Electrophysiological effects of lidocaine on myocardial tissue in guinea-pig left ventricular outflow tract under conditions of hypoxia,acidosis and treatment with epinephrine |
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| Authors: | ZHAO Lan-ping WANG Xue-fang DU Hui-bo XUE Shu-fang CHEN Yan-jing |
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| Institution: | Department of Physiology, Hebei North University, Zhangjiakou 075000, China. |
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| Abstract: | AIM：To study the electrophysiological effects of lidocaine on the myocardial tissue in guinea-pig left ventricular outflow tract under the conditions of hypoxia, acidosis and treatment with epinephrine. METHODS：The action potentials of pacemaker cells in guinea-pig left ventricular outflow tract were recorded by conventional technique with intracellular microelectrodes. The effects of lidocaine on the spontaneous slow response potentials were investigated under the conditions of hypoxia, acidosis and treatment with epinephrine (EPI). RESULTS：Lidocaine markedly decreased the rate of pacemaker firing (RPF), the velocity of diastolic depolarization (VDD), the maximal rate of depolarization (Vmax), the maximal diastolic potential (MDP) and the amplitude of action potential (APA). Lidocaine also shortened the 50% and 80% of duration of action potential (APD50 and APD80). At the concentrations from 0.1 μmol/L to 10 μmol/L, the effects of lidocaine were more significant. Under the condition of hypoxia and perfusion with deprived glucose content for 15 min, VDD, RPF, Vmax, MDP and APA significantly decreased, and APD50 notably shortened. Under the condition of hypoxia, lidocaine at 1 μmol/L significantly decreased VDD, RPF, Vmax and APA as compared with the cells treated with hypoxia only. Perfusion with pH 6.8 solution for 10 min, VDD, RPF, Vmax and APA significantly decreased, MDP notably increased, and APD50 and APD80 markedly shortened. Under the condition of acidosis for 10 min, lidocaine significantly decreased VDD, RPF and Vmax, and lengthened APD50 and APD80 as compared with the cells under the condition of acidosis alone. Perfusion with EPI at 10 μmol/L for 10 min resulted in significant increases in VDD, RPF, Vmax, MDP and APA, and notable shortenings of APD50 and APD80 were also observed. Compared with 10 μmol/L EPI group, 1 μmol/L lidocaine+10 μmol/L EPI significantly reduced VDD, RPF, MDP and APA, and lengthened APD50 and APD80. CONCLUSION：Lidocaine markedly decreases the autorhythmicity of the pacemaker cells in guinea-pig left ventricular outflow tract and influences the electrophysiological effects of hypoxia, acidosis and EPI. |
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| Keywords: | Lidocaine Hypoxia Acidosis Epinephrine Left ventricular outflow tract |
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