Abstract:
:Beat-to-beat alternations of the cardiac monophasic action potential, known as electrical alternans, were studied at drug concentrations that have known arrhythmogenic outcomes. Electrical alternans were elicited from the heart of anesthetized guinea pigs, both in the absence and presence of drugs that inhibit the delayed rectifier K(+) channel encoded by the human ether a-go-go related-gene (HERG), and are associated with the fatal arrhythmia, Torsade de Pointes. Two other HERG inhibiting drugs not associated with Torsade de Pointes were also studied. At concentrations known to be proarrhythmic, E-4031 and bepridil increased mean alternans 10 and 40 ms at pacing frequencies =160 ms. Terfenadine and cisapride both increased mean alternans up to 20 and 21 ms, respectively, at pacing frequencies of =150 ms. On the other hand, verapamil and risperidone showed no increase in mean alternans while risperidone significantly reduced alternans at concentrations up to 74 times its therapeutic level. The magnitude of effect on rate-dependent alternans may allow the differentiation of proarrhythmia and non-arrhythmic HERG blockers at clinically relevant concentrations.
journal_name
Eur J Pharmacoljournal_title
European journal of pharmacologyauthors
Fossa AA,Wisialowski T,Wolfgang E,Wang E,Avery M,Raunig DL,Fermini Bdoi
10.1016/j.ejphar.2003.12.028keywords:
subject
Has Abstractpub_date
2004-02-20 00:00:00pages
209-21issue
2eissn
0014-2999issn
1879-0712pii
S0014299903028310journal_volume
486pub_type
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