Scopus Eşleşmesi Bulundu
78
Cilt
488-503
Sayfa
🔓
Açık Erişim
Scopus Yazarları: Funda Arun, Nihal Ozturk, Sırma Basak Yanardag, Oguzhan Arun, Orhan Erkan, Semir Ozdemir, Murat Ayaz
Özet
Background: Sugammadex reverses the effects of steroidal neuromuscular-blocking agents, such as rocuronium, by encapsulating these agents. Its cardiovascular adverse effects include QTc prolongation, hypotension, bradycardia, atrioventricular block, atrial fibrillation, and asystole. Additionally, rocuronium has cardiac side effects, such as bradycardia, hypotension, cardiac arrest, circulatory collapse, and ventricular fibrillation. Here-in, we investigated the effects of sugammadex, rocuronium, and combined rocuronium + sugammadex on cardiac electrophysiological parameters. Methods: In vitro experiments were performed using ventricular myocytes obtained from male Wistar rats. Myocyte contraction and relaxation responses were recorded along with action potential (AP), and L-type calcium (I<inf>CaL</inf>) and potassium channel currents (I<inf>to</inf>, I<inf>ss</inf>, and I<inf>K1</inf>). Results: Sugammadex caused dose-dependent decreases in myocyte contraction and relaxation responses. Rocuronium had no effect in this respect, whereas its co-administration with sugammadex led to decreased contraction responses. Sugammadex prolonged the AP repolarization phase, whereas rocuronium prolonged all AP phases. Co-administration of sugammadex and rocuronium did not significantly affect AP parameters. Sugammadex suppressed the peak I<inf>CaL</inf> value, while rocuronium caused an even greater decrease. Co-administration of these drugs further decreased the current-voltage characteristics of the I<inf>CaL</inf>. However, no significant effects were observed on the potassium currents. Conclusions: Separate or combined administration of sugammadex and rocuronium had various effects on myocyte contractility, AP, and I<inf>CaL</inf>, which could cause significant changes leading to adverse cardiac events. Further experimental and clinical studies are required to understand the clinical consequences of the modulatory effects of these drugs on cardiac electrophysiological parameters.
Anahtar Kelimeler (Scopus)
Action potentials
Rocuronium
Calcium channels
Sugammadex
Myocardial contraction
Potassium channels
Anahtar Kelimeler
Action potentials
Rocuronium
Calcium channels
Sugammadex
Myocardial contraction
Potassium channels
Makale Bilgileri
Dergi
Korean Journal of Anesthesiology
ISSN
2005-6419
Yıl
2025
/ 6. ay
Cilt / Sayı
78
/ 5
Sayfalar
488 – 503
Makale Türü
Özgün Makale
Hakemlik
Hakemli
Endeks
SCI-Expanded
JCR Quartile
Q1
TEŞV Puanı
2571,00
Yayın Dili
İngilizce
Kapsam
Uluslararası
Toplam Yazar
7 kişi
Erişim Türü
Basılı+Elektronik
Erişim Linki
Makaleye Git
Alan
Sağlık Bilimleri Temel Alanı
Anesteziyoloji ve Reanimasyon
YÖKSİS Yazar Kaydı
Yazar Adı
ARUN OĞUZHAN,ÖZTÜRK ERBOĞA NİHAL,ERKAN ORHAN,ÖZDEMİR SEMİR,ARUN FUNDA,YANARDAĞ SIRMA BAŞAK,AYAZ MURAT
YÖKSİS ID
8695139
Hızlı Erişim
Metrikler
JCR Quartile
Q1
TEŞV Puanı
2571,00
Yazar Sayısı
7