Abnormal quinidine binding in survivors of prehospital cardiac arrest.

Abstract:

:Quinidine binding was studied in 15 survivors of prehospital cardiac arrest and was compared to 18 normal individuals and 20 patients with coronary artery disease. The unbound quinidine fraction was 6.3 +/- 2.8% in the survivors of prehospital cardiac arrest, a value significantly lower than normal individuals (unbound quinidine fraction = 9.9 +/- 3.0%, p less than 0.005). Furthermore, unbound quinidine fraction correlated with interdose quinidine half-life in the six survivors of prehospital cardiac arrest where this could be measured (r = 0.79, p less than 0.05). The resultant quinidine interdose half-life was significantly prolonged (10 +/- 3 hours) when compared to normal (6 +/- 2 hours, p less than 0.02). The reduction in free drug fraction in cardiac arrest survivors was a nonspecific finding in that free drug fraction was also reduced in the patients with coronary artery disease (unbound quinidine fraction = 7.4 +/- 3%) and was independent of the alpha-1-glycoprotein concentration. Therefore survivors of prehospital cardiac arrest have a mean 40% reduction in free quinidine drug fraction which results in less free drug at any given total drug concentration and may relate to quinidine pharmacokinetics and pharmacodynamics in this patient group.

journal_name

Am Heart J

journal_title

American heart journal

authors

Kessler KM,Lisker B,Conde C,Silver J,Ho-Tung P,Hamburg C,Myerburg RJ

doi

10.1016/0002-8703(84)90312-0

subject

Has Abstract

pub_date

1984-04-01 00:00:00

pages

665-9

issue

4

eissn

0002-8703

issn

1097-6744

pii

0002-8703(84)90312-0

journal_volume

107

pub_type

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