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Articles in PresS, published online ahead of print May 6, 2002
Am J Physiol Regu Physiol, 10.1152/ajpregu.00608.2001
Submitted on October 10, 2001
Accepted on April 24, 2002
1 Dipartimento di Scienze Precliniche LITA di Vialba, Medicina Interna, Universita' degli Studi di Milano, Milano, Italy; Department of Biological Sciences, School of Medicine of the Triangulo Mineiro, Uberaba, MG, Brazil
2 Divisione di Cardiologia, Ospedale SL Mandic, Merate (LC), Italy
3 Dipartimento di Scienze Precliniche LITA di Vialba, Medicina Interna, Universita' degli Studi di Milano, Milano, Italy
4 Dipartimento di Scienze Precliniche LITA di Vialba, Medicina Interna, Universita' degli Studi di Milano, Milano, Italy; Dipartimento di Geriatria e Malattie del Metabolismo, Universita' di Napoli II, Napoli, Italy
* To whom correspondence should be addressed. E-mail: nicola.montano{at}unimi.it.
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 minutes 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 minutes (+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 minutes (-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.
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