Why the study?
Does ketamine anaesthesia reduce the incidence of early ventricular arrhythmias during acute myocardial ischaemia in rats compared to other anaesthetics?
Does ketamine anaesthesia reduce the incidence of early ventricular arrhythmias during acute myocardial ischaemia in rats compared to other anaesthetics?
The choice of anaesthetic agent, specifically ketamine, significantly reduces the incidence of early ventricular arrhythmias in rat models of acute myocardial ischaemia.
Does not inform anaesthetic selection in human acute ischaemia; leaves open translation of antiarrhythmic effects from rat models.
The cardiovascular responses of rats anaesthetised with different anaesthetic agents to acute coronary artery ligation were studied. Before thoracotomy, urethane-anaesthetised animals exhibited significantly lower blood pressures. Ligation of the left coronary artery induced a high incidence of ventricular tachycardia or fibrillation in rats anaesthetised with pentobarbitone, urethane, or ether inhalation followed by chloralose. Ketamine-anaesthetised animals had a significantly lower incidence of ventricular arrhythmias. The mortality rate was also lower, though not statistically significant. However, all groups of rats showed essentially similar blood pressure and heart rate changes following coronary artery ligation as well as the time of onset of ventricular tachycardia or fibrillation. The findings demonstrate the influence of anaesthetics on the occurrence of early ventricular arrhythmias following acute coronary artery ligation in rats.
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S. Dai (1989) studied this question.
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