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  • 1
    Electronic Resource
    Electronic Resource
    Inhibition of pacemaker current by the bradycardic agent ZD 7288 is lost use-dependently in sheep cardiac Purkinje fibres (1995)
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 353 (1995), S. 64-72 
    Details
    ISSN: 1432-1912
    Keywords: Sheep cardiac Purkinje fibre ; Voltage-clamp ; Pacemaker current ; Use dependence ; Specific bradycardic agent ; ZD 7288
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The inhibition of the pacemaker current (i f) in sheep cardiac Purkinje fibres by ZD 7288 [4-(N-ethyl-N-phenylamino)-1,2-dimethyl-6-(methylamino)pyrimidinium chloride] is lost use-dependently. This disinhibition of i f was investigated by using the two-microelectrode voltage-clamp technique. The pulse protocol consisted of a rest period (holding potential of about -50 mV, 1–10 μmol/l ZD 7288) followed by a train of test pulses (potential negative to -100 mV, stimulation frequency 0.05 Hz). At the beginning of the first test pulse there was an immediate reduction of i f but inhibition was lost during continued stimulation. Activation of i f is sigmoidal and the early delay in current activation was prolonged from 33 ms (no ZD 7288) to 424 ms (10 μmol/l ZD 7288). Therefore hardly any disinhibition occurred during short test pulses (0.5 s). During longer test pulses (5 s, -120 mV, 10 μmol/l) disinhibition developed with a time constant of about 2 s. The inhibition of i f by ZD 7288 was lost voltage-dependently. With 10 μmol/l ZD 7288 the half-maximal disinhibition occurred at -92 mV and the slope factor of the disinhibition/voltage curve (Boltzmann relation) was 4.8 mV. The voltage-dependent disinhibition could be abolished largely by extracellular application of protease (0.5 mg/ml, 7 min). After prior disinhibition, reinhibition at the holding potential (about -50 mV) followed a bi-exponential time course indicating that inhibition may be produced by a fast (τ=0.7 min) and a slow component (τ=20–30 min). Increasing ZD 7288 concentration from 1 to 10 μmol/l accelerated reinhibition, mainly by an increase of the amplitude (A) of the fast component. The ratio A fast/A sIow was 0.399 at 1 μmol/l and 2.65 at 10 μmol/1 ZD 7288. The reinhibition of i f was unchanged by shifting the holding potential from -50 mV to -20 mV Trials to wash out the effects of 10 μmol/l ZD 7288 gave two results. The inhibition of i f was slightly reversed after a wash-out of 1.5 h with drug-free solution. A second effect of the drug, the fast reinhibition, could be completely removed by washout. In summary i f is inhibited by ZD 7288 at membrane potentials at which the virtual i f gate is closed. Disinhibition occurs during long-lasting hyperpolarization but will hardly be operative in unclamped fibres under physiological conditions.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00168917
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  • 2
    Electronic Resource
    Electronic Resource
    Effects of the bradycardic agent ZD 7288 on membrane voltage and pacemaker current in sheep cardiac Purkinje fibres (1994)
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 350 (1994), S. 677-684 
    Details
    ISSN: 1432-1912
    Keywords: Sheep cardiac Purkinje fibre ; Pacemaker current ; Action potential ; Bradycardic agent ; ZD 7288
