[The prevention of an excitation-conduction block during acute myocardial ischemia: is there a role for prostacyclin or for histamine?]

Cardiologia. 1991 Jul;36(7):519-26.
[Article in Italian]

Abstract

We have investigated (multivariate Cox's model) the relative risk of stable excitation-conduction block (ECB) in right ventricular myocardial strips (2 x 5 x 1 mm) from 26 female guinea-pigs, bathed in a 2-compartment chamber (3 ml) on the anterior side of which modified Tyrode's solution (K+ 12 mM, HCO3- 9 mM, pH 7 +/- 0.05, pO2 80 +/- 10 mmHg and absence of glucose) is supraperfused (stimulation rate: 450 ms; wire in the posterior compartment), thus enabling simulation of electrophysiologic changes seen during acute myocardial ischemia. Using glass microelectrodes, action potential amplitude (APA), durations (APD50 and 90%), resting membrane potential (RMP) and upstroke velocity (Vmax) are investigated. The hypothesis was tested of prostacyclin and histamine involvement in the genesis of ischemia-induced ECB in this model. Either a weak prostacyclin stimulator (cicletanine 10(-5) M, IPSEN, Paris, F, in DMSO 1:100; n = 16) or a potent prostacyclin generation blocker (indomethacin 10(-5) M, Sigma, in DMSO 1:100; n = 10) and either DMSO alone (1:100; n = 16) or a specific histaminergic H1 receptor antagonist (terfenadine 10(-5) M, Sigma, in DMSO 1:100; n = 10) were supraperfused using a randomization scheme. Each animal was used twice and either a first or a second occlusion (supraperfusing the modified Tyrode's solution for 30 min) period was performed and the randomized substances were supraperfused, thus enabling obtention of n = 52 experiments for analysis.(ABSTRACT TRUNCATED AT 250 WORDS)

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Acute Disease
  • Animals
  • Antihypertensive Agents / therapeutic use
  • Coronary Disease / complications*
  • Coronary Disease / drug therapy
  • Coronary Disease / physiopathology
  • Dimethyl Sulfoxide / therapeutic use
  • Diuretics / therapeutic use
  • Drug Evaluation, Preclinical
  • Epoprostenol / physiology*
  • Female
  • Guinea Pigs
  • Heart Block / etiology
  • Heart Block / physiopathology
  • Heart Block / prevention & control*
  • Histamine / physiology*
  • Histamine Release / drug effects
  • Histamine Release / physiology
  • Indomethacin / therapeutic use
  • Pyridines*
  • Terfenadine / therapeutic use

Substances

  • Antihypertensive Agents
  • Diuretics
  • Pyridines
  • Terfenadine
  • Histamine
  • cicletanine
  • Epoprostenol
  • Indomethacin
  • Dimethyl Sulfoxide