Why the study?
Metabolic syndrome is associated with hypercholesterolemia, cardiac remodeling, and increased ventricular arrhythmia susceptibility, but the effects of diet-induced hypercholesterolemia on torsades de pointes (TdP) risk were unknown.
Does age or hypercholesterolemia affect the susceptibility to TdP arrhythmias in a methoxamine-sensitized rabbit model?
Does age or hypercholesterolemia affect the susceptibility to TdP arrhythmias in a methoxamine-sensitized rabbit model?
In a methoxamine-sensitized rabbit model, susceptibility to TdP arrhythmia decreases with age but is not significantly altered by diet-induced hypercholesterolemia.
Findings in this rabbit model should not yet change practice; leaves open whether hypercholesterolemia promotes TdP in humans.
Metabolic syndrome is associated with hypercholesterolemia, cardiac remodeling, and increased susceptibility to ventricular arrhythmias. Effects of diet-induced hypercholesterolemia on susceptibility to torsades de pointes arrhythmias (TdP) together with potential indicators of arrhythmic risk were investigated in three experimental groups of Carlsson’s rabbit model: (1) young rabbits (YC, young control, age 12–16 weeks), older rabbits (AC, adult control, age 20–24 weeks), and older age-matched cholesterol-fed rabbits (CH, cholesterol, age 20–24 weeks). TdP was induced by α-adrenergic stimulation by methoxamine and I Kr block in 83% of YC rabbits, 18% of AC rabbits, and 21% of CH rabbits. High incidence of TdP was associated with high incidence of single (SEB) and multiple ectopic beats (MEB), but the QTc prolongation and short-term variability (STV) were similar in all three groups. In TdP-susceptible rabbits, STV was significantly higher compared with arrhythmia-free rabbits but not with rabbits with other than TdP arrhythmias (SEB, MEB). Amplitude-aware permutation entropy analysis of baseline ECG could identify arrhythmia-resistant animals with high sensitivity and specificity. The data indicate that the TdP susceptibility in methoxamine-sensitized rabbits is affected by the age of rabbits but probably not by hypercholesterolemia. Entropy analysis could potentially stratify the arrhythmic risk and identify the low-risk individuals.
No takes yet. Share an insight, caveat, or question.
Nalos et al. (2021) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: