Electrophysiological effects of cetirizine, astemizole and D-sotalol in a canine model of long QT syndrome. Weissenburger, J., Noyer, M., Cheymol, G., & Jaillon, P. Clin Exp Allergy, 29 Suppl 3:190--106, July, 1999.
bibtex   
@Article{RSM:Wei99,
  author =       "J. Weissenburger and M. Noyer and G. Cheymol and P.
                 Jaillon",
  title =        "Electrophysiological effects of cetirizine, astemizole
                 and {D}-sotalol in a canine model of long {QT}
                 syndrome.",
  journal =      "Clin Exp Allergy",
  year =         "1999",
  month =        jul,
  volume =       "29 Suppl 3",
  pages =        "190--106",
  robnote =      "We compared cetirizine, another compound of that
                 class, to D-sotalol and to astemizole in a model of
                 acquired long QT syndrome. Open-chest surgery was
                 performed in adult beagle dogs anaesthetized with
                 halothane and thiopental. Bradycardia was produced with
                 beta-adrenergic blockade and sinus node crush. Four
                 left ventricular intramyocardial unipolar monophasic
                 action potentials (MAP) were recorded during atrial
                 pacing at basic cycle lengths (BCL) 400-1500 msec,
                 before and during three successive 1-h drug infusions
                 (0.14, 0.45 and 1.4 mg/kg/h for astemizole and
                 cetirizine and 1.1, 2.2 and 4.5 mg/kg/h for D-sotalol).
                 Dose- and bradycardia-dependent prolongations of MAP
                 duration (MAPD) were produced by D-sotalol (P < 0.001)
                 and astemizole (P < 0.001) but not by cetirizine. At
                 BCL 1500 ms, the three infusions of astemizole
                 prolonged endocardial MAPD from 323 +/- 8 msec (mean
                 +/- SE) at baseline to 343 +/- 10, 379 +/- 13 and 468
                 +/- 26 msec, respectively (n = 9). Sotalol prolonged
                 that MAPD from 339 +/- 6 msec to 377 +/- 7, 444 +/- 15
                 and 485 +/- 24 msec (n = 7). In contrast, cetirizine
                 did not prolong MAPD: 341 +/- 8 msec at baseline Vs 330
                 +/- 8, 324 +/- 9 and 323 +/- 11 msec (n = 9).
                 Drug-induced increase in transmural dispersion reached
                 +79 +/- 19 msec after astemizole, +59 +/- 21 msec after
                 D-sotalol and only +7 +/- 11 msec after cetirizine.
                 Runs of ventricular tachycardias and torsades de
                 pointes occurred during dose three of astemizole (5/9
                 dogs) and D-sotalol (4/7 dogs) but never during
                 cetirizine. In the present model, astemizole and
                 D-sotalol but not cetirizine prolonged MAPD and
                 transmural dispersions of repolarization and produced
                 torsades de pointes. terfenadine mentioned but not
                 studied",
  bibdate =      "Fri Dec 29 13:43:13 2000",
}

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