Page last updated: 2024-10-24

bupivacaine and Cardiotoxicity

bupivacaine has been researched along with Cardiotoxicity in 27 studies

Bupivacaine: A widely used local anesthetic agent.
1-butyl-N-(2,6-dimethylphenyl)piperidine-2-carboxamide : A piperidinecarboxamide obtained by formal condensation of the carboxy group of N-butylpipecolic acid with the amino group of 2,6-dimethylaniline.
bupivacaine : A racemate composed of equimolar amounts of dextrobupivacaine and levobupivacaine. Used (in the form of its hydrochloride hydrate) as a local anaesthetic.

Cardiotoxicity: Damage to the HEART or its function secondary to exposure to toxic substances such as drugs used in CHEMOTHERAPY; IMMUNOTHERAPY; or RADIATION.

Research Excerpts

ExcerptRelevanceReference
"Efforts to develop a treatment for bupivacaine cardiotoxicity led to the discovery that Intralipid, a popular brand of intravenous lipid emulsion, could be used not only as an effective treatment for anesthetic-induced cardiac arrest, but also as a means of reversing many other toxicities."8.95Lipid Emulsion, More Than Reversing Bupivacaine Cardiotoxicity: Potential Organ Protection. ( Atala, A; Motayagheni, N; Nozari, A; Phan, S, 2017)
"Cardiotoxicity can be induced by the commonly used amide local anesthetic, bupivacaine."8.02Apelin-13 Reverses Bupivacaine-Induced Cardiotoxicity via the Adenosine Monophosphate-Activated Protein Kinase Pathway. ( Cai, Y; Chen, H; Jin, Z; Liu, L; Papadimos, TJ; Shi, K; Wang, Q; Xia, E; Xia, F; Xia, Y; Xu, X; Ye, Y, 2021)
" On that basis, we constructed a large virtual population of rats (N = 10,000) undergoing lipid therapy following bupivacaine cardiotoxicity."8.02Predicting Inter-individual Variability During Lipid Resuscitation of Bupivacaine Cardiotoxicity in Rats: A Virtual Population Modeling Study. ( Akpa, BS; Flores, KB; McDaniel, M, 2021)
"The relative efficacies of a long- and medium-chain triglyceride (LCT/MCT) emulsion and an LCT emulsion for treatment of bupivacaine (BPV)-induced cardiac toxicity are poorly defined."7.96Lipid Emulsion Restoration of Myocardial Contractions After Bupivacaine-Induced Asystole In Vitro: A Benefit of Long- and Medium-Chain Triglyceride Over Long-Chain Triglyceride. ( Jung, JR; Kim, HJ; Kim, HS; Kim, HY; Lynch, C; Park, WK, 2020)
"Dexmedetomidine was proved to mitigate bupivacaine-induced cardiotoxicity but mechanism of this ability is still unclear."7.91Dexmedetomidine enhances tolerance to bupivacaine cardiotoxicity in the isolated rat hearts: alpha 2 adrenoceptors were not involved. ( Cai, X; Cai, Y; Chen, H; Jin, Z; Lin, T; Pan, L; Wang, S; Xia, F, 2019)
"Bupivacaine cardiotoxicity rapidly dephosphorylated Akt at S473 to 63 ± 5% of baseline and phosphorylated AMPK to 151 ± 19%."7.83Insulin Signaling in Bupivacaine-induced Cardiac Toxicity: Sensitization during Recovery and Potentiation by Lipid Emulsion. ( Bonini, M; Fettiplace, MR; Kowal, K; Lis, K; Minshall, R; Ripper, R; Rubinstein, I; Weinberg, G; Young, A, 2016)
" However, to our knowledge, it remains unknown whether EA could alleviate bupivacaine-induced cardiotoxicity."7.83Electroacupuncture pretreatment induces rapid tolerance to bupivacaine cardiotoxicity in rats. ( Gao, JL; Han, FF; Li, XX; Li, YL; Wang, XM; Zhang, DH; Zhang, HJ; Zhao, QL, 2016)
"Time of arrhythmia, 50% mean arterial pressure- and 50% heart rate-reduction, and asystole were recorded, and ropivacaine doses were calculated."5.72Effects of nalbuphine on the cardiotoxicity of ropivacaine in rats. ( Huang, S; Jiao, J; Sun, S; Wang, C; Yu, X, 2022)
"Bupivacaine is an amide local anesthetic with possible side effects that include an irregular heart rate."5.56The anesthetic bupivacaine induces cardiotoxicity by targeting L-type voltage-dependent calcium channels. ( Chen, B; Gao, Y; Hua, Q; Li, B; Yang, R; Zhang, X, 2020)
"Remifentanil is a selective, ultra-short-acting, µ-opioid receptor agonist opioid."5.48Effects of Remifentanil Pretreatment on Bupivacaine Cardiotoxicity in Rats. ( Ayoğlu, H; Pişkin, Ö, 2018)
"Efforts to develop a treatment for bupivacaine cardiotoxicity led to the discovery that Intralipid, a popular brand of intravenous lipid emulsion, could be used not only as an effective treatment for anesthetic-induced cardiac arrest, but also as a means of reversing many other toxicities."4.95Lipid Emulsion, More Than Reversing Bupivacaine Cardiotoxicity: Potential Organ Protection. ( Atala, A; Motayagheni, N; Nozari, A; Phan, S, 2017)
" Albright, MD (1931-2020) published a controversial editorial in Anesthesiology that raised the question of bupivacaine cardiotoxicity."4.12The Bupivacaine Story: A Tribute to George A. Albright, MD (1931-2020). ( Larson, CP; Moon, JS; Youssefzadeh, K, 2022)
