論文

査読有り
2016年9月

Partial I-K1 blockade destabilizes spiral wave rotation center without inducing wave breakup and facilitates termination of reentrant arrhythmias in ventricles

AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY
  • Yasunori Kushiyama
  • ,
  • Haruo Honjo
  • ,
  • Ryoko Niwa
  • ,
  • Hiroki Takanari
  • ,
  • Masatoshi Yamazaki
  • ,
  • Yoshio Takemoto
  • ,
  • Ichiro Sakuma
  • ,
  • Itsuo Kodama
  • ,
  • Kaichiro Kamiya

311
3
開始ページ
H750
終了ページ
H758
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1152/ajpheart.00228.2016
出版者・発行元
AMER PHYSIOLOGICAL SOC

It has been reported that blockade of the inward rectifier K+ current (I-K1) facilitates termination of ventricular fibrillation. We hypothesized that partial I-K1 blockade destabilizes spiral wave (SW) re-entry, leading to its termination. Optical action potential (AP) signals were recorded from left ventricles of Langendorff-perfused rabbit hearts with endocardial cryoablation. The dynamics of SW re-entry were analyzed during ventricular tachycardia (VT), induced by cross-field stimulation. Intercellular electrical coupling in the myocardial tissue was evaluated by the space constant. In separate experiments, AP recordings were made using the microelectrode technique from right ventricular papillary muscles of rabbit hearts. Ba2+ (10-50 mu M) caused a dose-dependent prolongation of VT cycle length and facilitated termination of VT in perfused hearts. Baseline VT was maintained by a stable rotor, where an SW rotated around an I-shaped functional block line (FBL). Ba2+ at 10 mu M prolonged I-shaped FBL and phase-singularity trajectory, whereas Ba-2 at 50 mu M transformed the SW rotation dynamics from a stable linear pattern to unstable circular/ cycloidal meandering. The SW destabilization was not accompanied by SW breakup. Under constant pacing, Ba2+ caused a dose-dependent prolongation of APs, and Ba2+ at 50 mu M decreased conduction velocity. In papillary muscles, Ba2+ at 50 mu M depolarized the resting membrane potential. The space constant was increased by 50 mu M Ba2+. Partial I-K1 blockade destabilizes SW rotation dynamics through a combination of prolongation of the wave length, reduction of excitability, and enhancement of electrotonic interactions, which facilitates termination of ventricular tachyarrhythmias.

リンク情報
DOI
https://doi.org/10.1152/ajpheart.00228.2016
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/27422985
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000384971700025&DestApp=WOS_CPL
ID情報
  • DOI : 10.1152/ajpheart.00228.2016
  • ISSN : 0363-6135
  • eISSN : 1522-1539
  • PubMed ID : 27422985
  • Web of Science ID : WOS:000384971700025

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