Document Detail


Arrhythmogenic effects of theophylline in human atrial tissue.
MedLine Citation:
PMID:  2445704     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We studied the effects of theophylline on the transmembrane action potential and the contractile force of human atrial fibers obtained from the hearts of 15 patients, undergoing corrective open-heart surgery. Atrial fibers were perfused with Tyrode solution and driven electrically at a constant rate of 60 beats per min. Theophylline (0.1-1 mM) steepened the diastolic depolarization, increased the amplitude of oscillatory potential during diastole and facilitated the development of spontaneous slow response action potentials. These arrhythmogenic effects of theophylline were suppressed after diltiazem (0.1-0.3 microM) pretreatment. The present findings provide the electrophysiologic evidence that abnormal atrial automaticity as a result of triggered activity may be the underlying cause for atrial ectopic activity and multifocal atrial tachycardia in patients taking theophylline.
Authors:
C I Lin; I N Chuang; K K Cheng; B N Chiang
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  International journal of cardiology     Volume:  17     ISSN:  0167-5273     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  1987 Dec 
Date Detail:
Created Date:  1988-01-20     Completed Date:  1988-01-20     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  289-97     Citation Subset:  IM    
Affiliation:
Department of Pharmacology, National Defense Medical Center, Taiwan, Republic of China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Arrhythmias, Cardiac / chemically induced*
Calcium / metabolism
Culture Techniques
Electrocardiography*
Heart Atria / drug effects*
Heart Rate / drug effects
Humans
Ion Channels / drug effects
Middle Aged
Myocardial Contraction / drug effects
Theophylline / toxicity*
Chemical
Reg. No./Substance:
0/Ion Channels; 58-55-9/Theophylline; 7440-70-2/Calcium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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