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Canadian Journal of Anesthesia, Vol 46, 148-153, Copyright © 1999 by Canadian Anesthesiologists' Society


ARTICLES

Propofol does not affect the canine cardiac conduction system under autonomic blockade

S Ikeno, S Akazawa, R Shimizu, Y Nakaigawa, R Ishii, S Inoue and M Satoh
Department of Anaesthesiology, Jichi Medical School, Tochigi, Japan. sakazawa@jichi.ac.jp

PURPOSE: To determine the effects of propofol on the cardiac conduction system in dogs with pharmacological autonomic blockade. METHODS: In eight mongrel dogs receiving 6 mg.kg-1.hr-1 propofol and vecuronium under pharmacological autonomic blockade with atropine and propranolol the infusion rates of propofol were increased from 6, (baseline), to 12, 18 and 24 mg.kg-1.hr-1 at 60-min intervals. An electrophysiological study assessed sinus rate, sinus node recovery time, corrected sinus node recovery time, intraatrial conduction time, AV nodal effective refractory period, Wenckebach cycle length and AV conduction times. Electrocardiographical variables and arterial pressures were also measured. All measurements were repeated at 30 min after the beginning of each infusion of propofol. RESULTS: Propofol did not produce direct effects on the electrophysiological or electrocardiographical variables at any infusion rates. Heart rates did not change at higher infusion rates in the presence of decreases in arterial pressures. CONCLUSION: Propofol did not affect the cardiac conduction system in the presence of autonomic blockade. Thus, the direct cardiac effects of propofol do not play a causative role in the genesis of propofol-associated bradyarrhythmias.


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Propofol for electrical storm; a case report of cardioversion and suppression of ventricular tachycardia by propofol: [Le propofol et la tempete electrique; l'observation d'un cas de cardioversion et de suppression de la tachycardie ventriculaire par le propofol]
Can J Anesth, November 1, 2002; 49(9): 973 - 977.
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