of conduction time from the start of the auricular P-wave to start of the ventricular R-wave conventionally measured from the ECG

PUFA

polyunsaturated fatty acids (denotes the n−3 class of essential long-chain PUFA but more generally applied to both the n−3 and n−6 classes)

QT interval

an electrocardiographic interval from the start of the Q-wave to the start of the T-wave of the ECG (equivalent to the duration of the action potential observed in individual cardiac myocytes as an abrupt rise and fall in the transmembrane potential when their resting or diastolic membrane potential is depolarized and measured with an intracellular electrode and an external reference electrode; the electrical signal that initiates contractions of the heart muscle

TLC

thin-layer chromatography

VF

ventricular fibrillation, a fatal cardiac arrhythmia when sustained, characterized by grossly irregular, rapid, and chaotic beating

VT

ventricular flutter, a very rapid but regular beating rate which is also fatal is sustained

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Copyright information

© AOCS Press 1997

Authors and Affiliations

  • George E. Billman
    • 1
  • Jing X. Kang
    • 2
    • 3
  • Alexander Leaf
    • 2
    • 3
  1. 1.Department of PhysiologyThe Ohio State UniversityColumbus
  2. 2.Department of MedicineMassachusetts General HospitalBoston
  3. 3.Harvard Medical SchoolBoston

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