Comparison of thiopental and ketamine+xylazine anesthesia inischemia/reperfusion-induced arrhythmias in rats

Background/aim: To investigate the influence of thiopental (85 mg/kg, intraperitoneally (ip)), and ketamine+xylazine (ketamine 75 mg/kg and xylazine 8 mg/kg, ip) anesthesia on the incidence and duration of ischemia/reperfusion-induced arrhythmias. Materials and methods: Myocardial ischemia was induced by a 6-min ligation of the left anterior descending coronary artery, followed by a 6-min reperfusion. Measurements were taken of the incidence and duration of ventricular arrhythmias, the mean arterial blood pressure and heart rate, and the pressure rate-product (as an index of myocardial oxygen consumption). Results: The arrhythmia score and the incidence of ventricular fibrillation and tachycardia were significantly decreased in the ketamine+xylazine-anesthetized rats compared with the thiopental-anesthetized group (arrhythmia score: 2.0 ± 2.1 versus 3.7 ± 1.2, P < 0.05). The heart rate was significantly lower in the ketamine+xylazine group during the entire experiment, whilst the pressure-rate product was also significantly lower in the ketamine+xylazine group at different time points of the ischemia and reperfusion periods. Conclusion: Ketamine+xylazine anesthesia has a strong antiarrhythmic effect and an apparent depressive action on the heart rate and the myocardial oxygen consumption index. Therefore, ketamine+xylazine anesthesia is not appropriate for the evaluation of possible antiarrhythmic agents. Thiopental anesthesia is preferable to ketamine+xylazine anesthesia in the in vivo ischemia-reperfusion arrhythmia model.

Comparison of thiopental and ketamine+xylazine anesthesia inischemia/reperfusion-induced arrhythmias in rats

Background/aim: To investigate the influence of thiopental (85 mg/kg, intraperitoneally (ip)), and ketamine+xylazine (ketamine 75 mg/kg and xylazine 8 mg/kg, ip) anesthesia on the incidence and duration of ischemia/reperfusion-induced arrhythmias. Materials and methods: Myocardial ischemia was induced by a 6-min ligation of the left anterior descending coronary artery, followed by a 6-min reperfusion. Measurements were taken of the incidence and duration of ventricular arrhythmias, the mean arterial blood pressure and heart rate, and the pressure rate-product (as an index of myocardial oxygen consumption). Results: The arrhythmia score and the incidence of ventricular fibrillation and tachycardia were significantly decreased in the ketamine+xylazine-anesthetized rats compared with the thiopental-anesthetized group (arrhythmia score: 2.0 ± 2.1 versus 3.7 ± 1.2, P < 0.05). The heart rate was significantly lower in the ketamine+xylazine group during the entire experiment, whilst the pressure-rate product was also significantly lower in the ketamine+xylazine group at different time points of the ischemia and reperfusion periods. Conclusion: Ketamine+xylazine anesthesia has a strong antiarrhythmic effect and an apparent depressive action on the heart rate and the myocardial oxygen consumption index. Therefore, ketamine+xylazine anesthesia is not appropriate for the evaluation of possible antiarrhythmic agents. Thiopental anesthesia is preferable to ketamine+xylazine anesthesia in the in vivo ischemia-reperfusion arrhythmia model.

