Vol. 283, Issue 2, R543-R548, August 2002
Opposite effects of iv amiodarone on cardiovascular vagal and
sympathetic efferent activities in rats
Valdo Jose
Dias Da
Silva1,2,
Tomaso
Gnecchi-Ruscone3,
Barbara
Lavelli1,
Valentina
Bellina1,
Daniela
Manzella1,4,
Alberto
Porta1,
Alberto
Malliani1, and
Nicola
Montano1
1 Dipartimento di Scienze Precliniche, L.I.T.A. di
Vialba, Medicina Interna II, Ospedale L. Sacco, Universita' degli
Studi di Milano, 20157 Milano, 3 Divisione di
Cardiologia, Ospedale S L Mandic, 22055 Merate (LC),
4 Dipartimento di Geriatria e Malattie del
Metabolismo, Universita' di Napoli II, Napoli, Italy; and
2 Department of Biological Sciences, School of
Medicine of the Triangulo Mineiro, 38015-050 Uberaba,
Brazil
It is unknown
whether amiodarone exerts a direct central action on the cardiovascular
autonomic nervous system. This study was designed to evaluate the
effects of acute amiodarone administration on vagal and sympathetic
efferent nerve discharges. Experiments were carried out in 25 decerebrate unanesthetized rats. In one group, vagal activity was
recorded from preganglionic fibers isolated from the cervical vagus
nerve. In another group, sympathetic recordings were obtained from
fibers isolated from the cervical sympathetic trunk in intact
conditions or after barodenervation. Recordings were performed before
and for 60 min after amiodarone (50 mg/kg iv) administration. In all
groups, amiodarone induced bradycardia and hypotension. Vagal activity
increased immediately, reaching a significant difference after 20 min
(260 ± 131% from 16.4 ± 3.3 spikes/s) and was unmodified
by the barodenervation. At difference, sympathetic activity after an
initial and short-lasting increase (150 ± 83% from 24.8 ± 5.7 spikes/s) began to decrease significantly after 20 min (36 ± 17%) throughout the experiment. The initial increase in sympathetic
activity was not observed in barodenervated animals. These changes in
vagal and sympathetic activity could play an important role in
contributing to the antiarrhythmic action of amiodarone.
arrhythmias; autonomic nervous system; baroreceptors; heart rate