Effect of verapamil on long-term tachycardia-induced atrial electrical remodeling

The effect of verapamil on long-term tachycardia-induced atrial electrical remodeling has not been reported. Forty-eight dogs were randomly divided into verapamil and control groups. The dogs in the verapamil group received verapamil 120 mg every day, those in the control group did not receive verap...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 2000-01, Vol.101 (2), p.200-206
Hauptverfasser: LEE, S.-H, YU, W.-C, CHENG, J.-J, HUNG, C.-R, DING, Y.-A, CHANG, M.-S, CHEN, S.-A
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container_issue 2
container_start_page 200
container_title Circulation (New York, N.Y.)
container_volume 101
creator LEE, S.-H
YU, W.-C
CHENG, J.-J
HUNG, C.-R
DING, Y.-A
CHANG, M.-S
CHEN, S.-A
description The effect of verapamil on long-term tachycardia-induced atrial electrical remodeling has not been reported. Forty-eight dogs were randomly divided into verapamil and control groups. The dogs in the verapamil group received verapamil 120 mg every day, those in the control group did not receive verapamil. Atrial effective refractory period (AERP), inducibility of atrial fibrillation (AF), and duration of AF were assessed before and after complete atrioventricular junction ablation with 1-day, 1-week, or 6-week rapid atrial pacing (780 bpm). AERP shortening, AERP dispersion, AERP maladaptation, and inducibility of AF after 1-day pacing was significantly attenuated by verapamil. However, verapamil did not have any significant effect on these parameters in the dogs with 1-week or 6-week pacing. Verapamil did not have any significant effect on the conduction velocity in the dogs with 1-day, 1-week, or 6-week pacing. Before rapid atrial pacing, verapamil significantly prolonged the duration of AF. In the dogs with 1-day pacing, the duration of AF measured immediately after termination of pacing was similar between the control and verapamil groups. However, in the dogs with 1-week or 6-week pacing, the duration of AF after pacing was significantly longer in the verapamil group. Verapamil cannot prevent long-term (1 and 6 weeks, respectively) tachycardia-induced changes of atrial electrophysiological properties. Furthermore, verapamil increases the duration of AF in the dogs either before or after long-term rapid atrial pacing.
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In the dogs with 1-day pacing, the duration of AF measured immediately after termination of pacing was similar between the control and verapamil groups. However, in the dogs with 1-week or 6-week pacing, the duration of AF after pacing was significantly longer in the verapamil group. Verapamil cannot prevent long-term (1 and 6 weeks, respectively) tachycardia-induced changes of atrial electrophysiological properties. 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Vascular system</topic><topic>Chronic Disease</topic><topic>Dogs</topic><topic>Electrophysiology</topic><topic>Female</topic><topic>Heart</topic><topic>Heart Conduction System - physiopathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Neural Conduction</topic><topic>Refractory Period, Electrophysiological</topic><topic>Tachycardia - physiopathology</topic><topic>Time Factors</topic><topic>Verapamil - pharmacology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>LEE, S.-H</creatorcontrib><creatorcontrib>YU, W.-C</creatorcontrib><creatorcontrib>CHENG, J.-J</creatorcontrib><creatorcontrib>HUNG, C.-R</creatorcontrib><creatorcontrib>DING, Y.-A</creatorcontrib><creatorcontrib>CHANG, M.-S</creatorcontrib><creatorcontrib>CHEN, S.-A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>LEE, S.-H</au><au>YU, W.-C</au><au>CHENG, J.-J</au><au>HUNG, C.-R</au><au>DING, Y.-A</au><au>CHANG, M.-S</au><au>CHEN, S.-A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of verapamil on long-term tachycardia-induced atrial electrical remodeling</atitle><jtitle>Circulation (New York, N.Y.)</jtitle><addtitle>Circulation</addtitle><date>2000-01-18</date><risdate>2000</risdate><volume>101</volume><issue>2</issue><spage>200</spage><epage>206</epage><pages>200-206</pages><issn>0009-7322</issn><eissn>1524-4539</eissn><coden>CIRCAZ</coden><abstract>The effect of verapamil on long-term tachycardia-induced atrial electrical remodeling has not been reported. 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subjects Adaptation, Physiological
Animals
Atrial Function
Biological and medical sciences
Calcium Channel Blockers - pharmacology
Cardiac dysrhythmias
Cardiac Pacing, Artificial
Cardiology. Vascular system
Chronic Disease
Dogs
Electrophysiology
Female
Heart
Heart Conduction System - physiopathology
Male
Medical sciences
Neural Conduction
Refractory Period, Electrophysiological
Tachycardia - physiopathology
Time Factors
Verapamil - pharmacology
title Effect of verapamil on long-term tachycardia-induced atrial electrical remodeling
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