Organophosphonate Caused Cardiac Toxicity: Action Potential Dynamics in Atrial Tissue

Abstract

Highly effective treatments for the effect of organophosphonate and organophosphate (OP) nerve agents have eluded the medical community. It is known that acetylcholine overload is one of the effects of OP toxicity, but the cellular processes leading to cardiac toxicity are still incompletely understood. This study details high performance computer simulations of the electrophysiology in atrial toxicity. It shows that hyperkalemia of the tissue, one of the manifestations of OP intoxication, promotes the processes leading to reentry, a recursor of atrial fibrillation. Then, we demonstrate that changes in two of the potassium membrane currents, i(sub Kr) and i(sub Ks), can modulate the reentry process. This suggests that Class III anti-arrhythmic agents that primarily block these currents in the cardiac cells are important candidates for therapeutics of OP poisoning.

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Document Details

Document Type
Technical Report
Publication Date
May 01, 2002
Accession Number
ADA402693

Entities

People

  • Csaba K. Zoltani
  • Steven I. Baskin

Organizations

  • United States Army Research Laboratory

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Cardiac Arrhythmias
  • Computers
  • Dynamics
  • Electrophysiology
  • Membrane Potentials
  • Membranes
  • Military Research
  • Nerve Agents
  • Organophosphorus Compounds
  • Overload
  • Parallel Processing
  • Poisoning
  • Potassium
  • Simulations
  • Therapy
  • Tissues
  • Toxicity

Fields of Study

  • Biology
  • Medicine

Readers

  • Cardiovascular Physiology
  • Neurotoxicology