Experimental modeling of sudden death pathological mechanisms in Na+ channel blocker treatment

In laboratory rats, a minimal arrhythmogenic dose of 1, 5 % KCl solution (15 mg/kg) was injected intravenously in 2 seconds. Hypopolarization arrhythmias were registered in 3-10 seconds, followed by regular sinus rhythm. In experimental groups, the animals received a minimal arrhythmogenic dose of K...

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Main Authors: V. M. Moroz, T. N. Lipnitsky
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2006-06-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/1842
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author V. M. Moroz
T. N. Lipnitsky
author_facet V. M. Moroz
T. N. Lipnitsky
author_sort V. M. Moroz
collection DOAJ
description In laboratory rats, a minimal arrhythmogenic dose of 1, 5 % KCl solution (15 mg/kg) was injected intravenously in 2 seconds. Hypopolarization arrhythmias were registered in 3-10 seconds, followed by regular sinus rhythm. In experimental groups, the animals received a minimal arrhythmogenic dose of KCl in 5 minutes after intravenous infusion of 1 % novocainamidum (20 mg/kg) or 0, 25 % ethacyzin (4 mg/kg). In all 20 rats, N a+ cannel blocker and KCl bolus administration resulted in cardioplegy; in every second animal, asystolia and death were registered (40 % and 60 %, respectively). Therefore, in coronary heart disease patients, receiving Na+ channel blockers, sudden death pathogenesis might be influenced by membrane hyperpolarization, due to Na+/K+-ATPase dysfunction, low cytosol concentration of K+ ions, and their decreased flow from the cells in final repolarization phase.
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spelling doaj.art-793233ef27d94f49a0a9a35c91f8de7c2023-03-29T21:23:13Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202006-06-010367701603Experimental modeling of sudden death pathological mechanisms in Na+ channel blocker treatmentV. M. Moroz0T. N. Lipnitsky1Винницкий национальный медицинский университетВинницкий национальный медицинский университетIn laboratory rats, a minimal arrhythmogenic dose of 1, 5 % KCl solution (15 mg/kg) was injected intravenously in 2 seconds. Hypopolarization arrhythmias were registered in 3-10 seconds, followed by regular sinus rhythm. In experimental groups, the animals received a minimal arrhythmogenic dose of KCl in 5 minutes after intravenous infusion of 1 % novocainamidum (20 mg/kg) or 0, 25 % ethacyzin (4 mg/kg). In all 20 rats, N a+ cannel blocker and KCl bolus administration resulted in cardioplegy; in every second animal, asystolia and death were registered (40 % and 60 %, respectively). Therefore, in coronary heart disease patients, receiving Na+ channel blockers, sudden death pathogenesis might be influenced by membrane hyperpolarization, due to Na+/K+-ATPase dysfunction, low cytosol concentration of K+ ions, and their decreased flow from the cells in final repolarization phase.https://russjcardiol.elpub.ru/jour/article/view/1842sudden deathcardiac arrhythmiasmembrane hyperpolarizationhyperkaliemiaarrhythmogenic effects of antiarrhythmics
spellingShingle V. M. Moroz
T. N. Lipnitsky
Experimental modeling of sudden death pathological mechanisms in Na+ channel blocker treatment
Российский кардиологический журнал
sudden death
cardiac arrhythmias
membrane hyperpolarization
hyperkaliemia
arrhythmogenic effects of antiarrhythmics
title Experimental modeling of sudden death pathological mechanisms in Na+ channel blocker treatment
title_full Experimental modeling of sudden death pathological mechanisms in Na+ channel blocker treatment
title_fullStr Experimental modeling of sudden death pathological mechanisms in Na+ channel blocker treatment
title_full_unstemmed Experimental modeling of sudden death pathological mechanisms in Na+ channel blocker treatment
title_short Experimental modeling of sudden death pathological mechanisms in Na+ channel blocker treatment
title_sort experimental modeling of sudden death pathological mechanisms in na channel blocker treatment
topic sudden death
cardiac arrhythmias
membrane hyperpolarization
hyperkaliemia
arrhythmogenic effects of antiarrhythmics
url https://russjcardiol.elpub.ru/jour/article/view/1842
work_keys_str_mv AT vmmoroz experimentalmodelingofsuddendeathpathologicalmechanismsinnachannelblockertreatment
AT tnlipnitsky experimentalmodelingofsuddendeathpathologicalmechanismsinnachannelblockertreatment