Key result
In a rat model, artificial hypoventilation significantly decreased the ventricular arrhythmia threshold during the light part of the day (1.29 vs 1.90 mA, p<0.05), indicating a proarrhythmogenic effect.
Why the study?
Does the light-dark cycle affect the ventricular arrhythmia threshold during systemic hypoxia and reoxygenation in anesthetized rats?
Does the light-dark cycle affect the ventricular arrhythmia threshold during systemic hypoxia and reoxygenation in anesthetized rats?
Absolute Event Rate: 1.29% vs 1.9%
p-value: p=<0.05
The proarrhythmogenic effect of systemic hypoxia on the ventricular arrhythmia threshold in rats is dependent on the circadian light-dark cycle, with increased vulnerability during the light (sleep) phase.
May indicate higher arrhythmia vulnerability during sleep phase under hypoxia in rats; leaves open clinical translation.
The aim of the study was to determine the dependence of changes in the electrical stability of the heart on the light-dark cycle (LD cycle) in disorders of pulmonary ventilation. The ventricular arrhythmia threshold (VAT) was measured in female Wistar rats (adaptation to the light regime 12:12 h, ketamine/xylazine anesthesia 100 mg/15 mg/kg, i.m., open chest experiments). The conditions of the normal artificial ventilation and reoxygenation were V(T) = 1 ml/100 g, respiratory rate 40 breaths/min, hypoventilation V(T) = 0.5 ml/100 g, respiratory rate 20 breaths/min. The animals (n=11 light group; n=19 dark group) were subjected to 20 min hypoventilation followed by 20 min reoxygenation. The control prehypoventilatory VAT differences were not found between the light (1.90+/-0.84 mA) and dark (1.88+/-0.87 mA) part of the day. Artificial hypoventilation changed the VAT values in light and dark part of the day differently. While during the light period, the average VAT values in most animals (90.9 %) were significantly decreased (1.29+/-0.59 vs. 1.90+/-0.84 mA control, p<0.05), during the dark part these values showed either significant increase (63.2 %) (2.23+/-0.77 vs. 1.48+/-0.39 mA, p<0.005) or a slight non-significant decrease (36.8 %) (2.18+/-0.89 vs. 2.54+/-0.99 mA). Reoxygenation returned the VAT values to the level before hypoventilation by an increase of the VAT (81.8 %) in the light part of day and by decrease of the VAT (68.4 %) in the dark part of the day. It is concluded that 1) in hypoventilation/reoxygenation model, the significant higher average VAT values are in the dark part of the day vs. the light one, 2) rat hearts are more resistant to systemic hypoxia and reoxygenation in the dark part of day, and 3) proarrhythmogenic effect of the systemic hypoxia is only seen in the light part of the day.
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Švorc et al. (2005) studied Ventricular arrhythmias during systemic hypoxia (n=30). Artificial hypoventilation (systemic hypoxia) vs. Normal artificial ventilation (VT = 1 ml/100 g, 40 breaths/min) was evaluated on Ventricular arrhythmia threshold (VAT) during the light part of the day (p=<0.05). In a rat model, artificial hypoventilation significantly decreased the ventricular arrhythmia threshold during the light part of the day (1.29 vs 1.90 mA, p<0.05), indicating a proarrhythmogenic effect.
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