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UNDER THE GUIDANCE OF:
Dr. T. VEDAVATHIM.PHARM, PhD
PHARMACOLOGICAL SCREENING OF
ANTI-ARRHYTHMIC DRUG
PRESENTED BY:-
RAKESH KUMAR
M.PHARMACY (PHARMACOLOGY)
1
CARDIAC ARRHYTHMIAS
Deviation from normal
• Origin/Conduction
• Rhythm
• Rate
2
CLASSIFICATION OF ARRHYTMIAS
• Normal heart rate – 60-100 beats/min
Based on the heart rate:
• Tachyarrhythmia - rapid heart beat - >100/min
• Bradyarrhythmia – slow heart beat - <60/min
3
SCREENING OF ANTI-ARRHYTHMICS
DRUG SCREENING:
Pre clinical testing of drugs in experimental
animals or in vitro for their biological and toxic
effects and potential clinical applications
The screening of anti-arrhythmics is done by two
different methods.
• In-vitro models
• In-vivo models
4
IN VIVO MODELS
• Chemically induced arrhythmia
• Electrically induced arrhythmia
• Exercise induced ventricular fibrillation
• Mechanically induced arrhythmia
• Genetically induced arrhythmia
•
•
•
•
•
5
CHEMICALLY INDUCED ARRHYTHMIA
• A large number of agents are capable of
inducing arrhythmias
• Administration of anesthetics like chloroform,
ether, halothane followed by a precipitating
stimulus such as adrenaline, ouabain alkaloids
cause arrhythmia
6
PURPOSE AND RATIONALE:
Aconitine – acts persistently on sodium
channels and activates them – ventricular
arrhythmias
REQUIREMENTS:
Animals - Male Ivanovas rats (300-400g)
Anesthetic – Urethane
Standard drug – Procainamide i.v (5mg/kg)
Lidocaine i.v (5mg/kg)
7
PROCEDURE
Animals – selected

Anesthetized


Test / std/control – administered
↓
Aconitine (5μg/kg +0.1N HNO₃) (administered through
saphenous vein)
↓
ECG – Recorded
8
•
•
•
•
•
•
EVALUATION
•Ventricular tachycardia
•Ventricular fibrillation
•Death
9
• Electrical stimulations – flutters and
fibrillation
REQUIREMENTS :
• Animals – adult dogs (8-12kg)
• Anesthetic – sodium pentobarbital (35mg/kg)
ELECTRICALLY INDUCED ARHYTHMIAS
10
PROCEDURE
Animal – selected
↓
Anesthetized
↓
Artificial respiration – Harvard respiratory pump
B.P – monitored
Body temperature – maintained by thermal blanket
↓
Chest cavity is opened
↓
Heart suspended in pericardial cradle
↓
11
↓
SA node – crushed
↓
For electric impulse – Ag-AgCl electrode embedded in a teflon
disc- sutured on left ventricle
↓
Test drug/ std/contol – femoral artery
↓
Constant current for 400ms is applied through electrode
↓
Recording elecrodes – surface of each ventricle
↓
12
Recording elecrodes – surface of each ventricle
↓
ECG – monitored
↓
VFT is measured (minimal current intensity required to induce
sustained ventricular fibrillation)
When VF occurs – heart is defibrillated – recovered
EVALUATION
Ventricular Fibrillation Threshold
13
EXERCISE INDUCED VENTRICULAR
FIBRILLATION
14
REQUIREMENTS
Animals – Mongrel dogs (15 -19 kg)
Anesthetic – Sodium pentobarbitone (10mg/kg) i.v.
SURGICAL PREPARATION
Animals – selected
↓
Anesthetized
↓
Chest cavity – opened
↓
Heart suspended in pericardial cradle
↓
around left artery – Doppler flow inducer- to measure blood
pressure _
hydraulic occluder – place to occlude coronary
artery
15
↓
Pair of insulated silver coated wires – sutured on left and right
ventricles- measure HR
↓
Occlusion of LAD
↓
Myocardial infarction
↓
After 24 hrs- test drug/std/control - administered
During this experiment:
• Transdermal fentanyl patch (↓post operative discomfort)
• Bupivacaine HCl
• Antibiotic therapy(amoxicillin)
16
3-4 weeks after the production of MI
↓
Animals – run on a motor –driven treadmill
↓
Work load - ↑every 3 min for total of 18 mins
↓
During last minute-treadmill is stopped- left
artery- occluded for 2 mins
↓
After 10-20 sec of VF – defibrillation is achieved without
any delay by placing large metal plates across animal’s
chest
EVALUATION:
HR is measured
17
MECHANICALLY INDUCED ARRHYTHMIA
Arrhythmias –induced directly by ischemia and
reperfusion
• Coronary artery ligation in anesthetized dog
results in:
↑ in HR
↑in heart contractility
↑ in BP
Ventricular arrhythmias
18
REQUIREMENTS
Animals – Dogs (20-25Kg)
Anesthetic – Thiobutobarbital sodium (30mg/kg)
PROCEDURE:
Animals – selected
↓
Anesthetized
↓
Artificial respiration – positive pressure respirator
↓
Femoral artery – cannulated and connected to pressure transducer
↓
Chest cavity –opened
LAD is exposed
↓
19
Silk suture is placed around LAD
↓
After 45 min(equilibration) – test/std/control-
administered through saphenous vein
↓
After 20 min- ligature of coronary artery is closed for 90
min
↓
Occlusion released – reperfusion period maintained for
30 min.
• All the parameters – recorded
• At the end – surviving animals are sacrificed by an
overdose of Pentobarbital sodium
20
EVALUATION
• Mortality
• Hemodynamics
• Heart rate
21
22

