PMID: 7515989Mar 1, 1994Paper

Effects of intracoronary glyburide on cesium-induced arrhythmias in anesthetized dogs

Journal of Cardiovascular Pharmacology
A J D'AlonzoJ C Sewter

Abstract

Intracellular calcium plays an essential role in regulation of many cellular processes, but increases in internal calcium levels can also exacerbate pathophysiologic or pharmacologic responses, in particular myocardial arrhythmias. Pharmacologic increases in intracellular calcium may be obtained by opening calcium channels, either directly or indirectly, or by increasing calcium release from intracellular stores. In this study, cesium chloride administered intracoronarily (i.c.) through the left anterior descending coronary artery (LAD) dose-dependently elicited ventricular arrhythmias. Glyburide (3 micrograms/kg/min i.c.), clofilium (1 micrograms/kg/min i.c.) or ryanodine (0.03 micrograms/kg/min i.c.) exacerbated arrhythmias. Specifically, the ED50 values for cesium were shifted from 0.56 mM in the vehicle group to 0.17, 0.27, and 0.20 mM in the glyburide, clofilium, and ryanodine groups, respectively. Coronary blood flow (CBF) and blood pressure (BP) did not change significantly in any treatment group. Effects of glyburide were not mediated by either insulin or decreased glucose levels, since infusions of insulin (decreasing blood glucose to 20 mg/dl) did not exacerbate arrhythmias. In vitro electrophysiologic studies showed ...Continue Reading

Citations

Mar 9, 2002·Pharmacological Research : the Official Journal of the Italian Pharmacological Society·Aziz YazarHandan çamdeviren
Mar 1, 1995·Journal of Cardiovascular Electrophysiology·S C VerduynH J Wellens

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