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Korean Journal of Anesthesiology 1999;37(4):685-693.
DOI: https://doi.org/10.4097/kjae.1999.37.4.685   
notropic and Electrophysiologic Effect of Azumolene in Intact Myocardium In Vitro.
Wyun Kon Park, Ki Jun Kim, Jong Hoon Kim, Sung Jin Hong
Department of Anesthesiology, Yonsei University College of Medicine, Seoul, Korea.
Abstract
BACKGROUND
The effects of various concentrations (10, 25 micrometer) of azumolene, an analogue of dantrolene, were studied in isolated guinea pig ventricular papillary muscles by measuring the effects on myocardial contractility and electrophysiologic parameters.
METHODS
Isometric forces were studied in normal and 26 mM K Tyrode's solution. Rapid cooling contracture, an index of SR Ca2 content, was performed. Normal and slow action potentials (APs) were evaluated by using conventional microelectrode technique.
RESULTS
Ten and 25 micrometer azumolene depressed peak force and maximum rate of force development ( 30 40%). Dose-dependent depression was shown at 2 and 3 Hz stimulation rate. Rapid cooling contractures following 10 and 25 micrometer azumolene was not altered compared to control while peak force at 2 Hz stimulation rate just prior to cooling was depressed similarly to normal Tyrode's solution. In 26 mM K Tyrode's solution, 10 and 25 micrometer azumolene caused depression of early (10 micrometer: 20%) and late (10 micrometer: 50%) force development. In slow APs, shortening of AP duration at 20, 50, and 90% of the repolarization phase, as well as a small but significant reduction of dV/dt-max ( 20%) were shown at 0.25 Hz stimulation rate. There was no alteration in AP parameters in normal APs.
CONCLUSIONS
The direct myocardial depressant action of azumolene seems to be at least in part caused by inhibition of Ca2 influx via the Ca2 channel in sarcolemma. It seems likely that azumolene does not alter the sarcoplasmic reticulum function such as Ca2 uptake and release in cardiac muscle.
Key Words: Animals, guinea pig; Hyperthermia, malignant; Muscle, cardiac, Ca2 influx, contractility, sarcoplasmic reticulum; Neuromuscular relaxants, azumolene, dantrolene


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