Effect of different doses of noradrenaline against ischemia-induced ventricular arrhythmias in rat heart in vivo

Indian Pacing Electrophysiol J. 2009;9(1):35-44. Epub 2009 Jan 1.

Abstract

Background: The present study was designed to evaluate the preconditioning effect of different doses of noradrenaline on ischemia-induced ventricular arrhythmias in open chest anesthetized rats.

Methods: The anaesthetized rats were subjected to 25 min of regional ischemia by left descending coronary artery (LAD) occlusion. In sham group, surgical procedures were done but ischemia was not applied. In control rats, saline was injected prior to ischemia. In noradrenaline groups, rats pretreated with three different doses of noradrenaline (respectively, 0.5, 1 and 2 microg/kg, IV).

Results: In control rats, induction of ischemia shortened the QTc (corrected QT) interval (ms) and led to occurrence of ventricular arrhythmias. Administration of low-dose of noradrenaline prevented shortening of the QTc interval during ischemia but could not significantly attenuate severity and incidences of arrhythmias. Injection of mid-dose of noradrenaline stabilized the QTc during ischemia and reduced severity of arrhythmias. Pretreatment with high-dose of noradrenaline significantly prolonged the QTc interval and declined severity and incidence of arrhythmias.

Conclusions: Noradrenaline dose-dependently attenuated ischemia-induced ventricular arrhythmias.

Keywords: arrhythmias; ischemia; noradrenaline; preconditioning.