The effects of halothane on abnormal automaticity in canine cardiac Purkinje fibers.

Abstract

UNLABELLED:

Abnormal automaticity is the spontaneous beating of cardiac cells with abnormally depolarized resting membrane potentials. The effects of halothane on cardiac arrhythmias caused by abnormal automaticity are controversial, with either antiarrhythmic effects or enhancement of abnormal automaticity reported by different authors. The goal of the present investigation was to clarify the effects of halothane on abnormal automaticity induced by superfusing excised canine Purkinje fibers (PF) with barium chloride. Intracellular microelectrodes recorded action potentials from fibers superfused with buffer solution in a tissue bath. Barium chloride 0.25 mM reduced maximal diastolic potential from -82.1 +/- 5.6 mV to -67.4 +/- 9.4 mV (mean +/- SD, P < 0.05). Fibers developed abnormal automatic rhythms at a rate of 47.1 +/- 5.9 bpm. Halothane, 0.5%-4%, was added to the superfusate. Halothane reduced the rate of firing in a dose-dependent manner, so that abnormal automaticity was abolished by 4% halothane and reduced by lesser concentrations. Serendipitously, during barium superfusion, two additional fibers developed early afterdepolarizations, a cause of triggered arrhythmias in patients with long Q-T syndrome. Halothane abolished early afterdepolarizations in each. In this model of barium toxicity in excised canine PF, halothane antagonized both abnormal automaticity and early afterdepolarizations.

IMPLICATIONS:

Life-threatening cardiac arrhythmias may occur during anesthesia. An arrhythmia called abnormal automaticity occurs after heart attacks and can be mimicked by adding barium to small segments of heart tissue. Halothane abolished abnormal automaticity in these tissues, which suggests that it or similar agents may benefit patients prone to developing such abnormal rhythms during surgery.

• Authors: J D Gallagher
• Journal: Anesthesia and analgesia (Anesth Analg) Vol. 86 Issue 3 Pg. 488-92 (Mar 1998) ISSN: 0003-2999 [Print] United States
• PMID: 9495398 (Publication Type: Journal Article)

Chemical References

• Barium Compounds
• Chlorides
• barium chloride
• Halothane

Topics

• Action Potentials (drug effects)
• Animals
• Arrhythmias, Cardiac (physiopathology)
• Barium Compounds (pharmacology)
• Chlorides (pharmacology)
• Dogs
• Female
• Halothane (pharmacology)
• Heart Rate (drug effects)
• In Vitro Techniques
• Male
• Membrane Potentials (drug effects)
• Purkinje Fibers (drug effects, physiology)