"Our data illustrate differences in calcium dynamics between anesthetics and how calcium may mitigate bupivacaine cardiotoxicity."4.12Local Anesthetic Cardiac Toxicity Is Mediated by Cardiomyocyte Calcium Dynamics. ( Coles, JG; Estrada, M; Lonnqvist, PA; Maynes, JT; Plakhotnik, J; Zhang, L, 2022)
"Cardiotoxicity can be induced by the commonly used amide local anesthetic, bupivacaine."4.02Apelin-13 Reverses Bupivacaine-Induced Cardiotoxicity via the Adenosine Monophosphate-Activated Protein Kinase Pathway. ( Cai, Y; Chen, H; Jin, Z; Liu, L; Papadimos, TJ; Shi, K; Wang, Q; Xia, E; Xia, F; Xia, Y; Xu, X; Ye, Y, 2021)
" On that basis, we constructed a large virtual population of rats (N = 10,000) undergoing lipid therapy following bupivacaine cardiotoxicity."4.02Predicting Inter-individual Variability During Lipid Resuscitation of Bupivacaine Cardiotoxicity in Rats: A Virtual Population Modeling Study. ( Akpa, BS; Flores, KB; McDaniel, M, 2021)
"The relative efficacies of a long- and medium-chain triglyceride (LCT/MCT) emulsion and an LCT emulsion for treatment of bupivacaine (BPV)-induced cardiac toxicity are poorly defined."3.96Lipid Emulsion Restoration of Myocardial Contractions After Bupivacaine-Induced Asystole In Vitro: A Benefit of Long- and Medium-Chain Triglyceride Over Long-Chain Triglyceride. ( Jung, JR; Kim, HJ; Kim, HS; Kim, HY; Lynch, C; Park, WK, 2020)
"Dexmedetomidine was proved to mitigate bupivacaine-induced cardiotoxicity but mechanism of this ability is still unclear."3.91Dexmedetomidine enhances tolerance to bupivacaine cardiotoxicity in the isolated rat hearts: alpha 2 adrenoceptors were not involved. ( Cai, X; Cai, Y; Chen, H; Jin, Z; Lin, T; Pan, L; Wang, S; Xia, F, 2019)
"Lipid emulsion (LE) therapy has been used to reduce overdose of bupivacaine (BPV)-induced cardiotoxicity."3.91Involvement of TREK-1 Channel in Cell Viability of H9c2 Rat Cardiomyoblasts Affected by Bupivacaine and Lipid Emulsion. ( Han, J; Kang, D; Kim, EJ; Kim, JW; Nyiramana, MM; Shin, EJ; Siregar, AS; Sohn, JT; Yang, JH, 2019)
"Bupivacaine cardiotoxicity mainly manifests as inhibition of the cardiac sodium channel, which slows conduction, particularly at the ventricular level."3.91Comparative Effects of Sodium Bicarbonate and Intravenous Lipid Emulsions on Reversing Bupivacaine-Induced Electrophysiological Toxicity in a Porcine Experimental Model. ( Almendral, J; Anadón Baselga, MJ; Callejo, D; López-Menchaca, R; Melone, A; Quintela, O; Sevilla, R; Varela, O; Zaballos, M, 2019)
"In order to determine the role of the adrenergic system in bupivacaine-induced cardiotoxicity, a series of experiments were performed."3.88Beta-adrenergic activation induces cardiac collapse by aggravating cardiomyocyte contractile dysfunction in bupivacaine intoxication. ( Chen, Y; Cheng, Y; Chu, L; Duan, R; Li, H; Li, J; Xia, D; Yuan, J; Zhang, J; Zhang, Y; Zhao, S; Zhao, X, 2018)
"Bupivacaine cardiotoxicity rapidly dephosphorylated Akt at S473 to 63 ± 5% of baseline and phosphorylated AMPK to 151 ± 19%."3.83Insulin Signaling in Bupivacaine-induced Cardiac Toxicity: Sensitization during Recovery and Potentiation by Lipid Emulsion. ( Bonini, M; Fettiplace, MR; Kowal, K; Lis, K; Minshall, R; Ripper, R; Rubinstein, I; Weinberg, G; Young, A, 2016)
" However, to our knowledge, it remains unknown whether EA could alleviate bupivacaine-induced cardiotoxicity."3.83Electroacupuncture pretreatment induces rapid tolerance to bupivacaine cardiotoxicity in rats. ( Gao, JL; Han, FF; Li, XX; Li, YL; Wang, XM; Zhang, DH; Zhang, HJ; Zhao, QL, 2016)
"A commercially available lipid emulsion was able to delay progression of cocaine cardiac toxicity in vivo."3.81Cardiac depression induced by cocaine or cocaethylene is alleviated by lipid emulsion more effectively than by sulfobutylether-β-cyclodextrin. ( Feinstein, DL; Fettiplace, MR; Kowal, K; Lin, B; Lis, K; Pichurko, A; Ripper, R; Rubinstein, I; Schwartz, D; Weinberg, G, 2015)
"Time of arrhythmia, 50% mean arterial pressure- and 50% heart rate-reduction, and asystole were recorded, and ropivacaine doses were calculated."1.72Effects of nalbuphine on the cardiotoxicity of ropivacaine in rats. ( Huang, S; Jiao, J; Sun, S; Wang, C; Yu, X, 2022)
"Bupivacaine is an amide local anesthetic with possible side effects that include an irregular heart rate."1.56The anesthetic bupivacaine induces cardiotoxicity by targeting L-type voltage-dependent calcium channels. ( Chen, B; Gao, Y; Hua, Q; Li, B; Yang, R; Zhang, X, 2020)
"Remifentanil is a selective, ultra-short-acting, µ-opioid receptor agonist opioid."1.48Effects of Remifentanil Pretreatment on Bupivacaine Cardiotoxicity in Rats. ( Ayoğlu, H; Pişkin, Ö, 2018)

