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January 1, 1968Japanese Circulation Journal-english EditionOpen Access

Ventricular Fibrillation Threshold (VFRT) in Experimental Coronary Occlusion : Comparative Studies on the Effect of G-I-K Solution and Some New Antiarrhythmic Agents

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Key result

Application of G-I-K solution, Xylocaine, and Dilantin significantly elevated the ventricular fibrillation threshold, which had fallen to 30% of control levels following experimental coronary ligation.

Why the study?

Does administration of G-I-K solution, lidocaine, or phenytoin improve the ventricular fibrillation threshold in a canine model of acute myocardial infarction?

Population

81 dogs with experimental acute myocardial infarction induced by occlusion of the anterior descending branch…

Comparison

G-I-K solution, lidocaine, and phenytoin vs Control

Design

Preclinical

Authors

YSYukio ShinoharaThe University of Tokyo

Discussion

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Implication

May support VF protection in acute ischemia models; hypothesis-generating and should not yet change practice.

Structured PICO

Does administration of G-I-K solution, lidocaine, or phenytoin improve the ventricular fibrillation threshold in a canine model of acute myocardial infarction?

P
Population
81 dogs with experimental occlusion of the anterior descending branch of the left coronary artery.
I
Intervention
G-I-K solution, lidocaine, and phenytoin
C
Comparator
Control (post-coronary ligation without antiarrhythmic agents)
O
Outcome
Ventricular fibrillation threshold (VFRT) measured by a single bipolar stimulation of square pulse of 10 msec duration delivered during the vulnerable periodsurrogate

In a canine model of acute myocardial infarction, G-I-K solution, lidocaine, and phenytoin significantly elevated the ventricular fibrillation threshold, suggesting a protective effect against ventricular fibrillation.

Cite This Study

Yukio Shinohara (1968) studied Acute myocardial infarction (experimental) (n=81). G-I-K solution, Xylocaine, and Dilantin vs. Control levels (post-ligation without agents) was evaluated on Ventricular fibrillation threshold (VFRT). Application of G-I-K solution, Xylocaine, and Dilantin significantly elevated the ventricular fibrillation threshold, which had fallen to 30% of control levels following experimental coronary ligation.

synapsesocial.com/papers/6a9fa987c2a6bb3d9844a6d8https://doi.org/10.1253/jcj.32.1269
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Also Consider

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

  1. 1The Effect of Diphenylhydantoin Sodium (Dilantin), Procaine Hydrochloride, Procaine Amide Hydrochloride, and Quinidine Hydrochloride upon Ouabain-Induced Ventricular Tachycardia in Unanesthetized Dogs1954 · 75 citations
  2. 2Failure of Beta-Adrenergic Blockade to Alter Ventricular Fibrillation Threshold in the Dog1966 · 22 citations
  3. 3Delayed Development of Ventricular Ectopic Rhythms following Experimental Coronary Occlusion1950 · 673 citations
  4. 4Electric Instability of the Heart1956 · 86 citations
  5. 5The Coronary-Care Unit1968 · 466 citations