The canine model with chronic, complete atrio-ventricular block.

Abstract:

:Proarrhythmic susceptibility to drug-induced Torsades de Pointes is restricted to individuals with a predisposed phenotype characterized by a reduced repolarization reserve. Additional factors are often involved in a further impairment of repolarization, possibly culminating with dangerous ventricular polymorphic tachyarrhythmias. Drugs that block repolarizing currents represent such an additional hit. The dog model with chronic, complete atrio-ventricular block has been used frequently for proarrhythmic drug screening. The ventricular remodeling seen after ablation of the AV node enhances the susceptibility for repolarization-dependent arrhythmias. In this review, we 1) describe the cellular and molecular basis of ventricular remodeling, 2) validate the CAVB dog as a drug screening model and 3) introduce a new surrogate predictive proarrhythmic parameter: beat-to-beat variability of repolarization.

journal_name

Pharmacol Ther

authors

Oros A,Beekman JD,Vos MA

doi

10.1016/j.pharmthera.2008.03.006

subject

Has Abstract

pub_date

2008-08-01 00:00:00

pages

168-78

issue

2

eissn

0163-7258

issn

1879-016X

pii

S0163-7258(08)00044-2

journal_volume

119

pub_type

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