Pharmacology of B-GYKI-38 233 a new antiarrhythmic agent

Pharmacology of B-GYKI-38 233 a new antiarrhythmic agent

Pharmaco~gicalResea~hCommunica~n¢VoL2~Supp/ementL1988 71 PHARMACOLOGY OF B-GYKI-38 233 A N E W A N T I A R R H Y T H M I C A G E N T GySrgy Rabloczk...

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Pharmaco~gicalResea~hCommunica~n¢VoL2~Supp/ementL1988

71

PHARMACOLOGY OF B-GYKI-38 233 A N E W A N T I A R R H Y T H M I C A G E N T GySrgy Rabloczky, AndrAs Varr6, M~ria KGrthy, Ilona B6dl,Andrea Jedn~kovits, L~szl6 Szathm~ry, L~szl6 Jaszlits, Ildik6 Kir~ly Institute for Drug Research, 1325 Budapest, P.O.Box 82. Hungary Key words: antiarrhythmic - cardiovascular actions - central side effects All of the recently developed

antiarrhythmic agents

proved

to be strongly acting against a series of experimental ventri~ular arrhythmias.

In patients they produced favorable thera-

peutic effects, too. However almost all of them were unable to abolish the greatest danger of sudden

cardiac death.

advantageous

in cardiac patient, The further search

antiarrhythmic compounds

ratio has been considered worthwhile

i.e. the risk

for newer more

of better risk/benefit by several authors.

In the cardiovascular laboratory of Institute for Drug Research & new aminoguanidine derivative /1-/2,6-dimetyl-phenylamino]-3,3-dimethyl guanidine,hydrochloride;B-GYKI-38 be highly active /K~rthy et al. 1985; After i.p. and

233/ seemed to

Varr6 et ai, 1987/.

oral administration

B-GYKI-38 233

produced

the lowest EDso value, the best ratio of LDSo/EDso in aconitine mice in comparison with lidocaine, quinidin@ or amiodarone. It increased the fibrillation threshold in cats more

strongly

than mexiletine or quinidine did. It could effectively antagonize

the ouabain

early phase

induced arrhythmia in

of postinfarction

guinea pigs.

In the

arrhythmias after coronary liga-

tion B-GYKI-38 233 could decrease the occurence of

ventricular

fibrillations and thereby it highly increased the

survival rate

0031-6989/88/20S10071-2/$03.00J0

@ 1988 The Italian Pharmacological Society

Pharmaco~gicalResearchCommunmation~Vo~2~ SupplementL1988

72

of the conscious rats. overstimulation

Ventricular fibrillation

and local epicardial cooling were

anaesthetized dogs

by that new compound.

Class I antiarrhythmic drugs inotropic,

provoked

it caused a

In

blocked in

contrast

transient

with

positive

coronary blood flow increasing and antianginal ef-

fects, as well;

did not antagonize the electroconvulsions,

anticonVulsant

activity was weaker

In intracellular cardiac B-GYKI-38

by

than that of

mexiletine.

electrophysiological

experiments

233 depressed the upstroke velocity

dependent manner,

in a

reduced the amplitude of action

frequency potential,

shortened repolarization and effective refractory period, did not change

its

but

resting potential in the canine Purkinje fiber.

At a cycle length of 400 ms

it could lengthen

repolarization

and depress Vma x, while resting potential and action potential amplitude was unchanged

in dog ventricular muscle

has no cardiovascular or behavioural cats. B-GYKI-38

fiber.

It

side-effects in conscious

233 proved to be a very active

antiarrhythmic

compound which possessed both Class I c and Class III properties according to our investigations.

REFERENCES

KUrthy M., G. Rabloczky, A. Varr6, L. Szathm~ry, L. Jaszlits J. Wellmann, I. ~rczi; Advances Pharmacol. Res. and Practice. Proc. 4th Congr. of Hung. Pharmacol. Soc. Vol. I: Sec. 2. Pharmacol of the vascular system, 211-215, 1985. Varr6 A., G. Rabloczky, M. KHrthy, L. Jaszlits, I. ~rczi; Abstracts of Xth Congr. IUPHAR, Sydney, Australia, PI4D76, 1987.