[Effects of rotundium on clinical electrophysiology in patients with pre-excitation syndrome]
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Updated: Oct 17, 2026

Programmed Electrical Stimulation in Mice
Published on: May 26, 2010
1Institute of Cardiovascular Disease, Tongji Medical University, Wuhan.
Abstract:
Acute electrophysiologic effects of rotundium were studied with programmed electrical cardiac stimulation in 14 patients with paroxysmal tachyarrhythmias due to preexcitation syndrome after intravenous infusion of 2 mg/kg. The results showed that the drug depressed the function of the atrioventricular node markedly. Significant lengthening of A-H interval (from 75 +/- 19ms to 88 +/- 21ms, P < 0.01), AVNERP (from 246 +/- 47ms to 290 +/- 45ms, P < 0.01), AVNWCL (from 326 +/- 23ms to 388 +/- 42ms, P < 0.01) were seen. But no significant influence on SNRT, CSNRT and SACT (P < 0.05) were observed. Rotundium lengthened A-delta interval (from 97 +/- 18 ms to 106 +/- 19ms, P < 0.05) and the anterograde effective refractory period (ERP) of the accessory pathway (from 287 +/- 36ms to 320 +/- 43ms P < 0.05). It slightly lengthened V-A interval and the retrograde ERP of the accessory pathway. Rotundium lengthened AERP significantly (from 216 +/- 37ms to 244 +/- 41ms, P < 0.02). The effective rate of prevention of supraventricular tachycardia (SVT) by PES in this study was 77.8% (7/9). Rotundium showed no severe side effect in this study.
Insights
Rotundium significantly impacts cardiac electrophysiology by depressing atrioventricular node function and lengthening refractory periods in patients with preexcitation syndrome. This study indicates rotundium
Area of Science:
- Clinical Electrophysiology
- Pharmacology
- Cardiology
Context:
- Preexcitation syndromes involve abnormal electrical pathways in the heart, leading to tachyarrhythmias.
- Programmed electrical stimulation (PES) is a diagnostic tool for assessing cardiac arrhythmias.
- Intravenous rotundium was administered to evaluate its acute effects.
Purpose:
- To investigate the acute electrophysiologic effects of rotundium in patients with preexcitation syndrome.
- To assess rotundium's impact on atrioventricular node and accessory pathway function.
- To determine the efficacy of rotundium in preventing supraventricular tachycardia (SVT).
Summary:
- Rotundium significantly depressed atrioventricular node function, evidenced by prolonged A-H interval, AVNERP, and AVNWCL.
- The drug lengthened the anterograde effective refractory period (ERP) of the accessory pathway and atrial ERP.
- Rotundium demonstrated a 77.8% effective rate in preventing SVT via PES, with no severe side effects observed.
Impact:
- Rotundium shows potential as an antiarrhythmic agent for preexcitation syndromes.
- Findings contribute to understanding rotundium's electrophysiologic profile and therapeutic applications.
- The study supports further investigation into rotundium for managing cardiac tachyarrhythmias.
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