Role of sodium addition to nonionic contrast medium in preventing ventricular fibrillation during coronary arteriography in dogs

Academic Radiology
E A JacobsenH Refsum

Abstract

We studied the effect of the addition of sodium to nonionic contrast medium (CM) on the incidence of ventricular fibrillation (VF) during coronary arteriography in dogs. We infused 20 ml (0.5 ml/sec) of iohexol, iohexol plus 30 mmol of Na+ per liter, and NaCl-Ringer's acetate in randomized order through a wedged catheter placed in the right coronary artery (RCA) or in the left anterior descending coronary artery (LAD) in 12 anesthetized dogs. In addition to electrocardiographic and hemodynamic measurements, epicardial monophasic action potential durations and ventricular activation times were recorded during infusions into the LAD. All infusions with iohexol into the RCA and the LAD (n = 16) caused VF. Seven of 19 infusions with iohexol plus 30 mmol of Na+ per liter caused VF. Infusions with iohexol plus 30 mmol of Na+ per liter that did not cause VF lengthened monophasic action potential durations and increased ventricular activation times more in the CM-perfused area than in the control area. The addition of sodium to iohexol reduces the incidence of VF when infused through a wedged catheter. The protective mechanisms may be attributable to a lengthened repolarization phase and an increased activation time in the CM-perfused ...Continue Reading

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Citations

Jan 1, 1995·Acta Radiologica. Supplementum·N E KlowH Refsum
Jan 1, 1995·Acta Radiologica. Supplementum·E A JacobsenH Refsum
Jan 1, 1995·Acta Radiologica. Supplementum·P JyngeA N Oksendal

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