ArticleKorean journal of anesthesiology2011
The effect of beta1-adrenergic receptor gene polymorphism on prolongation of corrected QT interval during endotracheal intubation under sevoflurane anesthesia.
Article in Korean journal of anesthesiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed, 6 citations in OpenAlex.
- Investigation of proarrhythmic effect of high sugammadex doses: an experimental animal study.Journal of anesthesia, analgesia and critical care · 2022Article
- Comparison of the effects of various airway devices on hemodynamic response and QTc interval in rabbits under general anesthesia.Journal of clinical monitoring and computing · 2015Article
- Renal responses to sevoflurane and isoflurane in patients undergoing donor nephrectomy.Medical gas researchArticle
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5 authors at 1 institution in 1 country.
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Abstract
backgroundThe hemodynamic responses to endotracheal intubation are associated with sympathoadrenal activity. Polymorphisms in the beta1-adrenergic receptor (β(1)AR) gene can alter the pathophysiology of specific diseases. The aim of this study is to investigate whether the Ser49Gly and Arg389Gly polymorphism of the β(1)AR gene have different cardiovascular responses during endotracheal intubation under sevoflurane anesthesia.
methodsNinety-one healthy patients undergoing general anesthesia were enrolled. Patients underwent slow inhalation induction of anesthesia using sevoflurane in 100% oxygen. Vecuronium 0.15 mg/kg was given for muscle relaxation. Endotracheal intubation was performed by an anesthesiologist. The mean arterial pressure (MAP), heart rate (HR), and the corrected QT (QTc) interval were measured before induction, before laryngoscopy, and immediately after tracheal intubation. Genomic DNA was isolated from the patients' peripheral blood and then evaluated for the β(1)AR-49 and β(1)AR-389 genes using an allele-specific polymerase chain reaction method.
resultsNo differences were found in the baseline values of MAP, HR, and the QTc interval among β(1)AR-49 and β(1)AR-389, respectively. In the case of β(1)AR-49, the QTc interval change immediately after tracheal intubation was significantly greater in Ser/Ser genotypes than in Ser/Gly genotypes. No differences were observed immediately after tracheal intubation in MAP and HR for β(1)AR-49 and β(1)AR-389.
conclusionsWe found an association between the Ser49 homozygote gene of β(1)AR-49 polymorphism and increased QTc prolongation during endotracheal intubation with sevoflurane anesthesia. Thus, β(1)AR-49 polymorphism may be useful in predicting the risk of arrhythmia during endotracheal intubation in patients with long QT syndrome.
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