Electrophysiologic Effects of Intravenous MS-551, a Novel Class III Antiarrhythmic Agent, on Human Atrium and Ventricle.
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概要
- 論文の詳細を見る
The effects of intravenous MS-551, a new class III antiarrhythmic drug, on atrium and ventricle were evaluated in 6 patients with ventricular tachyarrhythmias (4 males and 2 females; mean age 45±21 years) in an electrophysiologic study. Two patients had sustained ventricular tachycardia (VT) and 4 patients had ventricular fibrillation (VF). Electrophysiologic study was performed before and after the administration of MS-551 (loading infusion 0.3mg/kg for 5min+0.01mg/kg/min).The QT and QTc intervals were significantly prolonged by MS-551 from 359±52 to 411±63 msec (p=0.01) and from 410±36 to 452±47 (p=0.0172), respectively. No effect was observed on the sinus cycle length, QRS duration, or AH and HV intervals in sinus rhythm.The effective refractory periods of the right atrium (AERP) were significantly prolonged at paced cycle lengths of 600 (from 222±19 to 250±23 msec, p=0.0009), 400 (from 207±15 to 228±15, p<0.0001) and 300 (from 193±10 to 205±8 msec, p=0.0127) msec. Similarly, the right ventricular ERP (VERP) were significantly prolonged at paced cycle lengths of 600 (from 240±23 to 268±23 msec, p<0.0001), 400 (from 225±22 to 250±24 msec, p=0.0007), and 300 msec (from 213±14 to 228±18 msec, p=0.0071). MS-551 prolonged AERP and VERP in a "reverse" use-dependent manner without changing the conduction time in patients with ventricular tachyarrhythmias.MS-551 prevented the induction of VT in 1 patient and VF in only 1 patient in this electrophysiologic study. Further evaluation of the therapeutic potential of MS-551 using higher dosages is necessary.
- International Heart Journal刊行会の論文
著者
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Furushima Hiroshi
First Department Of Internal Medicine Niigata University School Of Medicine
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Yamaura Masayuki
First Department Of Internal Medicine Niigata University School Of Medicine
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Tagawa Minoru
First Department of Internal Medicine, Niigata University School of Medicine
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Naitoh Naoki
First Department Of Internal Medicine Niigata University School Of Medicine
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Taneda Koji
First Department Of Internal Medicine Niigata Universaity School Of Medicine
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Aizawa Yoshifusa
First Department Of Internal Medicine Niigata Universaity School Of Medicine
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Naitoh Naoki
First Department of Internal Medicine, Niigata University School of Medicine
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AIZAWA Yoshifusa
First Department of Internal Medecine, Niigata University School of Medicine, Niigata, Japan.
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