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SCI-Expanded JCR Q1 Özgün Makale Scopus
Effects of Sugammadex and Rocuronium on the Electro-mechanical Activity of Cardiac Myocytes
Korean Journal of Anesthesiology 2025 Cilt 78 Sayı 5
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Atıf
78
Cilt
488-503
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Background: Sugammadex reverses the effects of steroidal neuromuscular-blocking agents, such as rocuronium, by encapsulating these agents. Its cardiovascular adverse effects include QTc prolongation, hypotension, bradycardia, atrioventricular block, atrial fibrillation, and asystole. Additionally, rocuronium has cardiac side effects, such as bradycardia, hypotension, cardiac arrest, circulatory collapse, and ventricular fibrillation. Here-in, we investigated the effects of sugammadex, rocuronium, and combined rocuronium + sugammadex on cardiac electrophysiological parameters. Methods: In vitro experiments were performed using ventricular myocytes obtained from male Wistar rats. Myocyte contraction and relaxation responses were recorded along with action potential (AP), and L-type calcium (ICaL) and potassium channel currents (Ito, Iss, and IK1). Results: Sugammadex caused dose-dependent decreases in myocyte contraction and relaxation responses. Rocuronium had no effect in this respect, whereas its co-administration with sugammadex led to decreased contraction responses. Sugammadex prolonged the AP repolarization phase, whereas rocuronium prolonged all AP phases. Co-administration of sugammadex and rocuronium did not significantly affect AP parameters. Sugammadex suppressed the peak ICaL value, while rocuronium caused an even greater decrease. Co-administration of these drugs further decreased the current-voltage characteristics of the ICaL. However, no significant effects were observed on the potassium currents. Conclusions: Separate or combined administration of sugammadex and rocuronium had various effects on myocyte contractility, AP, and ICaL, which could cause significant changes leading to adverse cardiac events. Further experimental and clinical studies are required to understand the clinical consequences of the modulatory effects of these drugs on cardiac electrophysiological parameters.
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Article
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Kaynak: KOREAN JOURNAL OF ANESTHESIOLOGY
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Scimago Dergi Bilgisi Otomatik ISSN Eşleştirmesi 2025 yılı verileri
Korean Journal of Anesthesiology
Q1
SJR Quartile
1,389
SJR Skoru
53
H-Index
🔓
Açık Erişim
Kategoriler: Anesthesiology and Pain Medicine (Q1)
Alanlar: Medicine
Ülke: South Korea · Korean Society of Anesthesiologists
Bu bilgiler makale yılına göre Scimago veritabanından ISSN eşleştirmesiyle otomatik getirilmektedir. Dergi sıralama verileri Scimago'nun ilgili yılı baz alınmaktadır.

Anahtar Kelimeler

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Makale Bilgileri

Dergi Korean Journal of Anesthesiology
ISSN 2005-6419
Yıl 2025 / 6. ay
Cilt / Sayı 78 / 5
Sayfalar 488 – 503
Makale Türü Özgün Makale
Hakemlik Hakemli
Endeks SCI-Expanded
JCR Quartile Q1
Teşvik Puanı 2,57 · YÖKSİS Akademik Teşvik
Yayın Dili İngilizce
Kapsam Uluslararası
Toplam Yazar 7 kişi
Erişim Türü Basılı+Elektronik
Alan Sağlık Bilimleri Temel Alanı Anesteziyoloji ve Reanimasyon

YÖKSİS Yazar Kaydı

Yazar Adı ARUN OĞUZHAN,ÖZTÜRK ERBOĞA NİHAL,ERKAN ORHAN,ÖZDEMİR SEMİR,ARUN FUNDA,YANARDAĞ SIRMA BAŞAK,AYAZ MURAT
YÖKSİS ID 8695139

Metrikler

Havuz Atıfları 0
JCR Quartile Q1
Teşvik Puanı 2,57
Yazar Sayısı 7