Uremia increases QRS duration after β-adrenergic stimulation in mice

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Uremia increases QRS duration after β-adrenergic stimulation in mice. / Thomsen, Morten B.; Nielsen, Morten S.; Aarup, Annemarie; Bisgaard, Line S.; Pedersen, Tanja X.

I: Physiological Reports, Bind 6, Nr. 13, e13720, 01.07.2018.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Thomsen, MB, Nielsen, MS, Aarup, A, Bisgaard, LS & Pedersen, TX 2018, 'Uremia increases QRS duration after β-adrenergic stimulation in mice', Physiological Reports, bind 6, nr. 13, e13720. https://doi.org/10.14814/phy2.13720

APA

Thomsen, M. B., Nielsen, M. S., Aarup, A., Bisgaard, L. S., & Pedersen, T. X. (2018). Uremia increases QRS duration after β-adrenergic stimulation in mice. Physiological Reports, 6(13), [e13720]. https://doi.org/10.14814/phy2.13720

Vancouver

Thomsen MB, Nielsen MS, Aarup A, Bisgaard LS, Pedersen TX. Uremia increases QRS duration after β-adrenergic stimulation in mice. Physiological Reports. 2018 jul 1;6(13). e13720. https://doi.org/10.14814/phy2.13720

Author

Thomsen, Morten B. ; Nielsen, Morten S. ; Aarup, Annemarie ; Bisgaard, Line S. ; Pedersen, Tanja X. / Uremia increases QRS duration after β-adrenergic stimulation in mice. I: Physiological Reports. 2018 ; Bind 6, Nr. 13.

Bibtex

@article{4332911ad6334b458dc2e0469d3fe65b,
title = "Uremia increases QRS duration after β-adrenergic stimulation in mice",
abstract = "Chronic kidney disease (CKD) and uremia increase the risk of heart disease and sudden cardiac death. Coronary artery disease can only partly account for this. The remaining mechanistic links between CKD and sudden death are elusive, but may involve cardiac arrhythmias. For the present study, we hypothesized that a thorough electrophysiological study in mice with CKD would provide us valuable information that could aid in the identification of additional underlying causes of sudden cardiac death in patients with kidney disease. Partial (5/6) nephrectomy (NX) in mice induced mild CKD: plasma urea in NX was 24 ± 1 mmol/L (n = 23) versus 12 ± 1 mmol/L (n = 22) in sham-operated control mice (P < 0.05). Echocardiography did not identify structural or mechanical remodeling in NX mice. Baseline ECG parameters were comparable in conscious NX and control mice; however, the normal 24-h diurnal rhythm in QRS duration was lost in NX mice. Moreover, β-adrenergic stimulation (isoprenaline, 200 μg/kg intraperitoneally) prolonged QRS duration in conscious NX mice (from 12 ± 1 to 15 ± 2 msec, P < 0.05), but not in sham-operated controls (from 13 ± 1 to 13 ± 2 msec, P > 0.05). No spontaneous arrhythmias were observed in conscious NX mice, and intracardiac pacing in anesthetized mice showed a comparable arrhythmia vulnerability in NX and sham-operated mice. Isoprenaline (2 mg/kg intraperitoneally) changed the duration of the QRS complex from 11.2 ± 0.4 to 11.9 ± 0.5 (P = 0.06) in NX mice and from 10.7 ± 0.6 to 10.6 ± 0.6 (P = 0.50) in sham-operated mice. Ex vivo measurements of cardiac ventricular conduction velocity were comparable in NX and sham mice. Transcriptional activity of Scn5a, Gja1 and several profibrotic genes was similar in NX and sham mice. We conclude that proper kidney function is necessary to maintain diurnal variation in QRS duration and that sympathetic regulation of the QRS duration is altered in kidney disease.",
keywords = "Conduction velocity, electrocardiogram, renal disease, sympathetic",
author = "Thomsen, {Morten B.} and Nielsen, {Morten S.} and Annemarie Aarup and Bisgaard, {Line S.} and Pedersen, {Tanja X.}",
year = "2018",
month = "7",
day = "1",
doi = "10.14814/phy2.13720",
language = "English",
volume = "6",
journal = "Physiological Reports",
issn = "2051-817X",
publisher = "Wiley Periodicals, Inc.",
number = "13",

}

RIS

TY - JOUR

T1 - Uremia increases QRS duration after β-adrenergic stimulation in mice

AU - Thomsen, Morten B.

AU - Nielsen, Morten S.

AU - Aarup, Annemarie

AU - Bisgaard, Line S.

AU - Pedersen, Tanja X.

