Evidence map›Paper›PMID 18984537›Full record

ArticleHeart rhythm2008

Electrophysiological mechanisms of antiarrhythmic protection during hypothermia in winter hibernating versus nonhibernating mammals.

Vadim V Fedorov, Alexey V Glukhov, Sangita Sudharshan, Yuri Egorov, Leonid V Rosenshtraukh, Igor R Efimov

Open access · greenAbstract read
In one paragraph

Article in Heart rhythm, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.1field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 47 citations in OpenAlex.

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  11. Thermoregulation and energetics in hibernating black bears: metabolic rate and the mystery of multi-day body temperature cycles.Journal of comparative physiology. B, Biochemical, systemic, and environmental physiology · 2015
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  18. Circulation and metabolic rates in a natural hibernator: an integrative physiological model.American journal of physiology. Regulatory, integrative and comparative physiology · 2010
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Vadim V FedorovDepartment of Biomedical Engineering, Washington University, St. Louis, Missouri 63130-4899, USA. vadimfed@gmail.com
Alexey V Glukhov
Sangita Sudharshan
Yuri Egorov
Leonid V Rosenshtraukh
Igor R Efimov
Institute of Experimental Cardiology · RUWashington University in St. Louis · US

Funding

Virtual Electrode Polarization Hypothesis of DefibrillationR01HL067322 · NHLBI · WASHINGTON UNIVERSITY · PI EFIMOV, IGOR R · 2001 to 2010
$3.7M
The role of electroporation in defibrillationR01HL074283 · NHLBI · WASHINGTON UNIVERSITY · PI EFIMOV, IGOR R · 2004 to 2007
$2.3M
NHLBI NIH HHS R01 HL067322NHLBI NIH HHS R01 HL074283
6 · The paper itself

Abstract

backgroundRobust cell-to-cell coupling is critically important in the safety of cardiac conduction and protection against ventricular fibrillation (VF). Hibernating mammals have evolved naturally protective mechanisms against VF induced by hypothermia and reperfusion injury.

objectiveWe hypothesized that this protection strategy involves a dynamic maintenance of conduction and repolarization patterns through the improvement of gap junction functions.

methodsWe optically mapped the hearts of summer-active (SA) and winter-hibernating (WH) ground squirrels Spermophilus undulatus from Siberia and nonhibernating rabbits during different temperatures (+3 degrees C to +37 degrees C).

resultsMidhypothermia (+17 degrees C) resulted in nonuniform conduction slowing, increased dispersion of repolarization, shortened wavelength, and consequently enhanced VF induction in SA ground squirrels and rabbits. In contrast, wavelength was increased during hypothermia in WH hearts in which VF was not inducible at any temperature. In SA and rabbit hearts, but not in WH, conduction anisotropy was significantly increased by pacing acceleration, thus promoting VF induction during hypothermia. WH hearts maintained the same rate-independent anisotropic propagation pattern even at 3 degrees C. connexin 43 (Cx43) had more homogenous transmural distribution in WH ventricles as compared to SA. Moreover, Cx43 and N-cadherins (N-cad) densities as well as the percentage of their colocalization were significantly higher in WH compared to SA epicardium.

conclusionRate-independent conduction anisotropy ratio, low dispersion of repolarization, and long wavelength-these are the main electrophysiological mechanisms of antiarrhythmic protection in hibernating mammalian species during hypothermia. This strategy includes the improved gap junction function, which is due to overexpression and enhanced colocalization of Cx43 and N-cad.

Indexed as

HypothermiaAnimalsArrhythmias, CardiacElectrophysiologic Techniques, CardiacHeart Conduction SystemHibernationMammalsMyocardial Reperfusion InjuryRabbitsSciuridae

Identifiers

PMID18984537
PMCPMC2740639
OpenAlexW2038525281

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.