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Dofetilide effect on human atrial action potential under normal and atrial fibrillation conditions. In silico study

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VII Latin American Congress on Biomedical Engineering CLAIB 2016, Bucaramanga, Santander, Colombia, October 26th -28th, 2016

Part of the book series: IFMBE Proceedings ((IFMBE,volume 60))

Abstract

Atrial fibrillation is the most common sustained cardiac arrhythmia. Dofetilide is an antiarrhythmic drug for the treatment of chronic AF that specifically blocks the rapid component of the delayed rectifier potassium current I Kr . Dofetilide prolongs the action potential duration and QT interval in a concentration-dependent fashion, therefore, the risk of QT prolongation is dose related. It is important to study the electrophysiological effects of dofetilide at different concentrations in human atrial cells. For this, we simulated the effects of dofetilide on human atrial cell and studied its effect on atrial action potential under normal conditions and during cAF. We developed a model of dofetilide effects on I Kr and I KACh . Our results show that dofetilide blocks both currents in a fraction greater as the concentration increases, which results in an action potential duration lengthening. To our knowledge, this is the first work that has developed mathematical models of dofetilide effects on I Kr and I KACh currents to study its effect on human atrial action potential.

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References

  1. Goralnick E, Bontempo LJ. (2015) Atrial Fibrillation. Emerg. Med. Clin. North Am33(3):597–612.

    Google Scholar 

  2. Aliot E, Haïssaguerre M, Jackman WM. (2008) Catheter Ablation of Atrial Fibrillation. Blackwell Publishing, Oxford.

    Google Scholar 

  3. Zipes DP, Jalife J. (2016) Cardiac Electrophysiology: From Cell to Bedside, Sixth. Elsevier, Philadelphia.

    Google Scholar 

  4. Jurkiewicz NK, Sanguinetti MC. (1993) Rate-dependent prolongation of cardiac action potentials by a methanesulfonanilide class III antiarrhythmic agent. Cir Res 72:75-83.

    Google Scholar 

  5. Lauer MR, Jose S. (2001). Dofetilide: Is the Treatment Worse Than the Disease? J Am Coll Cardiol 37(4):1106–1110.

    Google Scholar 

  6. Saiz J, Ferrero JM, Monserrat M, et al. (2003) Effects of the antiarrhythmic drug dofetilide on myocardial electrical activity: a computer modelling study. Comput Cardiol 291–294.

    Google Scholar 

  7. January CT, Wann LS, Alpert JS, et al. (2014) AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol 212.

    Google Scholar 

  8. Jaiswal A, Goldbarg S. (2014) Dofetilide induced torsade de pointes: Mechanism, risk factors and management strategies. Indian Heart J 66(6):640–648.

    Google Scholar 

  9. Zimetbaum P. (2012) Antiarrhythmic drug therapy for atrial fibrillation. Circulation 125(2):381–389.

    Google Scholar 

  10. Courtemanche M, Ramirez RJ, Nattel S. (1998) Ionic mechanisms underlying human atrial action potential properties: insights from a mathematical model. Am J Physiol 275(1):H301– H321.

    Google Scholar 

  11. Kneller J, Zou R, Vigmond EJ, et al. (2002) Cholinergic atrial fibrillation in a computer model of a two- dimensional sheet of canine atrial cells with realistic ionic properties. Circ Res90(9):E73–E87.

    Google Scholar 

  12. Courtemanche M, Ramirez RJ, Nattel S. (1999) Ionic targets for drug therapy and atrial fibrillation-induced electrical remodeling: insights from a mathematical model. Cardiovasc Res 42(2):477–489.

    Google Scholar 

  13. Van Wagoner DR. (2003) Electrophysiological remodeling in human atrial fibrillation. Pacing Clin Electrophysiol 26(7):1572–1575.

    Google Scholar 

  14. Ficker E, Jarolimek W, Kiehn J, et al. (1998) Molecular Determinants of Dofetilide Block of HERG K+ Channels. Circ Res 82:386-395.

    Google Scholar 

  15. Voigt N, Rozmaritsa N, Trausch A, et al. (2010) Inhibition of IK,ACh current may contribute to clinical efficacy of class I and class III antiarrhythmic drugs in patients with atrial fibrillation. Naunyn-Schmied Arch Pharmacol 381: 251-259.

    Google Scholar 

  16. Tande PM, Bjornstad H, Yang T, et al. (1990) Rate-dependent class III antiarrhythmic action, negative chronotropy, and positive inotropy of the novel blocking drug, UK-68,798: Potent in guinea pig but no effect in rat myocardium. J Cardiovasc Phamacol 16:401-410.

    Google Scholar 

  17. Ohler A, Amos GJ, Wettwer E, et al. (1994) Frequency-dependent effects of E-4031,almokalant, dofetilide and tedisamil on action potencial duration: no evidence for “reverse use dependent” block. Arch Pharmacol 349:602-610.

    Google Scholar 

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Correspondence to C. Tobón .

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Tobón, C., Pérez, S., Ugarte, J.P., Saiz, J. (2017). Dofetilide effect on human atrial action potential under normal and atrial fibrillation conditions. In silico study. In: Torres, I., Bustamante, J., Sierra, D. (eds) VII Latin American Congress on Biomedical Engineering CLAIB 2016, Bucaramanga, Santander, Colombia, October 26th -28th, 2016. IFMBE Proceedings, vol 60. Springer, Singapore. https://doi.org/10.1007/978-981-10-4086-3_10

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  • DOI: https://doi.org/10.1007/978-981-10-4086-3_10

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  • Print ISBN: 978-981-10-4085-6

  • Online ISBN: 978-981-10-4086-3

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