___

  • Bonnemeier H, Wiegand UK, Giannitsis E, Schulenburg S, Hartmann F, Kurowski V, Bode F, Tölg R, Katus HA, Richardt G. Temporal repolarization inhomogeneity and reperfusion arrhythmias in patients undergoing successful primary percutaneous coronary intervention for acute ST-segment elevation myocardial infarction: impact of admission troponin T. Am Heart J 2003; 145: 484–492.
  • Tatli E, Alicik G, Buturak A, Yilmaztepe M, Aktoz M. Arrhythmias following revascularization procedures in the course of acute myocardial infarction: are they indicators of reperfusion or ongoing ischemia? Sci World J 2013; Epub 2013: 160380.
  • Wainwright CL, Miller AM, Work LM, Del Soldato P. NCX4016 (NO-aspirin) reduces infarct size and suppresses arrhythmias following myocardial ischaemia/reperfusion in pigs. Br J Pharmacol 2002; 135: 1882–1888.
  • Koçoğlu H, Karaaslan K, Gonca E, Bozdoğan O, Gulcu N. Preconditioning effects of dexmedetomidine on myocardial ischemia reperfusion injury in rats. Curr Ther Res Clin Exp 2008; 69: 150–158.
  • Bozdoğan Ö, Gonca E, Ekerbiçer N. Effects of adenosine A1 receptor agonist CCPA and antagonist DPCPX on ischemia/ reperfusion-induced arrhythmias in rats. Turk J Med Sci 2010; 40: 1–8.
  • Au TLS, Collins GA, MacLeod BA, Walker MJ. Effects of prostaglandin E2, propranolol and nitroglycerine with halothane, pethidine or pentobarbitone anaesthesia on arrhythmias and other responses to ligation of a coronary artery in rats. Br J Pharmacol 1983; 79: 929–937.
  • Siegmund W, Lepran I, Szekeres L. Effect of pentobarbitone anaesthesia, age and sex in the acute phase of myocardial infarction in rats. In: Tardos L, Szekeres L, Papp JG, editors. Pharmacological Control of Heart and Circulation. Budapest, Hungary: Akademiai Kiado; 1980: 63–66.
  • Iskit AB, Guc MO. Comparison of sodium pentobarbitone and urethane anaesthesia in a rat model of coronary artery occlusion and reperfusion arrhythmias: interaction with L-NAME. Pharmacol Res 1996; 33: 13–18.
  • Baczko I, Lepran I, Gy L. Influence of anesthetics on the incidence or reperfusion-induced arrhythmias and sudden death in rats. J Cardiovasc Pharmacol 1997; 29: 196–201.
  • Zorniak M, Mitrega K, Bialka S, Porc M, Krzeminski TF. Comparison of thiopental, urethane, and pentobarbital in the study of experimental cardiology in rats in vivo. J Cardiovasc Pharmacol 2010; 56: 38–44.
  • Muir WW, Lerche P, Robertson JT, Hubbell JA, Beard W, Miller T, Badgley B, Bothwell V. Comparison of four drug combinations for total intravenous anesthesia of horses undergoing surgical removal of an abdominal testis. J Am Vet Med Assoc 2000; 217: 869–873.
  • Haskins SC, Farver TB, Patz JD. Ketamine in dogs. Am J Vet Res 1985; 46: 1855–1860.
  • Moens Y, Fargetton X. A comparative study of medetomidine/ ketamine and xylazine/ketamine anesthesia in dogs. Veterinary Record 1990; 127: 567–571.
  • Wixson SK, White WJ, Hughes HC Jr, Marshall WK, Lang CM. The effects of pentobarbital, fentanyldroperidol, ketamine- xylazine and ketamine-diazepam on noxious stimulus perception in adult male rats. Lab Anim Sci 1987; 37: 731–735.
  • Koshy TA, Mahabala TH, Srikantu J, Sanmathi S. Thiopentone- midazolam mixture as an induction agent for general anesthesia on ‘in-patients’. Indian J Anesth 2003; 47: 129–133.
  • Li Y, Kloner RA. The cardioprotective effects of ischemic ‘preconditioning’ are not mediated by adenosine receptors in rat hearts. Circulation 1993; 87: 1642–1648.
  • Svorc P, Bracoková I. Preconditioning by hypoventilation increases ventricular arrhythmia threshold in Wistar rats. Physiol Res 2003; 52: 409–416.
  • Keyes KT, Ye Y, Lin Y, Zhang C, Perez-Polo JR, Gjorstrup P, Birnbaum Y. Resolvin E1 protects the rat heart against reperfusion injury. Am J Physiol Heart Circ Physiol 2010; 299: 153–164.
  • Yui H, Imaizumi U, Beppu H, Ito M, Furuya M, Arisaka H, Yoshida K. Comparative effects of verapamil, nicardipine, and nitroglycerin on myocardial ischemia/reperfusion injury. Anesthesiol Res Pract 2011; 2011: 1–6.
  • Nazari A, Sadr SS, Faghihi M, Imani A, Moghimian M. The cardioprotective effect of different doses of vasopressin (AVP) against ischemia-reperfusion injuries in the anesthetized rat heart. Peptides 2011; 32: 2459–2466.
