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Effects of irbesartan on atrial cell electrophysiology

Effects of irbesartan on atrial cell electrophysiology

作     者:HUANG Cong-xin, CAO Feng, JIANG Hong, WANG Teng and LI Xia Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan 430060, China 

出 版 物:《中华医学杂志(英文版)》 (Chinese Medical Journal)

年 卷 期:2005年第3期

页      面:56-58页

核心收录:

学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主  题:irbesartan · arrhythmia · electrophysiology · ion channels 

摘      要:Atrial fibrillation (AF) is the most common sustained arrhythmia encountered in clinical practice.~1 Its incidence increases with age and the presence of structural heart disease. It is a major cause of stroke, especially in the elderly. It has been shown that angiotensin converting enzyme inhibitor (ACEI) can reduce the incidence of AF after acute myocardial infarction.~2 Several studies have shown that activation of the rennin-angiotensin system is associated with the mechanisms of AF. Irbesartan is a long-acting angiotensin Ⅱ type 1 receptor antagonist used widely in the treatment of hypertension.~3 In recent years, it has been demonstrated that patients treated with amiodarone plus irbesartan had a lower rate of recurrence of atrial fibrillation than did patients treated with amiodarone alone.~4 These findings suggest that the inhibition of angiotensin Ⅱ may prevent AF, but its underlying electrophysiological mechanisms are obscure. The purpose of this study is to investigate the effects of irbesartan on atrial cell electrophysiology.

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