The anaesthetized rabbit with acute atrioventricular block provides a new model for detecting drug-induced Torsade de Pointes

患有急性房室传导阻滞的麻醉兔为检测药物引起的尖端扭转型室性心动过速提供了新模型

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作者:Mihoko Hagiwara, Seiji Shibuta, Kazuhiro Takada, Ryuichi Kambayashi, Misako Nakajo, Megumi Aimoto, Yoshinobu Nagasawa, Akira Takahara

Background and purpose

Several rabbit proarrhythmia models have been developed using genetic or pharmacological

Purpose

Several rabbit proarrhythmia models have been developed using genetic or pharmacological

Results

In our model, TdP arrhythmias appeared with high reproducibility after i.v. dofetilide (10-100 μg·kg-1 ) in five out of six rabbits, sparfloxacin (30 mg·kg-1 ) in three out of six rabbits and haloperidol (0.3-3 mg·kg-1 ) in two out of six rabbits. The lethal arrhythmias repeatedly appeared and were accompanied with prolongation of the QT interval and early afterdepolarization-like phenomena. Neither amiodarone (0.3-10 mg·kg-1 , n = 6) nor moxifloxacin (3-30 mg·kg-1 , n = 6) induced such arrhythmias, even when QT intervals were prolonged. Conclusions and implications: These results suggest that our model of the unremodelled and bradycardic heart of the anaesthetized rabbit is a useful test system for the detection of drug-induced TdP arrhythmias.

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