Why the study?
To evaluate the sensitivity of the inhalation anesthetics isoflurane and sevoflurane for drug-induced QT-interval prolongation compared with halothane or ketamine/xylazine in guinea pigs.
Do isoflurane and sevoflurane sensitize the heart to sparfloxacin-induced QT-interval prolongation in guinea pigs compared to other anesthetics?
Do isoflurane and sevoflurane sensitize the heart to sparfloxacin-induced QT-interval prolongation in guinea pigs compared to other anesthetics?
Isoflurane and sevoflurane sensitize the heart to drug-induced QT interval prolongation in guinea pigs, similar to halothane and greater than ketamine/xylazine.
Anesthetic choice may modulate sparfloxacin QT effects in guinea pigs; leaves open clinical translation to humans.
We investigated effects of isoflurane and sevoflurane on sparfloxacin-induced QT-interval prolongation in guinea pigs under the monitoring of electrocardiogram and monophasic action potential (MAP), which was compared with those of halothane or non-inhaled anesthetics ketamine/xylazine. Intravenous administration of sparfloxacin at 3 and 10 mg/kg prolonged the QT interval and MAP duration together with bradycardic action under 4 different anesthetic conditions. The order of extent of prolongation of corrected QT interval after the administration of sparfloxacin was isoflurane ≈ sevoflurane ≈ halothane >> ketamine/xylazine, whereas that of the MAP90 at a pacing cycle length of 300 ms was halothane ≥ isoflurane ≈ sevoflurane >> ketamine/xylazine. These results suggest that isoflurane and sevoflurane as well as halothane could sensitize the heart to sparfloxacin-induced QT interval prolongation in guinea pigs.
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Nagasawa et al. (2020) studied this question.
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