Document Detail

Mechanisms of preventive effect of nicorandil on ischaemia-induced ventricular tachyarrhythmia in isolated arterially perfused canine left ventricular wedges.
MedLine Citation:
PMID:  18482046     Owner:  NLM     Status:  MEDLINE    
Whether nicorandil is effective at preventing ventricular tachyarrhythmia (VT) during acute myocardial ischaemia is still controversial. We examined effects of nicorandil on the induction of VT during acute myocardial ischaemia. Optical action potentials were recorded from the entire transmural wall of arterially perfused canine left ventricular wedges. Ischaemia was produced by arterial occlusion for 20 min. During endocardial pacing, nicorandil shortened mean action potential duration (APD) in the transmural wall before ischaemia and further shortened it during ischaemia without increasing dispersion of APD. HMR1098, a selective blocker of sarcolemmal ATP-sensitive K(+) channels, inhibited the shortening of APD by nicorandil before and during ischaemia. Ischaemia decreased transmural conduction velocity (CV). Nicorandil partially restored CV to a similar extent in the absence and presence of HMR1098. In contrast, HMR1098 did not suppress the ischaemic conduction slowing in the absence of nicorandil. Nicorandil suppressed the increased dispersion of local CV during ischaemia. Isochrone maps on the initiation of VT showed that reentry in the transmural surface resulted from the excitation of the epicardial region of transmural surface. Nicorandil significantly increased the size of non-excited area in the epicardial region of the transmural wall, thereby significantly reducing the incidence of VT induced during ischaemia. HMR1098 inhibited this effect of nicorandil. These results suggest that nicorandil prevents VT during acute global ischaemia primarily by augmenting the inactivation of epicardial muscle through the activation of sarcolemmal K(ATP) channels.
Masamichi Hirose; Natsuko Tsujino; Tsutomu Nakada; Shiharu Yano; Hiroshi Imamura; Mitsuhiko Yamada
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Basic & clinical pharmacology & toxicology     Volume:  102     ISSN:  1742-7843     ISO Abbreviation:  Basic Clin. Pharmacol. Toxicol.     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-05-16     Completed Date:  2008-06-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101208422     Medline TA:  Basic Clin Pharmacol Toxicol     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  504-14     Citation Subset:  IM    
Department of Molecular Pharmacology, Shinshu University School of Medicine, Nagano, Japan.
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MeSH Terms
Action Potentials / drug effects,  physiology
Anti-Arrhythmia Agents / therapeutic use*
Benzamides / pharmacology
Disease Models, Animal
Drug Antagonism
Electric Stimulation
Heart Ventricles / drug effects,  physiopathology
Myocardial Ischemia / physiopathology*,  prevention & control
Nicorandil / therapeutic use*
Organ Culture Techniques
Spectrometry, Fluorescence / methods
Tachycardia / physiopathology*,  prevention & control
Ventricular Dysfunction, Left / physiopathology*,  prevention & control
Reg. No./Substance:
0/Anti-Arrhythmia Agents; 0/Benzamides; 0/HMR 1098; 65141-46-0/Nicorandil

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