Rate Control in Atrial Fibrillation by Cooling: Effect of Temperature on Dromotropy in Perfused Rabbit Hearts
Background. Cooling has emerged as a therapeutic option in critically ill patients (especially after cardiac resuscitation) and might also have a negative dromotropic effect in atrial fibrillation. We sought to determine the impact of cooling on electrophysiologic properties of Langendorff-perfused...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Cardiology Research and Practice |
| Online Access: | http://dx.doi.org/10.4061/2011/162984 |
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| author | Karl Mischke Markus Zarse Christian Knackstedt Patrick Schauerte |
| author_facet | Karl Mischke Markus Zarse Christian Knackstedt Patrick Schauerte |
| author_sort | Karl Mischke |
| collection | DOAJ |
| description | Background. Cooling has emerged as a therapeutic option in critically ill patients (especially after cardiac resuscitation) and might also have a negative dromotropic effect in atrial fibrillation. We sought to determine the impact of cooling on electrophysiologic properties of Langendorff-perfused rabbit hearts. Methods and Results. In 20 isolated Langendorff-perfused rabbit hearts, the temperature of the tissue bath was changed between 17 and 42°C. With decreasing temperature, significant increases of the spontaneous sinus cycle length, decreases of the mean ventricular heart rate during atrial fibrillation, and relevant increases of atrial and ventricular refractory periods were observed (ANOVA P<.01). Conclusions. Cardiac hypothermia leads to a significant drop of mean ventricular heart rate during atrial fibrillation. Negative chronotropy and dromotropy induced by moderate cardiac hypothermia might be a feasible therapeutic approach in patients with hemodynamically relevant tachyarrhythmias in a CCU/ICU setting. |
| format | Article |
| id | doaj-art-d9348556c5e441428844a41b04b7603c |
| institution | Kabale University |
| issn | 2090-0597 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cardiology Research and Practice |
| spelling | doaj-art-d9348556c5e441428844a41b04b7603c2025-02-03T01:31:15ZengWileyCardiology Research and Practice2090-05972011-01-01201110.4061/2011/162984162984Rate Control in Atrial Fibrillation by Cooling: Effect of Temperature on Dromotropy in Perfused Rabbit HeartsKarl Mischke0Markus Zarse1Christian Knackstedt2Patrick Schauerte3Department of Cardiology, University Hospital, RWTH Aachen University, Pauwelsstraße 30, 52074 Aachen, GermanyUniversity Witten/Herdecke, 58448 Witten, GermanyDepartment of Cardiology, University Hospital Maastricht, The NetherlandsDepartment of Cardiology, University Hospital, RWTH Aachen University, Pauwelsstraße 30, 52074 Aachen, GermanyBackground. Cooling has emerged as a therapeutic option in critically ill patients (especially after cardiac resuscitation) and might also have a negative dromotropic effect in atrial fibrillation. We sought to determine the impact of cooling on electrophysiologic properties of Langendorff-perfused rabbit hearts. Methods and Results. In 20 isolated Langendorff-perfused rabbit hearts, the temperature of the tissue bath was changed between 17 and 42°C. With decreasing temperature, significant increases of the spontaneous sinus cycle length, decreases of the mean ventricular heart rate during atrial fibrillation, and relevant increases of atrial and ventricular refractory periods were observed (ANOVA P<.01). Conclusions. Cardiac hypothermia leads to a significant drop of mean ventricular heart rate during atrial fibrillation. Negative chronotropy and dromotropy induced by moderate cardiac hypothermia might be a feasible therapeutic approach in patients with hemodynamically relevant tachyarrhythmias in a CCU/ICU setting.http://dx.doi.org/10.4061/2011/162984 |
| spellingShingle | Karl Mischke Markus Zarse Christian Knackstedt Patrick Schauerte Rate Control in Atrial Fibrillation by Cooling: Effect of Temperature on Dromotropy in Perfused Rabbit Hearts Cardiology Research and Practice |
| title | Rate Control in Atrial Fibrillation by Cooling: Effect of Temperature on Dromotropy in Perfused Rabbit Hearts |
| title_full | Rate Control in Atrial Fibrillation by Cooling: Effect of Temperature on Dromotropy in Perfused Rabbit Hearts |
| title_fullStr | Rate Control in Atrial Fibrillation by Cooling: Effect of Temperature on Dromotropy in Perfused Rabbit Hearts |
| title_full_unstemmed | Rate Control in Atrial Fibrillation by Cooling: Effect of Temperature on Dromotropy in Perfused Rabbit Hearts |
| title_short | Rate Control in Atrial Fibrillation by Cooling: Effect of Temperature on Dromotropy in Perfused Rabbit Hearts |
| title_sort | rate control in atrial fibrillation by cooling effect of temperature on dromotropy in perfused rabbit hearts |
| url | http://dx.doi.org/10.4061/2011/162984 |
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