  • Bulut NG, Gonca E, Kocoglu H, Bozdogan O, Karaaslan K. Pretreatment with stellate ganglion blockade before ischemia reduces infarct size in rat hearts. Saudi Med J 2010; 31: 148– 152.
  • Kara AF, Demiryürek S, Celik A, Tarakçioğlu M, Demiryürek AT. Effects of trimetazidine on myocardial preconditioning in anesthetized rats. Eur J Pharmacol 2004; 503: 135–145.
  • Gonca E, Bozdoğan O. Both mitochondrial KATP channel opening and sarcolemmal KATP channel blockage confer protection against ischemia/reperfusion induced arrhythmia in anesthetized male rats. J Cardiovasc Pharmacol Ther 2010; 15: 403–411.
  • Bozdoğan Ö, Gonca E, Nebigil M, Tiryaki ES. Effect of thimerosal on arrhythmia induced by coronary ligation. Int Heart J 2005; 46: 711–721.
  • Vajda S, Baczkó I, Leprán I. Selective cardiac plasma-membrane K-ATP channel inhibition is defibrillatory and improves survival during acute myocardial ischemia and reperfusion. Eur J Pharmacol 2007; 577: 115–123.
  • Baller D, Bretschneider HJ, Hellige G. A critical look at currently used indirect indices of myocardial oxygen consumption. Basic Res Cardiol 1981; 76: 163–170.
  • Curtis MJ, Hancox JC, Farkas A, Wainwright CL, Stables CL, Saint DA, Clements-Jewery H, Lambiase PD, Billman GE, Janse MJ et al. The Lambeth Conventions (II): guidelines for the study of animal and human ventricular and supraventricular arrhythmias. Pharmacol Ther 2013; 139: 213–248.
  • Lepran I, Koltai M, Siegmund W, Szekeres L. Coronary artery ligation, early arrhythmias, and determination of the ischemic area in conscious rats. J Pharmacol Meth 1983; 9: 219–230.
  • Goes S, Freire Maia L, Almeida AP. Effects of anaesthetics on the incidence and duration of reperfusion arrhythmias in isolated rat heart. Braz J Med Biol Res 1993; 26: 1091–1095.
  • Süzer O, Köseoğlu S, Senses V. Midazolam is a safe agent by comparison with thiopentone on arrhythmias in ischaemia and reperfusion conditions in isolated perfused rat hearts. Pharmacol Res 1998; 37: 461–468.
  • Sumitra M, Manikandan P, Rao KV, Nayeem M, Manohar BM, Puvanakrishnan R. Cardiorespiratory effects of diazepam- ketamine, xylazine-ketamine and thiopentone anesthesia in male Wistar rats, a comparative analysis. Life Sci 2004; 75: 1887–1896.
  • Rodrigues SF, de Oliveira MA, Martins JO, Sannomiya P, de Cássia Tostes R, Nigro D, Carvalho MH, Fortes ZB. Differential effects of chloral hydrate- and ketamine/xylazine-induced anesthesia by the s.c. route. Life Sci 2006; 79: 1630–1637.
  • Picollo C, Serra AJ, Levy RF, Antonio EL, dos Santos L, Tucci PJF. Hemodynamic and thermoregulatory effects of xylazine- ketamine mixture persist even after the anesthetic stage in rats. Arq Bras Med Vet Zootec 2012; 64: 860–864.
  • Rand JS, Reynolds WT, Priest J. Echocardiographic evaluation of the effects of medetomidine and xylazine in dogs. Aust Vet J 1996; 73: 41–44.
  • Wixson SK, White WJ, Hughes HC, Lang CM, Marshall WK. The effects of pentobarbital, fentanyl-droperidol, ketamine- xylazine and ketamine-diazepamon arterial blood pH, blood gases, mean arterial blood pressure, and heart rate in adult male rats. Lab Animal Sci 1987; 37: 736–742.
  • Tosaki A, Szekeres L, Hearse DJ. Metoprolol reduces reperfusion-induced fibrillation in the isolated rat heart: protection is secondary to bradycardia. J Cardiovasc Pharmacol 1987; 10: 489–497.
  • Van Gilst WH, De Graeff PA, Kingma JH, De Langen CD, Wesseling H. Effects of diltiazem on reperfusion-induced arrhythmias in vitro and in vivo. J Mol Cell Cardiol 1986; 18: 1255–1266.
  • Ng FS, Shadi IT, Peters NS, Lyon AR. Selective heart rate reduction with ivabradine slows ischaemia-induced electrophysiological changes and reduces ischaemia- reperfusion-induced ventricular arrhythmias. J Mol Cell Cardiol 2013; 59: 67–75.
  • Bernier M, Curtis M, Hearse D. Ischemia-induced and reperfusion-induced arrhythmias: importance of heart rate. Am J Physiol 1989; 256: 21–31.
  • Ceconi C, Cargnoni A, Francolini G, Parinello G, Ferrari R. Heart rate reduction with ivabradine improves energy metabolism and mechanical function of isolated ischaemic rabbit heart. Cardiovasc Res 2009; 84: 72–82.
  • Ko SH, Lee SK, Han YJ, Choe H, Kwak YG, Chae SW, Cho KP, Song HS. Blockade of myocardial ATP-sensitive potassium channels by ketamine. Anesthesiology 1997; 87: 68–74.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

