Mechanism of acceleration of functional reentry in the ventricle: effects of ATP-sensitive potassium channel opener.

Abstract:

BACKGROUND:The effect of effective refractory period (ERP) shortening on the vulnerability and characteristics of induced functional reentry in the ventricle remain poorly defined. We hypothesized that ERP shortening increases ventricular vulnerability to reentry and accelerates its rate, as is the case in the atrium. METHODS AND RESULTS:The epicardial surfaces of 19 isolated and superfused canine right ventricular slices (4x4 cm and <2 mm thick) were mapped with 480 bipolar electrodes 1.6 mm apart. Vulnerability was tested during pacing at a cycle length (CL) of 600 ms and with a single premature stimulus of 5-ms duration at increasing current strength of 1 to 100 mA. Cromakalim (10 micromol/L), an ATP-sensitive potassium channel opener, caused a significant (P<0. 001) shortening of the ERP but had no effect on conduction velocity. Cromakalim increased (P<0.01) the vulnerability (product of current and the stimulus coupling interval) for reentry induction. Reentry had a significantly shorter CL and lasted for a longer duration (P<0. 001). The central core around which the wave front rotated became smaller, which caused shortening of the CL of reentry. A significant (P<0.001) linear correlation was found between core size and reentry CL. These effects of cromakalim were reversible. Two-dimensional simulation studies using the modified Luo-Rudy I model of cardiac action potential, in which the refractory period was variably shortened by a progressive increase of the time-independent potassium conductance, reproduced the experimental findings. CONCLUSIONS:ERP shortening by an ATP-sensitive potassium channel opener increases ventricular vulnerability to reentry and accelerates its rate by decreasing the core size around which the wave front rotates.

journal_name

Circulation

journal_title

Circulation

authors

Uchida T,Yashima M,Gotoh M,Qu Z,Garfinkel A,Weiss JN,Fishbein MC,Mandel WJ,Chen PS,Karagueuzian HS

doi

10.1161/01.cir.99.5.704

subject

Has Abstract

pub_date

1999-02-09 00:00:00

pages

704-12

issue

5

eissn

0009-7322

issn

1524-4539

journal_volume

99

pub_type

杂志文章
  • Antithrombotic therapy for deep arterial injury by angioplasty. Efficacy of common platelet inhibition compared with thrombin inhibition in pigs.

    abstract:BACKGROUND:Platelet-thrombus formation is a complication of arterial wall deep injury by balloon angioplasty that may lead to acute arterial occlusion and may contribute to restenosis. METHODS AND RESULTS:Because common platelet-inhibitor drugs with a heparin bolus (100 units/kg) may be effective in inhibiting platele...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.84.2.814

    authors: Lam JY,Chesebro JH,Steele PM,Heras M,Webster MW,Badimon L,Fuster V

    更新日期:1991-08-01 00:00:00

  • Mitral Valve Prolapse, Ventricular Arrhythmias, and Sudden Death.

    abstract::Despite a 2% to 3% prevalence of echocardiographically defined mitral valve prolapse (MVP) in the general population, the actual burden, risk stratification, and treatment of the so-called arrhythmic MVP are unknown. The clinical profile is characterized by a patient, usually female, with mostly bileaflet myxomatous d...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCULATIONAHA.118.034075

    authors: Basso C,Iliceto S,Thiene G,Perazzolo Marra M

    更新日期:2019-09-10 00:00:00

  • Platelet dense-granule secretion plays a critical role in thrombosis and subsequent vascular remodeling in atherosclerotic mice.

    abstract:BACKGROUND:Platelet aggregation plays a critical role in myocardial infarction and stroke; however, the role of platelet secretion in atherosclerotic vascular disease is poorly understood. Therefore, we examined the hypothesis that platelet dense-granule secretion modulates thrombosis, inflammation, and atherosclerotic...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.845461

    authors: King SM,McNamee RA,Houng AK,Patel R,Brands M,Reed GL

    更新日期:2009-09-01 00:00:00

  • Noninvasive arterial thrombus imaging with 99mTc monoclonal antifibrin antibody.

