| Influence of indapamide and chlorthalidone on reperfusion-induced ventricular fibrillation in isolated guinea pig hearts. | |
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MedLine Citation:
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PMID: 8569209 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The delayed rectifier potassium current (IK) is a major repolarizing current in guinea pig ventricular myocytes. Blockade of IK or other repolarizing currents is of increasing interest for development of antiarrhythmic drugs; however, these interventions may also be proarrhythmic. In the present study, we compared the potential antiarrhythmic properties of indapamide and chlorthalidone, two structurally related sulfonamide diuretics which differ in their ability to block the slow component of the delayed rectifier (IKs) in isolated, buffer-perfused guinea pig hearts. Hearts underwent 30-min global no-flow ischemia and 10-min reperfusion. Dose-response (10(-7)-10(-4) M) effects of indapamide or chlorthalidone on reperfusion-induced arrhythmias, coronary flow, and heart rate (HR) were evaluated in a randomized blinded fashion. There was no significant difference in the incidence of ventricular fibrillation (VF) for either compound as compared with untreated controls. However, VF duration was reduced to < 40 s in all hearts treated with indapamide 10(-4) M). Mean VF duration with indapamide 10(-4) M was 31 +/- 4 versus 70 +/- 40 s in controls (p < 0.05). Chlorthalidone did not protect against reperfusion-induced arrhythmias. HR was unchanged with either compound; coronary flow during the control perfusion period increased approximately 43% with indapamide 10(-4) M (p < 0.05 vs. all treatment groups). These results demonstrate that indapamide, but not chlorthalidone, confers significant protection against reperfusion-induced VF in this experimental preparation and suggest that selective block of IKs may be antiarrhythmic. |
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Authors:
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J Turgeon; C Fiset; M L Kingma; L Lacoursière; J G Kingma |
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Publication Detail:
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Type: Comparative Study; In Vitro; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of cardiovascular pharmacology Volume: 26 ISSN: 0160-2446 ISO Abbreviation: J. Cardiovasc. Pharmacol. Publication Date: 1995 Oct |
Date Detail:
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Created Date: 1996-03-07 Completed Date: 1996-03-07 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7902492 Medline TA: J Cardiovasc Pharmacol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 518-23 Citation Subset: IM |
Affiliation:
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Quebec Heart Institute, Laval Hospital, Ste-Foy, Quebec, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Analysis of Variance Animals Arrhythmias, Cardiac / drug therapy Bradycardia / drug therapy Chlorthalidone / administration & dosage, pharmacology, therapeutic use* Coronary Circulation / drug effects Diuretics / pharmacology* Dose-Response Relationship, Drug Guinea Pigs Heart Rate / drug effects Indapamide / administration & dosage, pharmacology, therapeutic use* Male Myocardial Reperfusion / adverse effects* Potassium Channels / drug effects Ventricular Fibrillation / drug therapy* |
| Chemical | |
Reg. No./Substance:
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0/Diuretics; 0/Potassium Channels; 26807-65-8/Indapamide; 77-36-1/Chlorthalidone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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