PY - 2018/7/1

Y1 - 2018/7/1

N2 - Chronic kidney disease (CKD) and uremia increase the risk of heart disease and sudden cardiac death. Coronary artery disease can only partly account for this. The remaining mechanistic links between CKD and sudden death are elusive, but may involve cardiac arrhythmias. For the present study, we hypothesized that a thorough electrophysiological study in mice with CKD would provide us valuable information that could aid in the identification of additional underlying causes of sudden cardiac death in patients with kidney disease. Partial (5/6) nephrectomy (NX) in mice induced mild CKD: plasma urea in NX was 24 ± 1 mmol/L (n = 23) versus 12 ± 1 mmol/L (n = 22) in sham-operated control mice (P < 0.05). Echocardiography did not identify structural or mechanical remodeling in NX mice. Baseline ECG parameters were comparable in conscious NX and control mice; however, the normal 24-h diurnal rhythm in QRS duration was lost in NX mice. Moreover, β-adrenergic stimulation (isoprenaline, 200 μg/kg intraperitoneally) prolonged QRS duration in conscious NX mice (from 12 ± 1 to 15 ± 2 msec, P < 0.05), but not in sham-operated controls (from 13 ± 1 to 13 ± 2 msec, P > 0.05). No spontaneous arrhythmias were observed in conscious NX mice, and intracardiac pacing in anesthetized mice showed a comparable arrhythmia vulnerability in NX and sham-operated mice. Isoprenaline (2 mg/kg intraperitoneally) changed the duration of the QRS complex from 11.2 ± 0.4 to 11.9 ± 0.5 (P = 0.06) in NX mice and from 10.7 ± 0.6 to 10.6 ± 0.6 (P = 0.50) in sham-operated mice. Ex vivo measurements of cardiac ventricular conduction velocity were comparable in NX and sham mice. Transcriptional activity of Scn5a, Gja1 and several profibrotic genes was similar in NX and sham mice. We conclude that proper kidney function is necessary to maintain diurnal variation in QRS duration and that sympathetic regulation of the QRS duration is altered in kidney disease.

AB - Chronic kidney disease (CKD) and uremia increase the risk of heart disease and sudden cardiac death. Coronary artery disease can only partly account for this. The remaining mechanistic links between CKD and sudden death are elusive, but may involve cardiac arrhythmias. For the present study, we hypothesized that a thorough electrophysiological study in mice with CKD would provide us valuable information that could aid in the identification of additional underlying causes of sudden cardiac death in patients with kidney disease. Partial (5/6) nephrectomy (NX) in mice induced mild CKD: plasma urea in NX was 24 ± 1 mmol/L (n = 23) versus 12 ± 1 mmol/L (n = 22) in sham-operated control mice (P < 0.05). Echocardiography did not identify structural or mechanical remodeling in NX mice. Baseline ECG parameters were comparable in conscious NX and control mice; however, the normal 24-h diurnal rhythm in QRS duration was lost in NX mice. Moreover, β-adrenergic stimulation (isoprenaline, 200 μg/kg intraperitoneally) prolonged QRS duration in conscious NX mice (from 12 ± 1 to 15 ± 2 msec, P < 0.05), but not in sham-operated controls (from 13 ± 1 to 13 ± 2 msec, P > 0.05). No spontaneous arrhythmias were observed in conscious NX mice, and intracardiac pacing in anesthetized mice showed a comparable arrhythmia vulnerability in NX and sham-operated mice. Isoprenaline (2 mg/kg intraperitoneally) changed the duration of the QRS complex from 11.2 ± 0.4 to 11.9 ± 0.5 (P = 0.06) in NX mice and from 10.7 ± 0.6 to 10.6 ± 0.6 (P = 0.50) in sham-operated mice. Ex vivo measurements of cardiac ventricular conduction velocity were comparable in NX and sham mice. Transcriptional activity of Scn5a, Gja1 and several profibrotic genes was similar in NX and sham mice. We conclude that proper kidney function is necessary to maintain diurnal variation in QRS duration and that sympathetic regulation of the QRS duration is altered in kidney disease.

KW - Conduction velocity

KW - electrocardiogram

KW - renal disease

KW - sympathetic

UR - http://www.scopus.com/inward/record.url?scp=85049779327&partnerID=8YFLogxK

U2 - 10.14814/phy2.13720

DO - 10.14814/phy2.13720

M3 - Journal article

C2 - 29984555

AN - SCOPUS:85049779327

VL - 6

JO - Physiological Reports

JF - Physiological Reports

SN - 2051-817X

IS - 13

M1 - e13720

ER -

ID: 201908196