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The bradycardic mechanism of ZD 7288 (4-(N-ethyl-N-phenylamino)-1,2-dimethyl-6-(methylamino)pyrimidinium chloride) was investigated in sheep cardiac Purkinje fibres. The pacemaker if-current measured with the two-microelectrode voltage-clamp technique, as well as the diastolic depolarization rate and the frequency of spontaneously active fibres were evaluated. ZD 7288 did inhibit if-current. The if-amplitude recorded with a 0.8s-lasting test pulse from about −50 mV to −100 mV was reduced to 50% of control at 0.85 μmol/l and to 5% of control at 10 μmol/l. The threshold potential of if-activation was unaffected at a concentration of 1 μmol/l ZD 7288. The time constant of if-activation at different test potentials was not changed by 1 μmol/l ZD 7288. The drug was equally effective during if-activation with a 0.5 s-lasting test pulse applied at 0.05 Hz or 0.5 Hz. During long lasting (5 s) hyperpolarizing test pulses (−120 mV) the inhibition of if-current was removed. In constantly stimulated Purkinje fibres (0.5 Hz) the slope of the early diastolic depolarization was decreased by ZD 7288. The half-maximal effect occurred at 0.92 μmol/l. There was strong correlation over the concentration range of 0.01 to 10 μmol/l ZD 7288 between the decrease of the slope of early diastolic depolarization and inhibition of if-amplitude recorded with 0.8s-lasting test pulses to −100 mV. The correlation coefficient was r = 0.97. These results will explain the decrease in frequency of spontaneously active (about 0.6 Hz) Purkinje fibres. At 0.3 μmol/l ZD 7288 spontaneous activity had stopped in 8 of 11 preparations. Complete recovery of drug-induced effects on the frequency was gained after 3 h of wash-out with drug-free solution.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00169374
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  • 3
    Electronic Resource
    Electronic Resource
    Multifokale atriale Tachykardie im Kindesalter Darstellung zweier Fallbeispiele und Übersicht über die Literatur (1999)
    Springer
    Monatsschrift Kinderheilkunde 147 (1999), S. 1074-1080 
    Details
    ISSN: 1433-0474
    Keywords: Schlüsselwörter Multifokale atriale Tachykardie (MAT) ; Chaotische Vorhoftachykardie ; Antiarrhythmische Therapie ; Säugling ; Angeborene Herzfehler ; Key words Multifocal atrial tachycardia (MAT) ; Chaotic atrial rhythm ; Antiarrhythmic therapy ; Infancy ; Congenital heart defects
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Definition: Multifocal atrial tachycardia (MAT) (also called chaotic atrial rhythm or mechanism) is a rare rhythm disturbance in infancy and childhood. It usually occurs as a sequela of chronic obstructive lung disease in adults with an incidence of about 0,5% and a high mortality rate. In infancy, the incidence has been estimated to be about 0,2%, mainly found in young infants. Diagnosis: It is characterized by an atrial frequency greater than 100 per minute, 3 or more different p-wave contours, variable PP, RR and PR-intervals, and a discrete isoelectric baseline. The origin of the arrhythmia remains unclear but atrial distension may play a significant role. Discussion: We report on the clinical course and management of two patients and also review the relevant literature.
    Notes: Zusammenfassung Definition: Die multifokale atriale Tachykardie (MAT) bzw. chaotische atriale Tachykardie oder chaotische Vorhoftachykardie ist im Kindesalter selten. Im Erwachsenenalter ist sie vorwiegend bei Patienten mit akuten oder chronischen Lungenerkrankungen beschrieben und mit einer hohen Letalität behaftet. Im Gegensatz zum Auftreten im Erwachsenenalter besitzt die MAT im Kindesalter durchweg eine gute Prognose. Diagnose: Elektrokardiographisch ist die MAT durch mindestens 3 unterschiedlich konfigurierte P-Wellen charakterisiert, die nicht der elektrischen Sinusachse entsprechen. Es besteht eine isoelektrische Linie zwischen den P-Wellen, die Vorhoffrequenz beträgt normalerweise mehr als 100 Schläge/min mit variablen P-P-, P-R- und R-R-Intervallen. Die Genese dieser Tachyarrhythmie ist unklar, eine Vorhofbelastung als Auslöser ist jedoch wahrscheinlich. Diskussion: Die möglichen Ursachen und Therapiestrategien bei chaotischer Vorhoftachykardie werden anhand zweier Kasuistiken diskutiert und eine Übersicht über die vorliegende Literatur gegeben.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001120050541
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