    abstract:BACKGROUND:The T2G1s monoclonal antifibrin antibody binds specifically to fibrin but not to fibrinogen. METHODS AND RESULTS:In a canine model of acute arterial thrombosis, we determined the feasibility of imaging thrombi using a 99mTc-labeled Fab' fragment. In 14 dogs, 10 carotid and 13 femoral artery thrombi were pro...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.85.1.298

    authors: Cerqueira MD,Stratton JR,Vracko R,Schaible TF,Ritchie JL

    更新日期:1992-01-01 00:00:00

  • Predictors of first discharge and subsequent survival in patients with automatic implantable cardioverter-defibrillators.

    abstract:BACKGROUND:Two hundred eighteen patients were evaluated in a two-phase approach (time to first appropriate discharge, survival after discharge) to identify factors that may be related to maximal benefit derived from use of an automatic implantable cardioverter-defibrillator (AICD). METHODS AND RESULTS:One hundred nine...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.84.2.558

    authors: Levine JH,Mellits ED,Baumgardner RA,Veltri EP,Mower M,Grunwald L,Guarnieri T,Aarons D,Griffith LS

    更新日期:1991-08-01 00:00:00

  • Nitroglycerin improves functional recovery of neonatal lamb hearts after 2 hours of cold ischemia.

    abstract:BACKGROUND:Vascular events during initial reperfusion after a period of hypothermic cardioplegic ischemia may play an important role in the recovery of mechanical function. Prior studies have shown (1) that dysfunction of the postischemic myocardium after normothermic ischemia can be ameliorated by vasodilation and (2)...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Kawata H,Aoki M,Mayer JE Jr

    更新日期:1993-11-01 00:00:00

  • Cardiomyogenic potential of C-kit(+)-expressing cells derived from neonatal and adult mouse hearts.

    abstract:BACKGROUND:C-kit is a receptor tyrosine kinase family member expressed in hematopoietic stem cells. C-kit is also transiently expressed in cardiomyocyte precursors during development and in a rare cell population in the normal adult heart. In the present study, the cardiomyogenic potential of c-kit(+) cells isolated fr...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.109.909093

    authors: Zaruba MM,Soonpaa M,Reuter S,Field LJ

    更新日期:2010-05-11 00:00:00

  • Evaluation of severity of heart failure using ventilatory gas analysis.

    abstract::To evaluate the severity of heart failure, cardiopulmonary exercise testing was performed in 99 normal subjects and in 382 patients with cardiac disease. Anaerobic threshold, peak oxygen uptake, and the ratio of increase in oxygen uptake to work-rate increment were determined by ventilatory and gas exchange measuremen...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Itoh H,Taniguchi K,Koike A,Doi M

    更新日期:1990-01-01 00:00:00

  • Changing clinical characteristics of coronary surgery patients. Differences between men and women.

    abstract:BACKGROUND:There is uncertainty as to the relative efficacy of coronary artery bypass graft surgery (CABG) in men and women. Differences between sexes may be of greater importance than heretofore because of increased frequency of risk factors for adverse outcome. It is the purpose of this study to examine the changing ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Weintraub WS,Wenger NK,Jones EL,Craver JM,Guyton RA

    更新日期:1993-11-01 00:00:00

  • G894T polymorphism in the endothelial nitric oxide synthase gene is associated with an enhanced vascular responsiveness to phenylephrine.

    abstract:BACKGROUND:Differences in vascular reactivity to phenylephrine (PE) responsiveness have been largely evidenced in patients undergoing cardiac surgery with cardiopulmonary bypass (CPB). Because nitric oxide (NO) strongly affects modulation of the vascular tone in response to vasopressor agents, we hypothesized that the ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.99.24.3096

    authors: Philip I,Plantefeve G,Vuillaumier-Barrot S,Vicaut E,LeMarie C,Henrion D,Poirier O,Levy BI,Desmonts JM,Durand G,Benessiano J

    更新日期:1999-06-22 00:00:00

  • Echocardiographic markers of elevated pulmonary pressure and left ventricular diastolic dysfunction are associated with exercise intolerance in adults and adolescents with homozygous sickle cell anemia in the United States and United Kingdom.

