Class III actions in an experimental model of ventricular tachycardia

Eur Heart J. 1993 Nov:14 Suppl H:50-5. doi: 10.1093/eurheartj/14.suppl_h.50.

Abstract

Simplified models of re-entry may help in our understanding of the electrophysiologic effects of class III drugs. In a model of re-entrant ventricular tachycardia around a ring of epicardium in Langendorff-perfused rabbit hearts, the electrophysiologic effects of class III antiarrhythmic drugs were studied and compared to those of class I drugs. Class III drugs were effective in terminating fast re-entrant ventricular tachycardias. Prolongation of the refractory period without affecting conduction velocity resulted in a closure of the excitable gap and collision of the head of the propagating impulse against its own tail of refractoriness. In slow ventricular tachycardias, despite a similar increase in refractory period, the excitable gap remained large enough to allow perpetuation of the tachycardia.

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Anti-Arrhythmia Agents / pharmacology*
  • Chromans*
  • Dose-Response Relationship, Drug
  • Female
  • Heart Conduction System / drug effects*
  • Male
  • Perfusion
  • Piperidines*
  • Rabbits
  • Tachycardia, Ventricular / drug therapy*

Substances

  • Anti-Arrhythmia Agents
  • Chromans
  • Piperidines
  • terikalant