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Anesth Analg 1990; 70:618-623
© 1990 International Anesthesia Research Society
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Effects of Isoflurane on Conduction Velocity and Maximum Rate of Rise of Action Potential Upstroke in Guinea Pig Papillary Muscles

Suzuko Ozaki, MD, Haruaki Nakaya, MD, Yasuyuki Gotoh, MD, Mitsue Azuma, MPhar, Osamu Kemmotsu, MD, and Morio Kanno, MD

Departments of Pharmacology and Anesthesiology, Hokkaido University School of Medicine, Sapporo, Japan.

Abstract

This study was undertaken to determine whether isoflurane, a volatile anesthetic that is reported to possess a wide margin of cardiovascular safety, exerts electrophysiological effects on cardiac tissue. By use of standard microelectrode techniques, effects of isoflurane on the maximum rate of rise of actiin potential upstroke (Vmax) and conduction velocity were examined in guinea pig papillary muscles. Isoflurane decreased action potential amplitude and action potential duration in a concentration-dependent fashion. Isoflurane at 1.5 and 2.0 MAC decreased conduction velocity with as little influence on the maximum rate of rise of action potential upstroke as that exerted by halothane and enflurane. However, the effect of isoflurane in slowing intraventricular conduction was less than that of halothane and enflurane when compared at equi-MAC concentrations. Thus, isoflurane may be a safer anesthetic for the patients with intraventricular conduction abnormalities.

Key Words: ANESTHETICS, VOLATILE—isoflurane • HEART, CONDUCTION—isoflurane




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S. Rohr, J. P. Kucera, and A. G. Kleber
Slow Conduction in Cardiac Tissue, I : Effects of a Reduction of Excitability Versus a Reduction of Electrical Coupling on Microconduction
Circ. Res., October 19, 1998; 83(8): 781 - 794.
[Abstract] [Full Text] [PDF]




Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 1990 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1990 by the International Anesthesia Research Society.