Table 1.
Ibutilide (n=7) |
SNS (n=6) |
Flecainide (n=6) |
Ischaemia (n=5) |
|||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Cont | Treat | P value | Cont | Treat | P value | Cont | Treat | P value | Cont | Treat | P value | |
APDss (ms)a | 115±2 | 132±3 | 0.010 | 114±5 | 102±3 | 0.045 | 120±2 | 137±3 | ≥0.001 | 123±2 | 86±6 | 0.003 |
ERP (ms)a | 106±6 | 125±4 | 0.007 | 110±5 | 93±2 | 0.031 | 114±3 | 131±3 | 0.005 | * | * | * |
Max slopea | 1.44±0.13 | 1.99±0.30 | 0.045 | 1.72±0.25 | 1.32±0.12 | 0.048 | 1.49±0.11 | 2.08±0.38 | 0.206 | 1.67±0.24 | 0.69±0.10 | 0.019 |
Min DI (ms)a | 11±2 | 9±1 | 0.341 | 14±3 | 11±1 | 0.130 | 8±3 | 22±5 | 0.015 | 8±2 | 21±4 | 0.078 |
Baseline TAct (ms) | 30±3 | 28±3 | 0.186 | 28±2 | 29±2 | 0.867 | 26±3 | 34±4 | 0.025 | 21±1 | 22±2 | 0.486 |
VF susceptibility | ||||||||||||
Burst—10×30 msb | 0/28 | 0/28 | >0.99 | 0/24 | 12/24 | ≤0.001 | 0/24 | 0/24 | >0.99 | 3/20 | 12/20 | 0.008 |
Burst—60×30 msb | 22/28 | 7/28 | ≤0.001 | 18/24 | 20/24 | 0.723 | 17/24 | 0/24 | ≤0.001 | 10/20 | 20/20 | ≤0.001 |
Totalb | 22/56 | 7/56 | 0.002 | 18/48 | 32/48 | <0.001 | 17/48 | 0/48 | ≤0.001 | 13/40 | 32/40 | ≤0.001 |
Summary data on the influence of ibutilide, sympathetic nerve stimulation (SNS), flecainide and low-flow ischaemia on action potential duration (APD), effective refractory period (ERP), dynamic restitution parameters and VF susceptibility. Colour coding: red = decrease, green = increase.
Data represent mean ± SEM, where appropriate.
aPaired Student’s t-test.
bFisher’s exact test (incidence of VF/number of trials).
P < 0.05 are underlined.
Accurate assessments of ERP could not be made in ischaemic conditions owing to the induction of VF at short coupling intervals.
APDss, action potential duration at steady state; DI, diastolic interval; Tact, time from pacing spike to activation of action potential; VF, ventricular fibrillation.