Research

Studies (27)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's19 (70.37)24.3611
2020's8 (29.63)2.80

Authors

AuthorsStudies
Ye, Y1
Cai, Y3
Xia, E1
Shi, K1
Jin, Z3
Chen, H3
Xia, F3
Xia, Y1
Papadimos, TJ1
Xu, X1
Liu, L1
Wang, Q1
Wang, C1
Sun, S1
Jiao, J1
Yu, X1
Huang, S1
Larson, CP1
Youssefzadeh, K1
Moon, JS1
Plakhotnik, J1
Zhang, L1
Estrada, M1
Coles, JG1
Lonnqvist, PA1
Maynes, JT1
Lin, T1
Cai, X1
Pan, L1
Wang, S1
Kim, HJ1
Kim, HS1
Jung, JR1
Kim, HY1
Lynch, C1
Park, WK1
Gao, Y1
Chen, B1
Zhang, X1
Yang, R1
Hua, Q1
Li, B1
Chen, X2
McDaniel, M1
Flores, KB1
Akpa, BS2
Pişkin, Ö2
Ayoğlu, H1
Aydın, BG1
Motayagheni, N1
Phan, S1
Nozari, A1
Atala, A1
Li, J1
Duan, R1
Zhang, Y1
Zhao, X1
Cheng, Y1
Chen, Y1
Yuan, J1
Li, H1
Zhang, J1
Chu, L1
Xia, D1
Zhao, S1
Lim, DH1
Sohn, JT3
Yang, JH1
Siregar, AS1
Kim, EJ1
Nyiramana, MM1
Shin, EJ1
Han, J1
Kim, JW1
Kang, D1
Zaballos, M1
Callejo, D1
Sevilla, R1
Quintela, O1
López-Menchaca, R1
Melone, A1
Varela, O1
Anadón Baselga, MJ1
Almendral, J1
Lemoine, S1
Rouet, R1
Manrique, A1
Hanouz, JL1
Fettiplace, MR3
Lis, K3
Ripper, R3
Kowal, K3
Pichurko, A2
Vitello, D1
Rubinstein, I3
Schwartz, D2
Weinberg, G3
Park, K1
Lin, B1
Feinstein, DL1
Yang, L1
Bai, Z1
Lv, D1
Liu, H1
Li, X1
Ok, SH1
Yu, J1
Lee, Y1
Cho, H1
Shin, IW1
Hori, K1
Matsuura, T1
Tsujikawa, S1
Mori, T1
Kuno, M1
Nishikawa, K1
Young, A1
Bonini, M1
Minshall, R1
Yu, RN1
Houck, CS1
Casta, A1
Blum, RH1
Gao, JL1
Li, YL1
Wang, XM1
Zhao, QL1
Zhang, HJ1
Han, FF1
Li, XX1
Zhang, DH1
Wong, GK1
Pehora, C1
Crawford, MW1

