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The regulation effect of NaV1.8 channels on atrial fibrillation inducibility after acute myocardial infarction
Received:October 27, 2022  Revised:February 18, 2023  Click here to download the full text
Citation of this paper:QI Bao-zhen,XIE Zhong-lei,SHEN Dong-li,DAI Shi-mo,ZHANG Chun-yu,LIN Jia-xiong,LIU Shao-wen,NIE Zhenning,ZHOU Jing-min,QIAN Ju-ying,GE Jun-bo.The regulation effect of NaV1.8 channels on atrial fibrillation inducibility after acute myocardial infarction[J].Chinese Journal of Clinical Medicine,2023,30(2):301-305
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Author NameAffiliationE-mail
QI Bao-zhen Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine, Shanghai Clinical Research Center for Interventional Medicine, Shanghai 200032, China  
XIE Zhong-lei Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine, Shanghai Clinical Research Center for Interventional Medicine, Shanghai 200032, China  
SHEN Dong-li Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine, Shanghai Clinical Research Center for Interventional Medicine, Shanghai 200032, China  
DAI Shi-mo Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine, Shanghai Clinical Research Center for Interventional Medicine, Shanghai 200032, China  
ZHANG Chun-yu Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine, Shanghai Clinical Research Center for Interventional Medicine, Shanghai 200032, China  
LIN Jia-xiong Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine, Shanghai Clinical Research Center for Interventional Medicine, Shanghai 200032, China  
LIU Shao-wen Department of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China  
NIE Zhenning Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine, Shanghai Clinical Research Center for Interventional Medicine, Shanghai 200032, China nie.zhenning@zs-hospital.sh.cn 
ZHOU Jing-min Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine, Shanghai Clinical Research Center for Interventional Medicine, Shanghai 200032, China zhou.jingmin@zs-hopital.sh.cn 
QIAN Ju-ying Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine, Shanghai Clinical Research Center for Interventional Medicine, Shanghai 200032, China  
GE Jun-bo Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine, Shanghai Clinical Research Center for Interventional Medicine, Shanghai 200032, China  
Abstract:Objective To explore the effects of blocking NaV1.8 channels in cardiac ganglionated plexi (GP) on atrial fibrillation after acute myocardial infarction. Methods A total of 12 male beagles were randomly enrolled. NaV1.8 channels blocker A-803467 (n=6) or DMSO (n=6, control) was injected. Sinus rate (SR), atrial effective refractory period (AERP), the atrial cumulative window of vulnerability and duration of atrial fibrillation were measured before and 30 min, 60 min, 90 min after A-803467 or DMSO injection. The SR changes induced by high-frequency electrical stimulation (20 Hz, 0.1 ms, square wave) in the right anterior GP were recorded 10 min after injection. Results Compared with the control group, A-803467 significantly increased SR, shortened the AERP, widened the atrial cumulative window of vulnerability and prolonged the duration of atrial fibrillation. In addition, A-803467 suppressed the SR slowness induced by high-frequency electrical stimulation of the right anterior GP. Conclusions Blocking NaV1.8 increases the atrial fibrillation inducibility after acute myocardial infarction, and the underlying mechanism may be related to the regulation of the neural activity of the cardiac GP.
keywords:atrial fibrillation  acute myocardial infarction  sodium channel  cardiac ganglionated plexi  electrophysiology
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