    abstract:BACKGROUND:Noninvasively assessed pulmonary pressure elevations and left ventricular (LV) diastolic dysfunction are associated with increased mortality in adults with sickle cell disease, but their relationship to exercise intolerance has not been evaluated prospectively. METHODS AND RESULTS:Echocardiography, 6-minute...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.111.032920

    authors: Sachdev V,Kato GJ,Gibbs JS,Barst RJ,Machado RF,Nouraie M,Hassell KL,Little JA,Schraufnagel DE,Krishnamurti L,Novelli EM,Girgis RE,Morris CR,Rosenzweig EB,Badesch DB,Lanzkron S,Castro OL,Taylor JG 6th,Hannoush H,Gold

    更新日期:2011-09-27 00:00:00

  • Long-term evolution and prognostic stratification of biopsy-proven active myocarditis.

    abstract:BACKGROUND:Active myocarditis is characterized by large heterogeneity of clinical presentation and evolution. This study describes the characteristics and the long-term evolution of a large sample of patients with biopsy-proven active myocarditis, looking for accessible and valid early predictors of long-term prognosis...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.113.003092

    authors: Anzini M,Merlo M,Sabbadini G,Barbati G,Finocchiaro G,Pinamonti B,Salvi A,Perkan A,Di Lenarda A,Bussani R,Bartunek J,Sinagra G

    更新日期:2013-11-26 00:00:00

  • Limited exercise capacity in heterozygous manganese superoxide dismutase gene-knockout mice: roles of superoxide anion and nitric oxide.

    abstract:BACKGROUND:We have reported that there is a limitation of exercise capacity in mice with defects in the expression of endothelial nitric oxide (NO) synthase, which is associated with a greater increase in whole-body oxygen consumption (VO2). We hypothesized that in states in which superoxide anion (O2-) is increased, e...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000159261.11520.63

    authors: Kinugawa S,Wang Z,Kaminski PM,Wolin MS,Edwards JG,Kaley G,Hintze TH

    更新日期:2005-03-29 00:00:00

  • Distribution of extracellular potassium and its relation to electrophysiologic changes during acute myocardial ischemia in the isolated perfused porcine heart.

    abstract::An experimental approach is described to quantitate inhomogeneity in extracellular K concentration ([K+]out) in the presence of ischemia and to relate this inhomogeneity to the electrophysiologic changes. Extracellular potassium concentration and local direct-current electrograms from the same sites were measured in i...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.77.5.1125

    authors: Coronel R,Fiolet JW,Wilms-Schopman FJ,Schaapherder AF,Johnson TA,Gettes LS,Janse MJ

    更新日期:1988-05-01 00:00:00

  • High prevalence of respiratory ciliary dysfunction in congenital heart disease patients with heterotaxy.

    abstract:BACKGROUND:Patients with congenital heart disease (CHD) and heterotaxy show high postsurgical morbidity/mortality, with some developing respiratory complications. Although this finding is often attributed to the CHD, airway clearance and left-right patterning both require motile cilia function. Thus, airway ciliary dys...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.111.079780

    authors: Nakhleh N,Francis R,Giese RA,Tian X,Li Y,Zariwala MA,Yagi H,Khalifa O,Kureshi S,Chatterjee B,Sabol SL,Swisher M,Connelly PS,Daniels MP,Srinivasan A,Kuehl K,Kravitz N,Burns K,Sami I,Omran H,Barmada M,Olivier K,

    更新日期:2012-05-08 00:00:00

  • Endovascular repair of thoracoabdominal aneurysms.

    abstract:BACKGROUND:Morbidity and mortality after conventional repair of thoracoabdominal aneurysms remain high. Alternative techniques have been proposed and are the subject of this report. METHODS AND RESULTS:Endovascular grafts that have a means of incorporating the visceral vessels into the aortic repair were divided into ...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCULATIONAHA.107.716134

    authors: Greenberg RK,Lytle B

    更新日期:2008-04-29 00:00:00

  • Coronary flow velocity pattern immediately after percutaneous coronary intervention as a predictor of complications and in-hospital survival after acute myocardial infarction.

