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May 17, 2008AJP Heart and Circulatory PhysiologyOpen Access

Intracellular calcium dynamics at the core of endocardial stationary spiral waves in Langendorff-perfused rabbit hearts

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Key result

In Langendorff-perfused rabbit hearts, the spiral core of sustained monomorphic ventricular tachycardia is characterized by diminished V(m) and Ca(i) amplitudes (P<0.001) and persistent elevations.

Population

Langendorff-perfused rabbit hearts (n = 12)

Comparison

BAPTA-AM (a calcium chelator) vs Control (no BAPTA-AM)

Design

Preclinical

Authors

LTLiang TangGuangxi UniversityGHGyo‐Seung HwangUlsan CollegeHHHideki HayashiElectrophysiology

Discussion

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Implication

Suggests calcium-targeted modulation in experimental VT; extends rabbit models but leaves open human translation.

Structured PICO

P
Population
12 Langendorff-perfused rabbit hearts used to study intracellular calcium dynamics during induced sustained monomorphic ventricular tachycardia.
I
Intervention
BAPTA-AM (a calcium chelator)
C
Comparator
Control (no BAPTA-AM)
O
Outcome
Transmembrane potential (V(m)) and intracellular calcium (Ca(i)) dynamics, and incidence of sustained monomorphic ventricular tachycardia (MVT)surrogate

Main Result

p-value: p=<0.001

Endocardial spiral waves anchoring to anatomic discontinuities cause stable MVT in normal rabbit ventricles, supported by persistent V(m) and Ca(i) elevations at the core that can be prevented by calcium chelation.

Cite This Study

Tang et al. (2008) studied Sustained monomorphic ventricular tachycardia (n=12). BAPTA-AM (calcium chelator) vs. Control was evaluated on Maximal V(m) and Ca(i) amplitudes at the spiral core relative to control (p=<0.001). In Langendorff-perfused rabbit hearts, the spiral core of sustained monomorphic ventricular tachycardia is characterized by diminished V(m) and Ca(i) amplitudes (P<0.001) and persistent elevations.

synapsesocial.com/papers/6a749d806a5eb4b8f50918fahttps://doi.org/10.1152/ajpheart.00137.2008

Topics

Ventricular arrhythmias
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