The effect of a
nitric oxide (NO) donor and the influence of endogenous NO in modulating ischaemia-induced arrhythmias was assessed in anaesthetised rats. The
nitric oxide donor C87-3754 (1 mg/kg) caused a significant reduction in arterial blood pressure before coronary artery
ligation but did not influence the incidence or severity of ventricular arrhythmias during a 30-min period of myocardial ischaemia [60 and 58% incidence of
ventricular fibrillation (VF) in control and treated rats, respectively]. When the hearts were preconditioned by a short (3 min) coronary artery occlusion before the 30-min period of ischaemia, there was a marked reduction in both the number of
ventricular ectopic beats (260 +/- 65 vs. 812 +/- 256 beats/min in controls; p < 0.05) and the incidence of
ventricular fibrillation (9 vs. 67% in controls; p < 0.05). Neither
NG-nitro-L-arginine methyl ester (
L-NAME; 10-100 mg/kg) nor
methylene blue (1-50 mg/kg) attenuated this marked antiarrhythmic effect of preconditioning.
L-NAME caused a significant increase in blood pressure with all doses used, whereas
methylene blue did not increase blood pressure. Both
L-NAME and
methylene blue attenuated ventricular arrhythmias in non-preconditioned hearts.
L-NAME reduced the number of
ventricular ectopic beats (from 812 +/- 256 to 318 +/- 81 beats/min
at 10 mg/kg; p < 0.05), whereas
methylene blue decreased the incidence of VF from 67 to 20% at a dose of 50 mg/kg (p < 0.05). These findings suggest that neither endogenous nor exogenously administered NO reduces ischaemic arrhythmias in anaesthetised rats. Furthermore, the antiarrhythmic effect of preconditioning in this species appears to be independent of NO. The antiarrhythmic effects seen with both
methylene blue and
L-NAME may be the result of actions other than inhibition of the production or actions of NO.