Reviews

1 review available for bupivacaine and Cardiotoxicity

ArticleYear
Lipid Emulsion, More Than Reversing Bupivacaine Cardiotoxicity: Potential Organ Protection.
    Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques, 2017, Volume: 20, Issue:1

    Topics: Animals; Bupivacaine; Cardiotoxicity; Emulsions; Fat Emulsions, Intravenous; Heart; Hemodynamics; Hu

2017

Other Studies

26 other studies available for bupivacaine and Cardiotoxicity

ArticleYear
Apelin-13 Reverses Bupivacaine-Induced Cardiotoxicity via the Adenosine Monophosphate-Activated Protein Kinase Pathway.
    Anesthesia and analgesia, 2021, 10-01, Volume: 133, Issue:4

    Topics: AMP-Activated Protein Kinases; Animals; Bupivacaine; Cardiotoxicity; Cell Line; Disease Models, Anim

2021
Effects of nalbuphine on the cardiotoxicity of ropivacaine in rats.
    Fundamental & clinical pharmacology, 2022, Volume: 36, Issue:5

    Topics: Amides; Anesthetics, Local; Animals; Arrhythmias, Cardiac; Bupivacaine; Cardiotoxicity; Heart Arrest

2022
The Bupivacaine Story: A Tribute to George A. Albright, MD (1931-2020).
    Anesthesia and analgesia, 2022, 11-01, Volume: 135, Issue:5

    Topics: Amides; Anesthetics, Local; Bupivacaine; Cardiotoxicity; Emulsions; Female; Humans; Lipids; Male; Pr

2022
Local Anesthetic Cardiac Toxicity Is Mediated by Cardiomyocyte Calcium Dynamics.
    Anesthesiology, 2022, 12-01, Volume: 137, Issue:6

    Topics: Amides; Anesthetics, Local; Animals; Arrhythmias, Cardiac; Bupivacaine; Calcium; Cardiotoxicity; Fem

2022
Dexmedetomidine enhances tolerance to bupivacaine cardiotoxicity in the isolated rat hearts: alpha 2 adrenoceptors were not involved.
    BMC pharmacology & toxicology, 2019, 11-21, Volume: 20, Issue:1

    Topics: Adrenergic alpha-2 Receptor Agonists; Analgesics, Non-Narcotic; Anesthetics, Local; Animals; Bupivac

2019
Lipid Emulsion Restoration of Myocardial Contractions After Bupivacaine-Induced Asystole In Vitro: A Benefit of Long- and Medium-Chain Triglyceride Over Long-Chain Triglyceride.
    Anesthesia and analgesia, 2020, Volume: 131, Issue:3

    Topics: Anesthetics, Local; Animals; Bupivacaine; Cardiotoxicity; Drug Compounding; Energy Metabolism; Fat E

2020
The anesthetic bupivacaine induces cardiotoxicity by targeting L-type voltage-dependent calcium channels.
    The Journal of international medical research, 2020, Volume: 48, Issue:8

    Topics: Action Potentials; Animals; Bupivacaine; Calcium; Calcium Channels, L-Type; Cardiotoxicity; Rats; Ra

