Rapid infusions of bidisomide or disopyramide in conscious dogs: effect of myocardial infarction on acute tolerability

J Cardiovasc Pharmacol. 1992 Aug;20(2):236-50. doi: 10.1097/00005344-199208000-00009.

Abstract

The acute tolerability of rapid infusions of bidisomide or disopyramide was evaluated in normal conscious dogs and in conscious dogs 48 h after the creation of myocardial infarctions (MIs). Both drugs were given in total doses of 15 mg/kg (1.5 x the canine antiarrhythmic dose for each drug). Bidisomide was well tolerated at infusion rates of 3, 5, 11, and 15 mg/kg/min by normal dogs. Disopyramide was well tolerated, except for anticholinergic effects, by normal dogs given infusions at rates of 1.5 and 3 mg/kg/min. Disopyramide caused a ventricular arrhythmia at 4.5 mg/kg/min in one dog, however. Bidisomide (15 mg/kg/min) was well tolerated and antiarrhythmic in dogs with infarctions. Disopyramide (3 and 4.5 mg/kg/min) was lethal in dogs that had myocardial infarctions. A 1 mg/kg/min infusion rate of disopyramide was antiarrhythmic and well tolerated, except for anticholinergic effects, in the post-MI dogs. Both drugs prolonged the ECG lead II P duration, PR interval (bidisomide more so than disopyramide), and QRS duration. Both bidisomide and disopyramide shifted the mean electrical axis of the QRS complex from a right axis deviation to the normal range in dogs with infarctions. The data indicated that the desired cardiac electropharmacologic effects of bidisomide can be achieved in a 1 min infusion. Normal dogs, and especially dogs with infarctions, revealed the potential hazards of rapidly infusing disopyramide.

MeSH terms

  • Animals
  • Anti-Arrhythmia Agents / administration & dosage*
  • Anti-Arrhythmia Agents / adverse effects
  • Disopyramide / administration & dosage*
  • Disopyramide / adverse effects
  • Dogs
  • Dose-Response Relationship, Drug
  • Drug Tolerance
  • Electrocardiography
  • Female
  • Infusions, Intravenous
  • Male
  • Myocardial Infarction / complications
  • Myocardial Infarction / physiopathology*
  • Piperidines / administration & dosage*
  • Piperidines / adverse effects

Substances

  • Anti-Arrhythmia Agents
  • Piperidines
  • bidisomide
  • Disopyramide