Abstract
1. Diphenylhydantoin (DPH) and potassium significantly prevent ouabain intoxication without preventing the inotropic effects of ouabain in the guinea-pig isolated heart.
2. The antiarrhythmic effect of DPH and K on ouabain-induced toxicity appears to be related to their ability to reduce ouabain accumulation by the myocardium and thereby prevent the intracellular Na and K changes which lead to the arrhythmic state.
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Selected References
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- BENFORADO J. M. A depressant effect of acetylcholine on the idio-ventricular pacemaker of the isolated perfused rabbit heart. Br J Pharmacol Chemother. 1958 Dec;13(4):415–418. doi: 10.1111/j.1476-5381.1958.tb00231.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Blaustein M. P. Phospholipids as ion exchangers: implications for a possible role in biological membrane excitability and anesthesia. Biochim Biophys Acta. 1967 Sep 9;135(4):653–668. doi: 10.1016/0005-2736(67)90096-x. [DOI] [PubMed] [Google Scholar]
- Covino B. G., Shannon C. M. Effect of several new antiarrhythmic agents on atrial contractility. Arch Int Pharmacodyn Ther. 1969 Mar;178(1):185–192. [PubMed] [Google Scholar]
- Danielson B. G., Bittar E. E., Chen S., Tong E. Y. The effect of diphenylhydantoin on sodium efflux from single barnacle muscle fibers. Life Sci I. 1971 Apr 15;10(8):437–443. doi: 10.1016/0024-3205(71)90108-1. [DOI] [PubMed] [Google Scholar]
- Dutta S., Goswami S., Datta D. K., Lindower J. O., Marks B. H. The uptake and binding of six radiolabeled cardiac glycosides by guinea-pig hearts and by isolated sarcoplasmic reticulum. J Pharmacol Exp Ther. 1968 Nov;164(1):10–21. [PubMed] [Google Scholar]
- Dutta S., Marks B. H. Factors that regulate ouabain-H3 accumulation by the isolated guinea-pig heart. J Pharmacol Exp Ther. 1969 Dec;170(2):318–325. [PubMed] [Google Scholar]
- Dutta S., Marks B. H. Factors that regulate ouabain-H3 accumulation by the isolated guinea-pig heart. J Pharmacol Exp Ther. 1969 Dec;170(2):318–325. [PubMed] [Google Scholar]
- GLYNN I. M. THE ACTION OF CARDIAC GLYCOSIDES ON ION MOVEMENTS. Pharmacol Rev. 1964 Dec;16:381–407. [PubMed] [Google Scholar]
- Godfraind T., Lesne M., Pousti A. The action of diphenylhydantoin upon drug binding, ionic effects and inotropic action of ouabain. Arch Int Pharmacodyn Ther. 1971 May;191(1):66–73. [PubMed] [Google Scholar]
- Helfant R. H., Scherlag B. J., Damato A. N. Protection from digitalis toxicity with the prophylactic use of diphenylhydantoin sodium. An arrhythmic-inotropic dissociation. Circulation. 1967 Jul;36(1):119–124. doi: 10.1161/01.cir.36.1.119. [DOI] [PubMed] [Google Scholar]
- Lewin E., Bleck V. The effect of diphenylhydantoin administration on sodium-potassium-activated ATPase in cortex. Neurology. 1971 Jun;21(6):647–651. doi: 10.1212/wnl.21.6.647. [DOI] [PubMed] [Google Scholar]
- Lüllmann H., Weber R. Uber die Wirkung von Phenytoin auf Digitalis-bedingte Arrhythmien. Arztl Forsch. 1968 Feb 10;22(2):49–55. [PubMed] [Google Scholar]
- Mercer E. N., Osborne J. A. The current status of diphenylhydantoin in heart disease. Ann Intern Med. 1967 Nov;67(5):1084–1107. doi: 10.7326/0003-4819-67-5-1084. [DOI] [PubMed] [Google Scholar]
- SCHREINER G. E. Determination of inulin by means of resorcinol. Proc Soc Exp Biol Med. 1950 May;74(1):117–120. doi: 10.3181/00379727-74-17827. [DOI] [PubMed] [Google Scholar]
- Sano T., Suzuki F., Sato S., Iida Y. Mode of action of new anti-arrhythmic agents. Jpn Heart J. 1968 Mar;9(2):161–168. doi: 10.1536/ihj.9.161. [DOI] [PubMed] [Google Scholar]
- Scherlag B. J., Helfant R. H., Ricciutti M. A., Damato A. N. Dissociation of the effects of digitalis on myocardial potassium flux and contractility. Am J Physiol. 1968 Nov;215(5):1288–1291. doi: 10.1152/ajplegacy.1968.215.5.1288. [DOI] [PubMed] [Google Scholar]
- TUTTLE R. S., WITT P. N., FARAH A. The influence of ouabain on intracellular sodium and potassium concentrations in the rabbit myocardium. J Pharmacol Exp Ther. 1961 Sep;133:281–287. [PubMed] [Google Scholar]
- WINEGRAD S., SHANES A. M. Calcium flux and contractility in guinea pig atria. J Gen Physiol. 1962 Jan;45:371–394. doi: 10.1085/jgp.45.3.371. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Watson E. L., Woodbury D. M. Effects of diphenylhydantoin on active sodium transport in frog skin. J Pharmacol Exp Ther. 1972 Mar;180(3):767–776. [PubMed] [Google Scholar]
- Williams J. F., Jr, Klocke F. J., Braunwald E. Studies on digitalis. 13. A comparison of the effects of potassium on the inotropic and arrhythmia-producing actions of ouabain. J Clin Invest. 1966 Mar;45(3):346–352. doi: 10.1172/JCI105349. [DOI] [PMC free article] [PubMed] [Google Scholar]