The electrophysiologic and antifibrillatory properties of
5-hydroxydecanoate, a
KATP channel antagonist, were studied in a conscious canine model of
sudden cardiac death. After a surgically induced
myocardial infarction, animals were subjected to programmed electrical stimulation to identify those at risk for
sudden cardiac death.
5-Hydroxydecanoate was administered as a bolus (10 mg/kg i.v.) followed by an infusion, 10 mg/kg/h (group 1, n = 12) or 30 mg/kg bolus followed by an infusion, 30 mg/kg/h (group 2, n = 8) i.v., while vehicle treated animals received a 0.9%
sodium chloride solution (group 3, n = 11). The administration of
5-hydroxydecanoate did not alter the ventricular effective refractory period or the QTc interval. Anterior wall
myocardial infarcts, expressed as a percentage of the left ventricle, did not differ among groups. Infusions of
5-hydroxydecanoate did not confer significant protection from
sudden cardiac death (death within 60 min of posterolateral
ischemia) due to
ventricular fibrillation: group 1, 50%; group 2, 38%; and group 3, 18%. The data demonstrate that a continuous infusion of
5-hydroxydecanoate (10 and 30 mg/kg/h, i.v.) does not provide protection from
ischemia-induced
ventricular fibrillation in the postinfarcted conscious canine.