    abstract:BACKGROUND:Recently, it was reported that the degree of microvascular injury and left ventricular functional recovery during the chronic period can be predicted after treatment of the infarct-related artery based on the coronary flow velocity (CFV) pattern assessed using a Doppler guidewire. The aim of this prospective...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.0000043022.44032.77

    authors: Yamamuro A,Akasaka T,Tamita K,Yamabe K,Katayama M,Takagi T,Morioka S

    更新日期:2002-12-10 00:00:00

  • Epidemiology and Mechanisms of De Novo and Persistent Hypertension in the Postpartum Period.

    abstract:BACKGROUND:The pathophysiology of hypertension in the immediate postpartum period is unclear. METHODS AND RESULTS:We studied 988 consecutive women admitted to a tertiary medical center for cesarean section of a singleton pregnancy. The angiogenic factors soluble fms-like tyrosine kinase 1 and placental growth factor, ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.115.015721

    authors: Goel A,Maski MR,Bajracharya S,Wenger JB,Zhang D,Salahuddin S,Shahul SS,Thadhani R,Seely EW,Karumanchi SA,Rana S

    更新日期:2015-11-03 00:00:00

  • Fasting blood glucose and the risk of stroke and myocardial infarction.

    abstract:BACKGROUND:Although diabetes is a well-known risk factor of atherosclerotic cardiovascular diseases, the cardiovascular disease risk of glycemia below the current diabetic threshold remains uncertain. METHODS AND RESULTS:A total of 652,901 Korean men aged 30 to 64 years from the Korean National Health Insurance System...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.776989

    authors: Sung J,Song YM,Ebrahim S,Lawlor DA

    更新日期:2009-02-17 00:00:00

  • Fibroblast growth factor receptor-1 signaling induces osteopontin expression and vascular smooth muscle cell-dependent adventitial fibroblast migration in vitro.

    abstract:BACKGROUND:Increased expression of osteopontin (OPN), fibroblast growth factors (FGFs), and their type-1 receptor (FGFR-1) is associated with neointima formation and atherosclerosis. This study tested the hypothesis that ligand activation of FGFR-1 stimulates OPN expression in rat aortic smooth muscle cells (RASMCs), e...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000024113.26985.cc

    authors: Li G,Oparil S,Kelpke SS,Chen YF,Thompson JA

    更新日期:2002-08-13 00:00:00

  • Effects of beta-adrenoreceptor-blocking drugs in patients with Raynaud's phenomenon.

    abstract::Digital vasospastic phenomena have been reported to result from use of nonselective and cardioselective beta-adrenoreceptor-blocking drugs. The effects of 80 mg/day propranolol and 100 mg/day metoprolol on finger hemodynamics and clinical responses were compared with those of placebo in 16 patients with Raynaud's phen...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.72.3.466

    authors: Coffman JD,Rasmussen HM

    更新日期:1985-09-01 00:00:00

  • Surgical alternatives to the Fontan procedure incorporating a hypoplastic right ventricle.

    abstract:BACKGROUND:Frequently the definitive operation for patients with a right ventricle (RV) that is too small to support full cardiac output is a modified Fontan operation. However, other surgical options exist that incorporate a small RV in the atriopulmonary pathway when biventricular repair is not feasible because of RV...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Gentles TL,Keane JF,Jonas RA,Marx GE,Mayer JE Jr

    更新日期:1994-11-01 00:00:00

  • Immediate diagnosis of acute myocardial infarction by two-dimensional echocardiography.

    abstract::To define the role of portable two-dimensional echocardiography (2-D echo) in the immediate diagnosis of acute chest pain syndrome, 80 consecutive patients were studied. Adequate 2-D echo studies were obtained in 65 (81%). Thirty-three patients had clinical evidence of transmural or nontransmural acute myocardial infa...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.65.2.323

    authors: Horowitz RS,Morganroth J,Parrotto C,Chen CC,Soffer J,Pauletto FJ

    更新日期:1982-02-01 00:00:00

  • Predictors of abdominal aortic aneurysm sac enlargement after endovascular repair.

    abstract:BACKGROUND:The majority of infrarenal abdominal aortic aneurysm (AAA) repairs in the United States are performed with endovascular methods. Baseline aortoiliac arterial anatomic characteristics are fundamental criteria for appropriate patient selection for endovascular aortic repair (EVAR) and key determinants of long-...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.110.014902

    authors: Schanzer A,Greenberg RK,Hevelone N,Robinson WP,Eslami MH,Goldberg RJ,Messina L

