Paper

Subject Categories: Cardiovascular and pulmonary pharmacology

British Journal of Pharmacology (2005) 146, 561–567. doi:10.1038/sj.bjp.0706352; published online 1 August 2005

Reduction of repolarization reserve by halothane anaesthesia sensitizes the guinea-pig heart for drug-induced QT interval prolongation

Akira Takahara1, Atsushi Sugiyama1 and Keitaro Hashimoto1

1Department of Pharmacology, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, Tamaho-cho, Nakakoma-gun, Yamanashi 409-3898, Japan

Correspondence: Atsushi Sugiyama, E-mail: atsushis@yamanashi.ac.jp

Received 24 May 2005; Accepted 23 June 2005; Published online 1 August 2005.

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Abstract

  1. The utility of halothane-anaesthetized guinea-pigs as an in vivo model for predicting the clinical potential of a drug to induce QT interval prolongation was assessed using the electrocardiogram and monophasic action potential (MAP) recordings with electrical ventricular pacing.
  2. Intravenous administration of D-sotalol (0.3 mg kg-1) and terfenadine (0.3 mg kg-1), blockers of a rapid component of delayed rectifier potassium currents, prolonged the QT interval by 32plusminus7 and 23plusminus6 ms, respectively, whereas chromanol 293B (1 mg kg-1), a blocker of a slow component of delayed rectifier potassium currents, lengthened it by 33plusminus8 ms. The extent of the QT interval prolongation by these drugs was greater than those in previous reports using pentobarbital-anaesthetized guinea-pigs.
  3. The MAP duration at the control was shortened by decreasing the pacing cycle length from 400 to 200 ms, but the MAP duration at each cycle length was prolonged by D-sotalol.
  4. The formulas of Van de Water, Matsunaga, Fridericia and Bazett showed good correlation of the repolarization period when compared with the MAP duration at a pacing cycle length of 400 ms.
  5. The halothane-anaesthetized guinea-pig model may possess enough sensitivity to detect drug-induced QT interval prolongation, indicating that halothane anaesthesia can reduce the repolarization reserve of the heart in vivo.

Keywords:

QT prolongation, D-sotalol, terfenadine, chromanol 293B, guinea-pigs, halothane, monophasic action potential, corrected QT interval

Abbreviations:

ECG, electrocardiogram; IK1, inward rectifier potassium currents; IKr, rapid component of delayed rectifier potassium currents; IKs, slow component of delayed rectifier potassium currents; Ito, transient outward potassium currents; MAP, monophasic action potentials; MAP90, duration of MAP at 90% repolarization level; QTc, corrected QT interval; QTc(B), QTc calculated with the formula of Bazett; QTc(F), QTc calculated with the formula of Fridericia; QTc(M), QTc calculated with the formula of Matsunaga; QTc(V), QTc calculated with the formula of Van de Water; TdP, torsades de pointes

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