Literature DB >> 18775052

Membrane time constant during internal defibrillation strength shocks in intact heart: effects of Na+ and Ca2+ channel blockers.

Kent A Mowrey1, Igor R Efimov, Yuanna Cheng.   

Abstract

INTRODUCTION: We assessed defibrillation strength shock-induced changes of the membrane time constant (tau) and membrane potential (DeltaVm) in intact rabbit hearts after administration of lidocaine, a sodium (Na(+)) channel blocker, or nifedipine, a L-type calcium (Ca(2+)) channel blocker. METHODS AND
RESULTS: We optically mapped anterior, epicardial, electrical activity during monophasic shocks (+/-100, +/-130, +/-160, +/-190, and +/-220 V; 150 microF; 8 ms) applied at 25%, 50%, and 75% of the action potential duration via a shock lead system in Langendorff-perfused hearts. The protocol was run twice for each heart under control and after lidocaine (15 microM, n = 6) or nifedipine (2 microM, n = 6) addition. tau in the virtual electrode area away from the shock lead was approximated with single-exponential fits from a total of 121,125 recordings. The same data set was used to calculate DeltaVm. We found (1) Under all conditions, there is inverse relationship between tau and DeltaVm with respect to changes of shock strength, regardless of shock polarity and phase of application: a stronger shock resulted in a larger DeltaVm, which corresponded to a smaller tau (faster cellular response); (2) Lidocaine did not cause appreciable changes in either tau or DeltaVm versus control, and (3) Nifedipine significantly increased both tau and DeltaVm in the virtual cathode area; in contrast, in the virtual anode area, this effect depended on the phase of shock application.
CONCLUSION: tau and DeltaVm are inversely related. Na(+) channel blocker has minimal impact on either tau or DeltaVm. Ca(2+) blocker caused polarity and phase-dependent significant changes in tau and DeltaVm.

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Year:  2008        PMID: 18775052      PMCID: PMC2703482          DOI: 10.1111/j.1540-8167.2008.01273.x

Source DB:  PubMed          Journal:  J Cardiovasc Electrophysiol        ISSN: 1045-3873


  39 in total

1.  Virtual electrode-induced reexcitation: A mechanism of defibrillation.

Authors:  Y Cheng; K A Mowrey; D R Van Wagoner; P J Tchou; I R Efimov
Journal:  Circ Res       Date:  1999-11-26       Impact factor: 17.367

Review 2.  Virtual electrodes and deexcitation: new insights into fibrillation induction and defibrillation.

Authors:  I R Efimov; R A Gray; B J Roth
Journal:  J Cardiovasc Electrophysiol       Date:  2000-03

3.  Mechanism of ventricular defibrillation. The role of tissue geometry in the changes in transmembrane potential in patterned myocyte cultures.

Authors:  A M Gillis; V G Fast; S Rohr; A G Kléber
Journal:  Circulation       Date:  2000-05-23       Impact factor: 29.690

4.  The role of electroporation in defibrillation.

Authors:  A Al-Khadra; V Nikolski; I R Efimov
Journal:  Circ Res       Date:  2000-10-27       Impact factor: 17.367

5.  Kinetics of defibrillation shock-induced response: design implications for the optimal defibrillation waveform.

Authors:  K A Mowrey; Y Cheng; P J Tchou; R Efimov
Journal:  Europace       Date:  2002-01       Impact factor: 5.214

6.  Effect of strength and timing of transmembrane current pulses on isolated ventricular myocytes.

Authors:  R A Gray; D J Huelsing; F Aguel; N A Trayanova
Journal:  J Cardiovasc Electrophysiol       Date:  2001-10

7.  Virtual sources associated with linear and curved strands of cardiac cells.

Authors:  L Tung; A G Kléber
Journal:  Am J Physiol Heart Circ Physiol       Date:  2000-10       Impact factor: 4.733

8.  Nonlinear changes of transmembrane potential during defibrillation shocks: role of Ca(2+) current.

Authors:  E R Cheek; R E Ideker; V G Fast
Journal:  Circ Res       Date:  2000-09-15       Impact factor: 17.367

9.  Role of sodium channels in ventricular fibrillation: a study in nonischemic isolated hearts.

Authors:  G Amitzur; W Schoels; A Visokovsky; V Lev-Ran; I Novikov; M Mueller; P Kraft; E Kaplinsky; M Eldar
Journal:  J Cardiovasc Pharmacol       Date:  2000-12       Impact factor: 3.105

Review 10.  Optimizing defibrillation waveforms for ICDs.

Authors:  Mark W Kroll; Charles D Swerdlow
Journal:  J Interv Card Electrophysiol       Date:  2007-06-01       Impact factor: 1.900

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  2 in total

Review 1.  Using Nanosecond Shocks for Cardiac Defibrillation.

Authors:  Johanna U Neuber; Frency Varghese; Andrei G Pakhomov; Christian W Zemlin
Journal:  Bioelectricity       Date:  2019-12-12

2.  Low-energy defibrillation with nanosecond electric shocks.

Authors:  Frency Varghese; Johanna U Neuber; Fei Xie; Jonathan M Philpott; Andrei G Pakhomov; Christian W Zemlin
Journal:  Cardiovasc Res       Date:  2017-12-01       Impact factor: 10.787

  2 in total

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