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August 1, 1989Circulation

Frequency-dependent effects of diltiazem on the atrioventricular node during experimental atrial fibrillation.

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Key result

In anesthetized dogs, diltiazem produced frequency-dependent increases in the AV node functional refractory period, with maximal increases of up to 154% during atrial fibrillation.

Why the study?

Does diltiazem affect the atrioventricular node in a frequency-dependent manner during experimental atrial fibrillation in anesthetized dogs?

Population

Anesthetized dogs with electrically induced atrial fibrillation

Comparison

Diltiazem (evaluated at doses 1, 2, and 3) vs Control

Design

Preclinical

Authors

MTMario TalajicElectrophysiologyMNMohsen NayebpourTehran University of Medical SciencesWJWenyao JingFirst Affiliated Hospital of GuangXi Medical University

Discussion

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Implication

Diltiazem's frequency-dependent AV nodal effects may explain rate control in AF; leaves open translation from anesthetized dogs to humans.

Structured PICO

Does diltiazem affect the atrioventricular node in a frequency-dependent manner during experimental atrial fibrillation in anesthetized dogs?

P
Population
Anesthetized dogs undergoing evaluation of the ventricular response to electrically induced atrial fibrillation.
I
Intervention
Diltiazem (evaluated at doses 1, 2, and 3)
C
Comparator
Control (baseline prior to diltiazem administration)
O
Outcome
Determinants of the ventricular response to atrial fibrillation (concealed AV nodal conduction and AV node functional refractory period [AVFRP])surrogate

Diltiazem exhibits frequency-dependent effects on the AV node, which may account for its therapeutic efficacy in controlling ventricular rate during atrial fibrillation.

Cite This Study

Talajic et al. (1989) studied Atrial fibrillation. Diltiazem vs. Control was evaluated on Atrioventricular node functional refractory period (AVFRP). In anesthetized dogs, diltiazem produced frequency-dependent increases in the AV node functional refractory period, with maximal increases of up to 154% during atrial fibrillation.

synapsesocial.com/papers/6a21c3f03f99faaa70eca97ahttps://doi.org/10.1161/01.cir.80.2.380

Topics

Atrial fibrillationPersistent AF management
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