Elevation of ventricular defibrillation threshold in dogs by antiarrhythmic drugs

Autor: S J Whistler, Leslie A. Geddes, Willis A. Tacker, Charles F. Babbs, Gkw Yim
Rok vydání: 1979
Předmět:
Zdroj: Weldon School of Biomedical Engineering Faculty Publications
ISSN: 0002-8703
DOI: 10.1016/0002-8703(79)90047-4
Popis: Effects of antiarrhythmic drugs upon the threshold delivered energy (TDE) and threshold peak current (TPC) for electrical ventricular defibrillation by damped sinusoidal shocks were investigated in 25 pentobarbital-anesthetized dogs. TDE and TPC were increased by the three antiarrhythmic drugs tested. Bolus injections produced a transient rise, and continuous infusions produced a steady rise in defibrillation threshold. The maximal percent elevations in mean defibrillation threshold during the 60 minutes after intravenous drug treatment in groups of n = 5 dogs were: Treatment % increase in TDE % increase in TPC Lidocaine bolus (3 mg/kg) 48 26 Lidocaine (0.5 mg/Kg/min) 99 45 Quinidine bolus (50 mg/Kg) 172 70 Diphenylhydantoin (1 mg/Kg/min) 83 35 Controls 1 4 Accordingly, individuals receiving antiarrhythmic drugs whose hearts nonetheless fibrillate may require greater electric shock strength for defibrillation.
Databáze: OpenAIRE