Powered by OpenAIRE graph
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Annals of Noninvasiv...arrow_drop_down
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
Annals of Noninvasive Electrocardiology
Article . 2005 . Peer-reviewed
License: Wiley Online Library User Agreement
Data sources: Crossref
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
versions View all 2 versions

The Impact of Catecholamines in Patients with or without Beta‐Blockers on the Ventricular Fibrillation Cycle Length and Ventricular Fibrillation Cycle Length Variability

Authors: Bokyung, Min; Jeffrey, Kluger; James S, Kalus; Danette, Guertin; Brian F, McBride; C Michael, White;

The Impact of Catecholamines in Patients with or without Beta‐Blockers on the Ventricular Fibrillation Cycle Length and Ventricular Fibrillation Cycle Length Variability

Abstract

Objectives: To evaluate the impact of epinephrine, norepinephrine, or placebo on the ventricular fibrillation cycle length (VFCL) and the variability of VFCL (cvVFCL) measurements in implantable cardioverter defibrillator (ICD) patients with or without beta‐blockers. Methods: Forty‐three patients scheduled for their 6‐week post‐ICD placement noninvasive electrophysiologic study were included in the study at the Arrhythmia Procedure Laboratory at Hartford Hospital, Hartford, CT. This randomized, double‐blind, placebo‐controlled evaluation was approved by the Hartford Hospital Institutional Review Board. Results: After 2 seconds of continuous VF, 7 consecutive VFCLs were measured from the ICD device recording printout using a 0.5 mm scale ruler under magnification at baseline and after the infusion of catecholamines (epinephrine or norepinephrine at 2 mcg/min) or matching placebo at steady state. The average VFCL and the cvVFCL were determined for each study phase. Subgroup analysis based on chronic beta‐blocker use was performed. No between‐group differences were noted for epinephrine, norepinephrine, or placebo group for baseline (P = 0.538) or postinfusion VFCL (P = 0.749) or for baseline (P = 0.561) or postinfusion cvVFCL (P = 0.623) Regardless of catecholamine group randomization, longer pre‐ and postinfusion VFCL were noted in those receiving beta‐blockers (P = 0.157, P = 0.019) but no differences in cvVFCL were noted (P = 0.216, P = 0.474) versus those without beta‐blockers, respectively. Conclusion: Moderately dosed epinephrine or norepinephrine does not affect either VFCL or the variability of VFCL after short duration of ventricular fibrillation. Chronic cardioselective beta‐blockade prolongs VFCL without any impact on coefficient of variation of VFCL.

Related Organizations
Keywords

Male, Analysis of Variance, Epinephrine, Adrenergic beta-Antagonists, Middle Aged, Defibrillators, Implantable, Norepinephrine, Treatment Outcome, Double-Blind Method, Ventricular Fibrillation, Humans, Female, Infusions, Intravenous, Adrenergic alpha-Agonists, Aged

  • BIP!
    Impact byBIP!
    citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    2
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
Powered by OpenAIRE graph
citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Average
Average
Average
gold