Evidence map›Paper›PMID 19914141›Full record

ArticleHeart rhythm2010

Mechanisms of sinoatrial node dysfunction in a canine model of pacing-induced atrial fibrillation.

Boyoung Joung, Shien-Fong Lin, Zhenhui Chen, Patrick S Antoun, Mitsunori Maruyama, Seongwook Han, Gianfranco Piccirillo, Marcelle Stucky, Douglas P Zipes, Peng-Sheng Chen and 1 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in Heart rhythm, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 45 citations in OpenAlex.

  1. Chronic amiodarone therapy impairs the function of the superior sinoatrial node in patients with atrial fibrillation.Circulation journal : official journal of the Japanese Circulation Society · 2013
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  10. Function and dysfunction of human sinoatrial node.Korean circulation journal · 2015
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Boyoung JoungDepartment of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Shien-Fong Lin
Zhenhui Chen
Patrick S Antoun
Mitsunori Maruyama
Seongwook Han
Gianfranco Piccirillo
Marcelle Stucky
Douglas P Zipes
Peng-Sheng Chen
Mithilesh Kumar Das
Indiana University – Purdue University Indianapolis · USIndiana University School of Medicine

Funding

WAVE DYNAMICS IN NORMAL AND DISEASED RABBIT HEARTSP01HL078931 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WEISS, JAMES · 2005 to 2015
$20.7M
Thoracic Veins and Sustained Atrial FibrillationR01HL071140 · NHLBI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI CHEN, PENG-SHENG · 2002 to 2014
$4.7M
Fibrillation and DefibrillationR01HL078932 · NHLBI · TRUSTEES OF INDIANA UNIVERSITY · PI CHEN, PENG-SHENG · 2005 to 2010
$2.3M
NHLBI NIH HHS P01 HL078931NHLBI NIH HHS P01 HL78931NHLBI NIH HHS R01 HL071140NHLBI NIH HHS R01 HL078932NHLBI NIH HHS R01 HL78932PHS HHS 71140
6 · The paper itself

Abstract

backgroundThe mechanism of sinoatrial node (SAN) dysfunction in atrial fibrillation (AF) is unclear.

objectiveThe purpose of this study was to test the hypothesis that defective spontaneous sarcoplasmic reticulum (SR) Ca(2+) release (Ca(2+) clock) is in part responsible for SAN dysfunction in AF.

methodsArrhythmic events and SAN function were evaluated in pacing-induced AF dogs (n = 7) and in normal dogs (n = 19) with simultaneous intracellular calcium (Ca(i)) and membrane potential recording.

resultsAF dogs had frequent sinus pauses during Holter monitoring. Isolated right atrium (RA) from AF dogs showed slower heart rate (P = .001), longer SAN recovery time (P = .001), and longer sinoatrial conduction time (P = .003) than normal. In normal RAs, isoproterenol 0.3 and 1 mumol/L increased heart rate by 96% and 105%, respectively. In contrast, in RAs from AF dogs, isoproterenol increased heart rate by only 60% and 72%, respectively. Isoproterenol induced late diastolic Ca(i) elevation (LDCAE) at superior SAN in all 19 normal RAs but in only 3 of 7 AF RAs (P = .002). In AF RAs without LDCAE (n = 4), heart rate increased by the acceleration of ectopic foci. Caffeine (20 mmol/L) injection increased heart rate with LDCAE in all 6 normal RAs but did not result in LDCAE in any of the 5 AF RAs (P = .002). Type 2 ryanodine receptor (RyR2) in the superior SAN of AF dogs was decreased to 33% of normal (P = .02).

conclusionSAN dysfunction in AF is associated with Ca(2+) clock malfunction, characterized by unresponsiveness to isoproterenol and caffeine and down-regulation of RyR2 in SAN.

Indexed as

Adrenergic beta-AgonistsAnimalsAtrial FibrillationCaffeineCalciumCalcium-Binding ProteinsCalcium Channels, L-TypeCardiac Pacing, ArtificialCentral Nervous System StimulantsDisease Models, AnimalDogsDown-RegulationHeart RateIsoproterenolRisk FactorsRyanodine Receptor Calcium Release ChannelAdrenergic beta-AgonistsCaffeineCalciumCalcium-Binding ProteinsCalcium Channels, L-TypeCentral Nervous System StimulantsIsoproterenolRyanodine Receptor Calcium Release Channel

Identifiers

PMID19914141
PMCPMC2925681
OpenAlexW2046052800

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.