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Pharmacological screening of anti arrhythmic drug

  • 1. UNDER THE GUIDANCE OF: Dr. T. VEDAVATHIM.PHARM, PhD PHARMACOLOGICAL SCREENING OF ANTI-ARRHYTHMIC DRUG PRESENTED BY:- RAKESH KUMAR M.PHARMACY (PHARMACOLOGY) 1
  • 2. CARDIAC ARRHYTHMIAS Deviation from normal • Origin/Conduction • Rhythm • Rate 2
  • 3. CLASSIFICATION OF ARRHYTMIAS • Normal heart rate – 60-100 beats/min Based on the heart rate: • Tachyarrhythmia - rapid heart beat - >100/min • Bradyarrhythmia – slow heart beat - <60/min 3
  • 4. SCREENING OF ANTI-ARRHYTHMICS DRUG SCREENING: Pre clinical testing of drugs in experimental animals or in vitro for their biological and toxic effects and potential clinical applications The screening of anti-arrhythmics is done by two different methods. • In-vitro models • In-vivo models 4
  • 5. IN VIVO MODELS • Chemically induced arrhythmia • Electrically induced arrhythmia • Exercise induced ventricular fibrillation • Mechanically induced arrhythmia • Genetically induced arrhythmia • • • • • 5
  • 6. CHEMICALLY INDUCED ARRHYTHMIA • A large number of agents are capable of inducing arrhythmias • Administration of anesthetics like chloroform, ether, halothane followed by a precipitating stimulus such as adrenaline, ouabain alkaloids cause arrhythmia 6
  • 7. PURPOSE AND RATIONALE: Aconitine – acts persistently on sodium channels and activates them – ventricular arrhythmias REQUIREMENTS: Animals - Male Ivanovas rats (300-400g) Anesthetic – Urethane Standard drug – Procainamide i.v (5mg/kg) Lidocaine i.v (5mg/kg) 7
  • 10. • Electrical stimulations – flutters and fibrillation REQUIREMENTS : • Animals – adult dogs (8-12kg) • Anesthetic – sodium pentobarbital (35mg/kg) ELECTRICALLY INDUCED ARHYTHMIAS 10
  • 11. PROCEDURE Animal – selected ↓ Anesthetized ↓ Artificial respiration – Harvard respiratory pump B.P – monitored Body temperature – maintained by thermal blanket ↓ Chest cavity is opened ↓ Heart suspended in pericardial cradle ↓ 11
  • 12. ↓ SA node – crushed ↓ For electric impulse – Ag-AgCl electrode embedded in a teflon disc- sutured on left ventricle ↓ Test drug/ std/contol – femoral artery ↓ Constant current for 400ms is applied through electrode ↓ Recording elecrodes – surface of each ventricle ↓ 12
  • 13. Recording elecrodes – surface of each ventricle ↓ ECG – monitored ↓ VFT is measured (minimal current intensity required to induce sustained ventricular fibrillation) When VF occurs – heart is defibrillated – recovered EVALUATION Ventricular Fibrillation Threshold 13
  • 14. EXERCISE INDUCED VENTRICULAR FIBRILLATION 14 REQUIREMENTS Animals – Mongrel dogs (15 -19 kg) Anesthetic – Sodium pentobarbitone (10mg/kg) i.v.
  • 15. SURGICAL PREPARATION Animals – selected ↓ Anesthetized ↓ Chest cavity – opened ↓ Heart suspended in pericardial cradle ↓ around left artery – Doppler flow inducer- to measure blood pressure _ hydraulic occluder – place to occlude coronary artery 15
  • 16. ↓ Pair of insulated silver coated wires – sutured on left and right ventricles- measure HR ↓ Occlusion of LAD ↓ Myocardial infarction ↓ After 24 hrs- test drug/std/control - administered During this experiment: • Transdermal fentanyl patch (↓post operative discomfort) • Bupivacaine HCl • Antibiotic therapy(amoxicillin) 16
  • 17. 3-4 weeks after the production of MI ↓ Animals – run on a motor –driven treadmill ↓ Work load - ↑every 3 min for total of 18 mins ↓ During last minute-treadmill is stopped- left artery- occluded for 2 mins ↓ After 10-20 sec of VF – defibrillation is achieved without any delay by placing large metal plates across animal’s chest EVALUATION: HR is measured 17
  • 18. MECHANICALLY INDUCED ARRHYTHMIA Arrhythmias –induced directly by ischemia and reperfusion • Coronary artery ligation in anesthetized dog results in: ↑ in HR ↑in heart contractility ↑ in BP Ventricular arrhythmias 18
  • 19. REQUIREMENTS Animals – Dogs (20-25Kg) Anesthetic – Thiobutobarbital sodium (30mg/kg) PROCEDURE: Animals – selected ↓ Anesthetized ↓ Artificial respiration – positive pressure respirator ↓ Femoral artery – cannulated and connected to pressure transducer ↓ Chest cavity –opened LAD is exposed ↓ 19
  • 20. Silk suture is placed around LAD ↓ After 45 min(equilibration) – test/std/control- administered through saphenous vein ↓ After 20 min- ligature of coronary artery is closed for 90 min ↓ Occlusion released – reperfusion period maintained for 30 min. • All the parameters – recorded • At the end – surviving animals are sacrificed by an overdose of Pentobarbital sodium 20
  • 22. 22