Document Detail


Endurance Exercise Training Normalizes Repolarization and Calcium Handling Abnormalities Preventing Ventricular Fibrillation in a Model of Sudden Cardiac Death.
MedLine Citation:
PMID:  23042911     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The risk of sudden cardiac death is increased following myocardial infarction (MI). Exercise training reduces arrhythmia susceptibility but the mechanism is unknown. We used a canine model of sudden cardiac death (healed infarction, with ventricular tachyarrhythmias induced by an exercise plus ischemia test, VF+); we previously reported that endurance exercise training was antiarrhythmic in this model. A total of 41 VF+ animals were studied, after random assignment to 10 weeks of endurance exercise training (EET, n=21) or a matched sedentary period (n=20). Following (> 1 week) the final attempted arrhythmia induction, isolated myocytes were used to test the hypotheses that the endurance exercise-induced antiarrhythmic effects resulted from normalization of cellular electrophysiology and/or normalization of calcium handling. EET prevented VF and shortened in vivo repolarization (P<0.05). EET normalized action potential duration and variability compared to the sedentary group. EET resulted in a further decrement in I(to) compared to the sedentary VF+ group (P<0.05). Sedentary VF+ dogs had a significant reduction in I(Kr), which was restored by exercise training (P<0.05). Compared to controls, myocytes from the sedentary VF+ group displayed calcium alternans, increased calcium spark frequency, and increased phosphorylation of S2814 on RyR2. These abnormalities in intracellular calcium handling were attenuated by exercise training (P<0.05). Exercise training prevented ischemically-induced VF in association with a combination of beneficial effects on cellular electrophysiology and calcium handling.
Authors:
Ingrid M Bonilla; Andriy Belevych; Arun Sridhar; Yoshinori Nishijima; Hsiang-Ting Ho; Quanhua He; Monica Kukielka; Dmitry Terentyev; Radmila Terentyeva; Bin Liu; Victor P Long; Sandor Gyorke; Cynthia A Carnes; George E Billman
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-4
Journal Detail:
Title:  Journal of applied physiology (Bethesda, Md. : 1985)     Volume:  -     ISSN:  1522-1601     ISO Abbreviation:  J. Appl. Physiol.     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8502536     Medline TA:  J Appl Physiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1The Ohio State University.
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