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August 31, 2017Pacing and Clinical Electrophysiology

Normal 123I‐MIBG uptake areas may be associated with hyperinnervation and arrhythmia risk in phenol model rabbit hearts

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Key result

In a rabbit model, phenol-induced denervation led to hyperinnervation in regions with seemingly normal 123I-MIBG uptake, contributing to increased ARI dispersion and VT/VF inducibility.

Why the study?

Does 123I-MIBG imaging identify hyperinnervation and correlate with arrhythmogenesis in a phenol-induced denervated rabbit heart model?

Population

20 New Zealand white rabbits treated with phenol or sham

Comparison

Phenol application to induce denervation… vs Sham treatment

Design

Preclinical

Follow-up

4 weeks

Authors

MAMari AminoElectrophysiologyKYKoichiro YoshiokaTokai UniversitySTSachie TanakaShinshu University

Discussion

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Member takes

Implication

May flag arrhythmogenic hyperinnervation in denervated hearts; leaves open whether MIBG mapping refines risk stratification.

Structured PICO

Does 123I-MIBG imaging identify hyperinnervation and correlate with arrhythmogenesis in a phenol-induced denervated rabbit heart model?

P
Population
20 New Zealand white rabbits treated with phenol or sham to study sympathetic innervation and arrhythmogenesis.
I
Intervention
Phenol application to induce denervation, followed by 123I-MIBG imaging, autoradiography, immunostaining, and electrophysiological study
C
Comparator
Sham treatment
O
Outcome
Sympathetic innervation quantified by autoradiography and immunostaining, and electrophysiological parameters (activation recovery interval dispersion, VT/VF inducibility)surrogate

In a rabbit model, regions with seemingly normal 123I-MIBG uptake in denervated hearts exhibit hyperinnervation and contribute to electrical instability and arrhythmia risk.

Cite This Study

Amino et al. (2017) studied Denervated heart and arrhythmia risk (n=20). Phenol application vs. Sham was evaluated on Sympathetic innervation and electrophysiological instability (ARI dispersion, VT/VF inducibility). In a rabbit model, phenol-induced denervation led to hyperinnervation in regions with seemingly normal 123I-MIBG uptake, contributing to increased ARI dispersion and VT/VF inducibility.

synapsesocial.com/papers/6a6c92e531a3df824326be8fhttps://doi.org/10.1111/pace.13174
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Scintigraphic and electrophysiological evidence of canine myocardial sympathetic denervation and reinnervation produced by myocardial infarction or phenol application.1988 · 170 citations
  2. 2Results of sympathetic denervation in the canine heart: supersensitivity that may be arrhythmogenic.1987 · 264 citations
  3. 3Time course of denervation of efferent sympathetic and vagal nerves after occlusion of the coronary artery in the canine heart.1988 · 126 citations
  4. 4123 I- m IBG Scintigraphy to Predict Inducibility of Ventricular Arrhythmias on Cardiac Electrophysiology Testing2008 · 174 citations
  5. 5Iodine-123 Metaiodobenzylguanidine Imaging and Carbon-11 Hydroxyephedrine Positron Emission Tomography Compared in Patients With Left Ventricular Dysfunction2010 · 81 citations