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Assessment of the effects of changes in body temperature on cardiac electrophysiology in anaesthetised guinea pigs

机译:评估体温变化对麻醉的豚鼠心脏电生理的影响

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Introduction: Anaesthetised guinea pigs are commonly used within Safety Pharmacology to evaluate drug effects on cardiac electrophysiology. However, anesthesia compromises the ability to thermoregulate, which can be further challenged when more invasive surgery is required. As anaesthetised animals are often used when screening for cardiotoxicity, thereby influencing goo-go decisions, we wanted to quantify the impact of small temperature changes on the recorded electrophysiological parameters. Methods: Male guinea pigs were anaesthetised by pentobarbital, placed on a pre-heated table and a rectal thermistor inserted for monitoring of body temperature. After intubation animals were vagotomised and β-blocked, and lead II ECG needle electrodes attached. Following thoracotomy an atrial pacing electrode was attached and a suction MAP electrode positioned on the ventricular epicardium. In control animals temperature was kept constant (38.1±0.1°C) over the duration of the experiment. Animals in one group were slowly warmed to 41.9°C by a heating plate and a heating lamp, and in another group slowly cooled to 34.4°C by turning off all heating equipment. MAP duration at 90% repolarisation (MAPD90), AV conduction, ECG and body temperature were recorded during cardiac pacing every 5. min up to 50. min. Results: No time-dependent changes were seen in the control group. In contrast, a linear correlation was found between changes in body temperature and MAPD90, AV conduction, QTc and QRS intervals. For each degree temperature fell below 38°C MAPD90 was prolonged by 6.1. ms, and for each degree above 38°C MAPD90 was shortened by 5.3. ms. Corresponding changes were seen for QTc interval and AV conduction time, while effects on the QRS interval were smaller. Discussion: The data highlights the importance of carefully controlling body temperature when performing electrophysiological recordings in laboratory animals. A change by a single degree can affect electrophysiological parameters by 5-10%, thus increasing the risk for a false positive or negative interpretation of cardiotoxicity.
机译:简介:在安全药理学中通常使用麻醉的豚鼠来评估药物对心脏电生理的影响。但是,麻醉会损害体温调节的能力,当需要进行更多的侵入性手术时,可能会进一步受到挑战。由于在筛查心脏毒性时经常使用麻醉的动物,从而影响通过/不通过的决定,因此我们想量化温度微小变化对记录的电生理参数的影响。方法:雄性豚鼠通过戊巴比妥麻醉,置于预热的桌子上,并插入直肠热敏电阻以监测体温。插管后,对动物进行迷走神经切断和β-阻断,并附上铅II ECG针电极。开胸后,连接一个心房起搏电极,并将一个MAP抽吸电极置于心室心外膜上。在对照动物中,在整个实验过程中温度保持恒定(38.1±0.1℃)。一组中的动物通过加热板和加热灯缓慢地加热到41.9℃,而另一组中的动物通过关闭所有加热设备缓慢地冷却到34.4℃。在每5分钟至50分钟的心脏起搏过程中,记录90%复极(MAPD90)时的MAP持续时间,AV传导,ECG和体温。结果:对照组未见时间依赖性变化。相反,在体温变化与MAPD90,AV传导,QTc和QRS间隔之间发现线性相关。温度降低到38°C以下,MAPD90会延长6.1。 ms,且高于38°C的每个度将MAPD90缩短5.3。多发性硬化症。 QTc间隔和AV传导时间相应变化,而对QRS间隔的影响较小。讨论:数据突显了在对实验动物进行电生理记录时小心控制体温的重要性。单一程度的变化会影响5-10%的电生理参数,从而增加对心脏毒性进行假阳性或阴性解释的风险。

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