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2008 | 52 | 1 |

Tytuł artykułu

Arrhythmias in programmed electrical stimulation in the course of experimentally induced hyperthyroidism in an animal model

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
To determine changes in physiological parameters of the myocardium in experimentally induced hyperthyreosis in an animal model, the occurrence and type of arrhythmias triggered during programmed electrical stimulation and changes in electrophysiological parameters of ventricular cardiomyocytes with hypertrophy due to hyperthyreosis were investigated. Hyperthyreosis was induced experimentally in five pigs, which were orally administered L-thyroxine at a dose of 20 µg/kg. Five untreated pigs served as the control. Programmed electrical stimulation was performed before administration of L-thyroxine (EPS 1), four (EPS 2) and eight (EPS 3) weeks after the onset of thyroxine administration, and four weeks after drug withdrawal (EPS 4). After the last stimulation, the animals were sacrificed and necropsied, with particular regard to heart autopsy. During the EPS 2, VERP was decreased in the group treated with the hormone (P<0.05). The mean values of AERP and AVNERP in the group were decreased as well. Atrial flutter and atrial fibrillation were induced during stimulation of the experimental group. In the other pigs of the experimental group, singular and paired ventricular extrasystolic were observed. In the EPS 3, AERP and AVNERP were statistically shorter in pigs with hyperthyreosis. A significant difference in Wenckebach CL between the control and experimental groups were observed. SNRT was shorter in the group with hyperthyreosis. In all pigs with hyperthyreosis, atrial fibrillation was induced. In one pig, non-sustained ventricular tachycardia was observed. During EPS 4, AERP remained shorter in group with hyperthyreosis. In two pigs of the group, atrial fibrillation was induced during pacing, and in two pigs, ventricular fibrillation was observed. The assessment of the heart's weight revealed a significant increase in its mass in pigs with hyperthyreosis. An increase in the thickness of the right and left ventricle free walls (P<0.01) and interventricular septum (P<0.01) was found in pigs with hyperthyreosis. At the same time, the inner diameter of the left ventricle was significantly smaller in this group (P<0.01) due to a concentric hypertrophy of the ventricle. In view of these findings, experimental hyperthyreosis caused shortening of refractory periods of different parts of the conducting system and enhanced susceptibility to supraventricular and ventricular arrhythmias, both spontaneous and induced during electrical stimulation. The mechanism of these arrhythmias can differ as a consequence of the hypertrophy of the left ventricle.

Wydawca

-

Rocznik

Tom

52

Numer

1

Opis fizyczny

p.141-145,fig.,ref.

Twórcy

  • Wroclaw University of Environmental and Life Sciences, 50-366 Wroclaw, Poland
autor
autor
autor
autor

