Drug-induced torsades de pointes: Role of early afterdepolarizations and dispersion of repolarization

1990 ◽  
Vol 89 (2) ◽  
pp. 241-246 ◽  
Author(s):  
Moh'd A. Habbab ◽  
Nabil El-Sherie
Heart Rhythm ◽  
2005 ◽  
Vol 2 (11) ◽  
pp. S30-S37 ◽  
Author(s):  
Patrick T. Fitzgerald ◽  
Michael J. Ackerman

2006 ◽  
Vol 34 (1) ◽  
pp. 81-90 ◽  
Author(s):  
Gary A. Gintant ◽  
Zhi Su ◽  
Ruth L. Martin ◽  
Bryan F. Cox

HERG (human-ether-a-go-go-related gene) encodes for a cardiac potassium channel that plays a critical role in defining ventricular repolarization. Noncardiovascular drugs associated with a rare but potentially lethal ventricular arrhythmia (Torsades de Pointes) have been linked to delayed cardiac repolarization and block of hERG current. This brief overview will discuss the role of hERG current in cardiac electrophysiology, its involvement in drug-induced delayed repolarization, and approaches used to define drug effects on hERG current. In addition, examples of hERG blocking drugs acting differently (i.e., overt and covert hERG blockade due to multichannel block) together with the utility and limitations of hERG assays as tools to predict the risk of delayed repolarization and proarrhythmia are discussed.


2017 ◽  
Vol 232 ◽  
pp. 243-246 ◽  
Author(s):  
Victor A. Abrich ◽  
Harish Ramakrishna ◽  
Arjun Mehta ◽  
Farouk Mookadam ◽  
Komandoor Srivathsan

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