Assessment of efficacy of proarrhythmia biomarkers in isolated rabbit hearts with attenuated repolarization reserve

Isolated hearts with reduced repolarization reserve would be suitable for assessing the proarrhythmic liability of drugs. However, it is not known which proarrhythmia biomarkers indicate the increased susceptibility to torsades de pointes arrhythmia (TdP) in such experimental setting. Thus, we estim...

Teljes leírás

Elmentve itt :
Bibliográfiai részletek
Szerzők: Orosz Szabolcs
Sarusi Annamária
Csík Norbert
Papp Gyula
Varró András
Farkas Sándor
Forster Tamás
Farkas Attila
Farkas András
Dokumentumtípus: Cikk
Megjelent: 2014
Sorozat:JOURNAL OF CARDIOVASCULAR PHARMACOLOGY 64 No. 3
Tárgyszavak:
doi:10.1097/FJC.0000000000000116

mtmt:2598088
Online Access:http://publicatio.bibl.u-szeged.hu/22858
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245 1 0 |a Assessment of efficacy of proarrhythmia biomarkers in isolated rabbit hearts with attenuated repolarization reserve  |h [elektronikus dokumentum] /  |c  Orosz Szabolcs 
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520 3 |a Isolated hearts with reduced repolarization reserve would be suitable for assessing the proarrhythmic liability of drugs. However, it is not known which proarrhythmia biomarkers indicate the increased susceptibility to torsades de pointes arrhythmia (TdP) in such experimental setting. Thus, we estimated the efficacy of proarrhythmia biomarkers in isolated hearts with attenuated repolarization reserve.Langendorff-perfused rabbit hearts were used. Repolarization reserve was reduced by concomitant inhibition of the rapid (IKr) and slow (IKs) delayed rectifier potassium currents by dofetilide and HMR-1556, respectively. Rate corrected QT (QTc) interval and beat-to-beat variability of the QT interval measured in sinus rhythm or irrespective of rhythm even during arrhythmias (sinus and absolute QT variability, respectively) were tested.QTc failed to predict increased proarrhythmic risk. Sinus QT variability indicated proarrhythmic liability when low concentration of dofetilide was used. However, when arrhythmias compromised sinus variability measurement during co-perfusion of catecholamines and elevated concentration of dofetilide, only absolute QT variability indicated increased proarrhythmic risk. ABSOLUTE: QT variability parameters appear to be the most practical and sensitive biomarkers of proarrhythmic liability in rabbit hearts with reduced repolarization reserve. Absolute QT variability parameters could serve as surrogates for TdP in drug-safety investigations in isolated rabbit hearts with attenuated repolarization reserve. 
650 4 |a Általános orvostudomány 
650 4 |a Klinikai orvostan 
700 0 1 |a Sarusi Annamária  |e aut 
700 0 1 |a Csík Norbert  |e aut 
700 0 1 |a Papp Gyula  |e aut 
700 0 1 |a Varró András  |e aut 
700 0 1 |a Farkas Sándor  |e aut 
700 0 1 |a Forster Tamás  |e aut 
700 0 1 |a Farkas Attila  |e aut 
700 0 1 |a Farkas András  |e aut 
856 4 0 |u http://publicatio.bibl.u-szeged.hu/22858/1/OroszJCardPharmacol2014.pdf  |z Dokumentum-elérés