Circulation, Vol 80, 138-145, Copyright © 1989 by American Heart Association
D Posel, T Noakes, P Kantor, M Lambert and LH Opie
Previous work has shown that exercise training increases the ventricular
fibrillation threshold of the isolated perfused rat heart. The aim of our
study was to determine whether exercise training that begins after
myocardial infarction can similarly increase the ventricular fibrillation
threshold. Rats that had suffered an experimental myocardial infarction
were subject to a running training program. Thereafter, the ventricular
fibrillation threshold was measured before and after the onset of acute
reinfarction induced by a second coronary artery ligation. Ventricular
fibrillation thresholds were significantly elevated in trained rats during
normoxia (13.7 +/- 2.2 vs. 4.7 +/- 0.8 mA, p less than 0.01) and during
acute ischemia (6.8 +/- 1.6 vs. 3.0 +/- 0.7 mA, p less than 0.02). The
myocardial cyclic AMP level was lower in the nonischemic zone of the
trained hearts (0.21 +/- 0.01 vs. 0.28 +/- 0.01 nmol/g, p less than 0.05),
which also had lower cyclic AMP levels after epinephrine challenge (0.50
+/- 0.05 vs. 0.73 +/- 0.09 nmol/g, p less than 0.01; 1.41 +/- 0.11 vs. 1.85
+/- 0.09 nmol/g, p less than 0.02 after epinephrine 10(- 7) M and 5 x
10(-6) M injection, trained vs. untrained). Both propranolol 10(-6) M and
epinephrine 5 x 10(-7) M attenuated the difference in ventricular
fibrillation thresholds before and after second coronary artery ligation
and eliminated any difference in cyclic AMP content of both the nonischemic
and ischemic myocardial tissue.(ABSTRACT TRUNCATED AT 250 WORDS)
ARTICLES
Exercise training after experimental myocardial infarction increases the ventricular fibrillation threshold before and after the onset of reinfarction in the isolated rat heart
MRC Ischaemic Heart Disease Research Unit, Department of Medicine, South Africa.
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