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April 1, 1990The FASEB Journal

Effect of carbachol and cyclic GMP on susceptibility to ventricular fibrillation

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Why the study?

Do cholinergic agonists and cyclic GMP prevent ventricular fibrillation in dogs with healed myocardial infarctions during exercise-induced ischemia?

Population

17 mongrel dogs with healed myocardial infarctions subjected to a 2-min coronary occlusion during exercise

Comparison

Carbachol, 8-bromo cyclic GMP, or dibutyryl… vs Control state

Design

Preclinical

Key result

Carbachol prevented ventricular fibrillation in 78.6% of susceptible dogs during exercise and ischemia, and cyclic GMP analogs showed similar protective effects independent of heart rate.

Authors

GBGeorge E. Billman

Discussion

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Member takes

Overview

May support cholinergic/cGMP pathways for VF prevention in post-MI models; leaves open human translation.

Structured PICO

Do cholinergic agonists and cyclic GMP prevent ventricular fibrillation in dogs with healed myocardial infarctions during exercise-induced ischemia?

P
Population
17 mongrel dogs with healed myocardial infarctions subjected to exercise and ischemia to induce ventricular fibrillation.
I
Intervention
Carbachol (20 micrograms/kg, i.v.), 8-bromo cyclic GMP (100-150 micrograms.kg-1.min-1, i.v.), or dibutyryl cyclic GMP
C
Comparator
Control state (VF induced on a previous day without intervention)
O
Outcome
Prevention of ventricular fibrillation (VF)hard clinical

Main Result

Absolute Event Rate: 78.6% vs 0%

Cholinergic agonists and cyclic GMP can prevent ventricular fibrillation in susceptible animals independently of heart rate changes.

Cite This Study

George E. Billman (1990) studied Susceptibility to ventricular fibrillation (n=17). Carbachol and cyclic GMP vs. Baseline/Control (no drug) was evaluated on Prevention of ventricular fibrillation. Carbachol prevented ventricular fibrillation in 78.6% of susceptible dogs during exercise and ischemia, and cyclic GMP analogs showed similar protective effects independent of heart rate.

synapsesocial.com/papers/6a1f61dafe2692e41a2ac699https://doi.org/10.1096/fasebj.4.6.2156744
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