Objectives::
The present study was designed to investigate the effects of renin angiotensin
system (RAS) blockade on cardiac arrhythmias and sympathetic nerve remodelling in heart tissues of
type 2 diabetic rats.
Methods::
Thirty-two male Sprague Dawley rats were randomly allocated into 4 equal groups; a) normal
control group: normal rats, b) DM group; after type 2 diabetes induction, rats received 2ml oral
saline daily for 4 weeks, c) DM+ ACEi: after type 2 diabetes induction, rats were treated with enalapril
(10 mg/kg, orally for 4 weeks) and d) DM+ ARBs: after type 2 diabetes induction, rats were treated
with losartan (30 mg/kg, orally for 4 weeks).
Results::
In type 2 diabetic rats, the results demonstrated significant prolongation in Q-T interval and
elevation of blood sugar, HOMA-IR index, TC, TGs, LDL, serum CK-MB, myocardial damage, myocardial
MDA, myocardial norepinephrine and tyrosine hydroxylase (TH) density with significant reduction
in serum HDL, serum insulin and myocardial GSH and CAT. On the other hand, blockade of
RAS at the level of either ACE by enalapril or angiotensin (Ag) receptors by losartan resulted in significant
improvement in ECG parameters (Q-T), cardiac enzymes (CK-MB), cardiac morphology,
myocardial oxidative stress (low MDA, high CAT and GSH) and myocardial TH density.
Conclusions::
RAS plays a role in the cardiac sympathetic nerve sprouting and cardiac arrhythmias
induced by type 2 DM and its blockade might have a cardioprotective effect via attenuation of sympathetic
nerve fibres remodelling, myocardial norepinephrine contents and oxidative stress.
JCS/JHRS 2021 Guideline Focused Update on Non-Pharmacotherapy of Cardiac Arrhythmias