    更新日期:2011-06-21 00:00:00

  • Impaired L-arginine transport and endothelial function in hypertensive and genetically predisposed normotensive subjects.

    abstract:BACKGROUND:Impaired endothelium-dependent NO-mediated vasodilation is a key feature of essential hypertension and may precede the increase in blood pressure. We investigated whether transport of the NO precursor L-arginine is related to decreased endothelial function. METHODS AND RESULTS:Radiotracer kinetics ([3H]L-ar...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000149748.79945.52

    authors: Schlaich MP,Parnell MM,Ahlers BA,Finch S,Marshall T,Zhang WZ,Kaye DM

    更新日期:2004-12-14 00:00:00

  • Additional lead improves defibrillation efficacy with an abdominal 'hot can' electrode system.

    abstract:BACKGROUND:Although the left prepectoral site is preferred for "hot can" placement, this site is unavailable in some patients. We evaluated the influence of electrode location on defibrillation thresholds with alternative hot can and transvenous lead configurations. METHODS AND RESULTS:Three interrelated studies were ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.12.4400

    authors: Yamanouchi Y,Mowrey KA,Niebauer MJ,Tchou PJ,Wilkoff BL

    更新日期:1997-12-16 00:00:00

  • De subitaneis mortibus. XV. Hereditary stenosis of the His bundle in Pug dogs.

    abstract::Syncope and sudden death occurs in certain purebred Pug dogs which have been found to have intermittent sinus pauses and paroxysmal second degree heart block on electrocardiographic (ECG) study. We have established a colony of such dogs to study this problem and here report the results of histological examination of t...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.52.6.1152

    authors: James TN,Robertson BT,Waldo AL,Branch CE

    更新日期:1975-12-01 00:00:00

  • Bone Marrow Endothelial Cells Regulate Myelopoiesis in Diabetes Mellitus.

    abstract:BACKGROUND:Diabetes mellitus is a prevalent public health problem that affects about one-third of the US population and leads to serious vascular complications with increased risk for coronary artery disease. How bone marrow hematopoiesis contributes to diabetes mellitus complications is incompletely understood. We inv...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.120.046038

    authors: Hoyer FF,Zhang X,Coppin E,Vasamsetti SB,Modugu G,Schloss MJ,Rohde D,McAlpine CS,Iwamoto Y,Libby P,Naxerova K,Swirski FK,Dutta P,Nahrendorf M

    更新日期:2020-07-21 00:00:00

  • A randomized, prospective comparison of anterior and posterior approaches to radiofrequency catheter ablation of atrioventricular nodal reentry tachycardia.

    abstract:BACKGROUND:Two different techniques have been developed for radiofrequency catheter ablation of typical atrioventricular nodal reentry (AVNRT). Lesions made anteriorly near the apex of the triangle of Koch usually eliminate fast pathway function, whereas lesions made posteriorly near the ostium of the coronary sinus se...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.87.5.1551

    authors: Langberg JJ,Leon A,Borganelli M,Kalbfleisch SJ,el-Atassi R,Calkins H,Morady F

    更新日期:1993-05-01 00:00:00

  • Genome-Wide Analysis of Left Ventricular Image-Derived Phenotypes Identifies Fourteen Loci Associated With Cardiac Morphogenesis and Heart Failure Development.

    abstract:BACKGROUND:The genetic basis of left ventricular (LV) image-derived phenotypes, which play a vital role in the diagnosis, management, and risk stratification of cardiovascular diseases, is unclear at present. METHODS:The LV parameters were measured from the cardiovascular magnetic resonance studies of the UK Biobank. ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.119.041161

    authors: Aung N,Vargas JD,Yang C,Cabrera CP,Warren HR,Fung K,Tzanis E,Barnes MR,Rotter JI,Taylor KD,Manichaikul AW,Lima JAC,Bluemke DA,Piechnik SK,Neubauer S,Munroe PB,Petersen SE

    更新日期:2019-10-15 00:00:00