Cardiac sympathetic innervation in patients with idiopathic right ventricular outflow tract tachycardia
| Autor: | Christopher G. Rhodes, Martin Borggrefe, Hartmut Lerch, Adriaan A. Lammertsma, Flemming Hermansen, Thomas Wichter, Otmar Schober, Michael Schäfers, Günter Breithardt, Paolo G. Camici |
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| Přispěvatelé: | Schafers, M, Lerch, H, Wichter, T, Rhodes, Cg, Lammertsma, Aa, Borggrefe, M, Hermansen, F, Schober, O, Breithardt, G, Camici, Paolo |
| Rok vydání: | 1998 |
| Předmět: |
Adult
Male Sympathetic nervous system Sympathetic Nervous System Bundle-Branch Block Down-Regulation Ventricular tachycardia Reuptake Electrocardiography Norepinephrine Coronary circulation Coronary Circulation Receptors Adrenergic beta medicine Humans Arrhythmogenic Right Ventricular Dysplasia medicine.diagnostic_test business.industry Heart Middle Aged medicine.disease Arrhythmogenic right ventricular dysplasia medicine.anatomical_structure Anesthesia Exercise Test Catecholamine Female Cardiology and Cardiovascular Medicine business Tomography Emission-Computed medicine.drug |
| Zdroj: | Journal of the American College of Cardiology. 32:181-186 |
| ISSN: | 0735-1097 |
| DOI: | 10.1016/s0735-1097(98)00213-7 |
| Popis: | Objectives. This study investigated the neuronal reuptake of norepinephrine (uptake-1) and the beta-adrenoceptor density in patients,vith idiopathic right ventricular outflow tract tachycardia (RVO-VT). Background. Clinical findings, such as the inducibility of ventricular tachycardia by stress or catecholamine infusion, and the therapeutic efficacy of antiarrhythmic drugs with antiadrenergic properties suggest abnormalities of cardiac sympathetic innervation in patients,vith idiopathic RVO-VT. Methods. Eight patients with idiopathic RVO-VT and a total of 29 age-matched control subjects were investigated by positron emission tomography using [C-11] hydroxyephedrine (HED) (volume of distribution of [C-11]HED) to assess presynaptic norepinephrine reuptake; [C-11] CGP 12177 (maximal binding capacity of [C-11]CGP 12177) to measure postsynaptic beta-adrenoceptor density; and oxygen-15-labeled water for quantification of myocardial blood flow (MBF). Results. Both myocardial catecholamine reuptake and beta adrenoceptor density were significantly reduced in patients with idiopathic RVO-VT. The volume of distribution of [C-11]HED in patients with RVO-VT was (mean +/- SD) 41.0 +/- 13.5 versus 71.0 +/- 18.8 ml/g in control subjects (p < 0.002). The maximal binding capacity of the beta-adrenoceptor antagonist [C-11] CGP 12177 was 6.8 +/- 1.2 pmol/g in patients with RVO-VT versus 10.2 +/- 2.9 pmol/g in control subjects (p < 0.004). There were no significant differences in MBF at rest (0.98 +/- 0.14 vs. 0.97 +/- 0.24 ml/min per g, p = NS) between patients with RVO-VT and control subjects. Conclusions. The findings of the present study suggest that myocardial beta-adrenoceptor downregulation in patients with RVO-VT occurs subsequently to increased local synaptic catecholamine levels caused by impaired catecholamine reuptake. |
| Databáze: | OpenAIRE |
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