Effect of cold isotonic glucose infusion on A-V nodal conduction

J Electrocardiol. 1976;9(1):23-8. doi: 10.1016/s0022-0736(76)80005-2.

Abstract

His bundle electrograms were performed in eight patients with organic heart disease. Recordings were made at various rates utilizing right atrial pacing. A solution of 100 cc of iced cold 5% glucose and water was infused through a cardiac catheter placed at the level of the tricuspid valve. The P-A, A-H, H-Q and H-S intervals were determined before and immediately after the cold water infusion. A significant prolongation of the A-H interval occurred with negligible effects on the P-A, H-Q and H-S intervals. At the atrial pacing rate of 100/min the average A-H interval increased from the control value of 116 to 125 msec after the infusion (P less than 0.02); at the pacing rate of 140/min, the A-H interval increased from 147 to 158 msec (P less than 0.01). This represents an impairment in conduction through the atrioventricular node.

MeSH terms

  • Action Potentials
  • Adolescent
  • Adult
  • Aged
  • Atrioventricular Node / drug effects*
  • Atrioventricular Node / physiopathology
  • Bundle of His / physiopathology
  • Cardiac Catheterization / methods
  • Electrocardiography
  • Female
  • Glucose / administration & dosage
  • Glucose / pharmacology*
  • Heart Conduction System / drug effects*
  • Heart Diseases / physiopathology
  • Humans
  • Hypothermia, Induced / adverse effects*
  • Isotonic Solutions
  • Male
  • Middle Aged
  • Neural Conduction / drug effects
  • Pacemaker, Artificial
  • Sinoatrial Node / physiopathology

Substances

  • Isotonic Solutions
  • Glucose