PCR investigation of Panton-Valentine leukocidin, enterotoxin, exfoliative toxin,and agr genes in Staphylococcus aureus strains isolated from psoriasis patients*

Julide Sedef GÖÇMEN, Neriman ŞAHİNER, Mukadder KOÇAK, Zeynep Ceren KARAHAN

Clinical characteristics and prognosis of patients with retinoblastoma: 8-year follow-up

XIN LUO, HUIJING YE, YUN-GANG DING, YI DU, HUASHENG YANG

Investigation of the protective effect of erdosteine against cyclosporine-inducedinjury in rat liver with histological and biochemical methods

AHMET NACAR, İHSAN KARABOĞA, HAMZA MALİK OKUYAN, NEBİHAT KAPLAN SEFİL, EMEL NACAR, SEDAT MOTOR, SEÇKİN AKKÜÇÜK, ORHAN VELİ ÖZKAN

Histopathological findings obtained from reduction mammoplasty specimens

AYNUR ALBAYRAK, ÇİĞDEM GÜLER MESCİ, GÜLNUR GÜLER

An anatomical study of the supratrochlear foramen of the Jining population

JING LI, QINGHUA MAO, WENYUAN LI, XIAOYAN LI

Mutation analysis of 6 spinocerebellar ataxia (SCA) types in patients from southern Turkey

PERÇİN PAZARCI, HALİL KASAP, AYŞE FİLİZ KOÇ, ŞAKİR ALTUNBAŞAK, MEHMET ALİ ERKOÇ

The effect of tramadol and tramadol + gabapentin combination in patients with lumbar disc herniation after epidural steroid injection

LÜTFİYE PİRBUDAK, HÜLYA ÇİÇEK, MUSTAFA IŞIK, YASEMİN ZER

Molecular characteristics of extended spectrum β-lactamase and carbapenemase genes carried by carbapenem-resistant Enterobacter cloacae in a Chinese university hospital

Lanying CUI, Jinying ZHAO, Juan LU

Factors affecting daily instrumental activities of the elderly

Ayfer ŞAHİN, Oğuz TEKİN, Sevsen CEBECİ, Bünyamin IŞIK, Adem ÖZKARA, Rabia KAHVECİ, Metin CANBAL, Şeyda KUNT, İrfan ŞENCAN

The evaluation of hypermetabolic mediastinal hilar lymph nodes determined by PET/CT in pulmonary and extrapulmonary malignancies: correlation with EBUS-TBNA

Hatice Canan HASANOĞLU, Elif ÖZDEMİR, Şeyda TÜRKÖLMEZ, Nilüfer YILDIRIM, Aysegül ŞENTÜRK, Zuhal KANDEMİR, Mutlay KESKİN