Melatonin is assumed to confer cardioprotective action via antioxidative properties. We evaluated the association between ventricular tachycardia and/or ventricular fibrillation (VT/VF) incidence, oxidative stress, and myocardial electrophysiological parameters in experimental ischemia/reperfusion under melatonin treatment. Melatonin was given to 28 rats (10 mg/kg/day, orally, for 7 days) and 13 animals received placebo. In the anesthetized animals, coronary occlusion was induced for 5 min followed by reperfusion with recording of unipolar electrograms from ventricular epicardium with a 64-lead array. Effects of melatonin on transmembrane potentials were studied in ventricular preparations of 7 rats in normal and "ischemic" conditions. Melatonin treatment was associated with lower VT/VF incidence at reperfusion, shorter baseline activation times (ATs), and activation-repolarization intervals and more complete recovery of repolarization times (RTs) at reperfusion (less baseline-reperfusion difference, ΔRT) (p < 0.05). Superoxide dismutase (SOD) activity was higher in the treated animals and associated with ΔRT (p = 0.001), whereas VT/VF incidence was associated with baseline ATs (p = 0.020). In vitro, melatonin led to a more complete restoration of action potential durations and resting membrane potentials at reoxygenation (p < 0.05). Thus, the antioxidative properties of melatonin were associated with its influence on repolarization duration, whereas the melatonin-related antiarrhythmic effect was associated with its oxidative stress-independent action on ventricular activation.

• Klíčová slova
• arrhythmia, depolarization, ischemia, melatonin, oxidative stress, reperfusion, repolarization,
• MeSH
• antiarytmika farmakologie   MeSH
• antioxidancia farmakologie   MeSH
• elektrofyziologické jevy účinky léků   MeSH
• elektrokardiografie účinky léků   MeSH
• fibrilace komor farmakoterapie   MeSH
• krysa rodu Rattus MeSH
• melatonin farmakologie   MeSH
• potkani Wistar MeSH
• reperfuzní poškození myokardu farmakoterapie   MeSH
• reperfuzní poškození farmakoterapie   MeSH
• srdeční arytmie farmakoterapie   MeSH
• srdeční elektrofyziologie metody   MeSH
• srdeční komory účinky léků   MeSH
• zvířata MeSH
• Check Tag
• krysa rodu Rattus MeSH
• mužské pohlaví MeSH
• zvířata MeSH
• Publikační typ
• časopisecké články MeSH
• Názvy látek
• antiarytmika MeSH
• antioxidancia MeSH
• melatonin MeSH