Bibliografia

  • 1. Allessie M., Boyden P., Camm A., Kleber A., Lab M., Legato M., Rosen M., Schwartz P., Spooner P., van Wagoner D., Waldo A. : Pathophysiology and prevention of atrial fibrillation. Circulation 2001, 103, 769-777.
  • 2. Basset A., Blanc J., Hegege A., Elghozi J.: Renin- angiotensin system contribution to cardiac hypertrophy in experimental hyperthyroidism: en echocardiographic study. J Cardiovasc Pharmacol 2001, 37, 163-172.
  • 3. Biondi B., Fazio S., Coltroti F., Palmieri E., Carella C., di Lombar G., Sacca L.: Reentrant atrioventricular nodal tachycardia induced by levotyhyroxine. J Clin Endocrinol Metab 1998, 83, 2643-2645.
  • 4. Biondi B., Palmieri E., Lombardi G., Fazio S.: Effects of thyroid hormone on cardiac function: the relative importance of heart rate, loading conditions, and myocardial contractility in regulation of cardiac performance in human hyperthyroidism. J Clin Endocrinol Metab 2002, 87, 968-974.
  • 5. Colzani R.M., Emdin M., Conforti F., Passino C., Scarlattini M., Iervasi G.: Hyperthyroidism is associated with lengthening of ventricular repolarization. Clin Endocrinol 2001, 55, 27-32.
  • 6. Cheitlin M., Alpert J., Amstrong W.: ACC/AHA guidelines for the clinical application of echocardiography. Circulation 1997, 95, 1686-1774.
  • 7. Chen Y.C., Chen S.A., Chen Y.J., Chang M.S., Chan P., Lin C.I.: Effects of thyroid hormone on the arrhythmogenic activity of pulmonary vein cardiomyocytes. J Am Coll Cardiol 2002, 39, 366-372.
  • 8. Dorr M., Wolff B., Robinson D., John U., Ludemann J., Meng W., Felix S., Volzke H.: The association of thyroid function with cardiac mass and left ventricular hypertrophy. J Clin Endocrinol Metab 2005, 90, 673-677.
  • 9. Franklyn J.A., Gammage M.D.: Thyroid hormones and the heart: biology and clinical implications of hyperthyroidism and its treatment. Curr Opin Endocrinol Diabetes 2000, 7, 275-300.
  • 10. Kobori H., Ichihara A., Miyashita Y., Hayashi M., Saruta T.: Local renin-angiotensin system contributes to hyperthyroidism-induced cardiac hypertrophy. J Endocrinol 1999, 160, 43-47.
  • 11. Komiya N., Isomoto S., Nakao K., Hayano M., Yano K.: Electrophysiological abnormalities of the atrial muscle in patients with paroxysmal atrial fibrillation associated with hyperthyroidism. Clin Endocrinol 2002, 56, 39-44.
  • 12. Kuncova J., Slavikova J.: Vasoactive intestinal polypeptide in rat atria: the effect of hyperthyroidism. Physiol Res 2000, 49, 427-434.
  • 13. Morovat A., Dauncey M.J.: Regulation of porcine skeletal muscle nuclear 3,5,3'-tri-iodothyronine receptor binding capacity by thyroid hormones: modification by energy balance. J Endocrinol 1995, 144, 233-242.
  • 14. Northcote R.J.: 24-hour electrocardiography in thyrotoxicosis before and after treatment. Am Heart J 1986, 112, 339-344.
  • 15. Olshausen K., Bischoff S., Kahaly G.: Cardiac arrhythmias and heart rate in hyperthyroidism. Am J Cardiol 1989, 63, 930-935.
  • 16. Osman F., Gammage M., Sheppard M., Franklyn J.: Cardiac dysrhythmias and thyroid dysfunction: the hidden menace? J Clin Endocrinol Metab 2002, 87, 963- 967.
  • 17. Soukup T., Zacharowa G., Smerdu V., Jirmanowva I.: Body, heart, thyroid gland and skeletal muscle weight changes with altered thyroid status. Physiol Res 2001, 50, 619-626.
  • 18. Willems R., Holemans P., Ector H., Sipido K., van de Werf F., Heidbuchel H.: Mind the model: effect of instrumentation on inducibility of atrial fibrillation in sheep model. J Cardiovasc Electrophysiol 2002, 13, 62- 67.
  • 19. Vos M., de Groot S., Verduyn S., van der Zande J., Leunissen H., Cleutjens J., van Bilsen M., Daemen M., Schreuder J., Allessie M., Wellens H.: Enhanced susceptibility for acquired torsade de pointes arrhythmias in the dog with chronic, complete AV block in related to cardiac hypertrophy and electrical remodeling. Circulation 1998, 98, 1125-1135.
  • 20. Yu Y., Bilezikian J.: Tachycardia-induced cardiomiopathy secondary to thyrotoxicosis: a young man with previously unrecognized Graves' disease. Thyroid 2000, 10, 923-927.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

bwmeta1.element.agro-article-b34e3848-d7eb-4d3e-9982-bc4f0a63b280
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