2020
Ablation of small conductance calcium-activated potassium type-2 channel (SK
    Human & experimental toxicology, 2021, Volume: 40, Issue:3

    Topics: Animals; Bupivacaine; Cardiotoxicity; Female; Heart; HEK293 Cells; Humans; Male; Mice, Inbred C57BL;

2021
Predicting Inter-individual Variability During Lipid Resuscitation of Bupivacaine Cardiotoxicity in Rats: A Virtual Population Modeling Study.
    Drugs in R&D, 2021, Volume: 21, Issue:3

    Topics: Anesthetics, Local; Animals; Bupivacaine; Cardiotoxicity; Lipids; Rats; Rats, Sprague-Dawley

2021
Effects of Remifentanil Pretreatment on Bupivacaine Cardiotoxicity in Rats.
    Cardiovascular toxicology, 2018, Volume: 18, Issue:1

    Topics: Anesthetics, Local; Animals; Antidotes; Arrhythmias, Cardiac; Arterial Pressure; Bupivacaine; Cardio

2018
Effects of insulin+glucose pretreatment on bupivacaine cardiotoxicity in rats.
    Human & experimental toxicology, 2018, Volume: 37, Issue:5

    Topics: Animals; Arterial Pressure; Bupivacaine; Cardiotoxicity; Fat Emulsions, Intravenous; Glucose; Heart

2018
Beta-adrenergic activation induces cardiac collapse by aggravating cardiomyocyte contractile dysfunction in bupivacaine intoxication.
    PloS one, 2018, Volume: 13, Issue:10

    Topics: Anesthesia; Animals; Blood Pressure; Bupivacaine; Cardiotoxicity; Chloral Hydrate; Disease Models, A

2018
Bupivacaine-induced cardiotoxicity and lipid emulsion.
    Human & experimental toxicology, 2019, Volume: 38, Issue:4

    Topics: Anesthetics, Local; Animals; Bupivacaine; Cardiotoxicity; Fat Emulsions, Intravenous; Glucose; Insul

2019
Involvement of TREK-1 Channel in Cell Viability of H9c2 Rat Cardiomyoblasts Affected by Bupivacaine and Lipid Emulsion.
    Cells, 2019, 05-14, Volume: 8, Issue:5

    Topics: Animals; Bupivacaine; Cardiotoxicity; Cell Line; Cell Survival; Humans; Lipids; Membrane Potential,

2019
Comparative Effects of Sodium Bicarbonate and Intravenous Lipid Emulsions on Reversing Bupivacaine-Induced Electrophysiological Toxicity in a Porcine Experimental Model.
    Anesthesia and analgesia, 2019, Volume: 129, Issue:1

    Topics: Action Potentials; Anesthetics, Local; Animals; Antidotes; Arrhythmias, Cardiac; Bupivacaine; Cardio

2019
Effect of long-chain triglyceride lipid emulsion on bupivacaine-induced changes in electrophysiological parameters of rabbit Purkinje cells.
    Fundamental & clinical pharmacology, 2014, Volume: 28, Issue:5

    Topics: Action Potentials; Anesthetics, Local; Animals; Bupivacaine; Cardiotoxicity; Disease Models, Animal;

2014
Multi-modal contributions to detoxification of acute pharmacotoxicity by a triglyceride micro-emulsion.
    Journal of controlled release : official journal of the Controlled Release Society, 2015, Jan-28, Volume: 198

    Topics: Animals; Bupivacaine; Cardiac Output; Cardiotonic Agents; Cardiotoxicity; Cardiotoxins; Emulsions; L

2015
Triglyceride micro-emulsion for detoxification of acute pharmacotoxicity.
    Journal of controlled release : official journal of the Controlled Release Society, 2015, Jan-28, Volume: 198

    Topics: Bupivacaine; Cardiac Output; Cardiotonic Agents; Cardiotoxicity; Cardiotoxins; Emulsions; Phospholip

2015
Cardiac depression induced by cocaine or cocaethylene is alleviated by lipid emulsion more effectively than by sulfobutylether-β-cyclodextrin.
    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2015, Volume: 22, Issue:5

    Topics: Animals; Arrhythmias, Cardiac; beta-Cyclodextrins; Bupivacaine; Cardiotoxicity; Cocaine; Coronary Ci

2015
Rescue effect of lipid emulsion on bupivacaine-induced cardiac toxicity in cardiomyocytes.
    Molecular medicine reports, 2015, Volume: 12, Issue:3

    Topics: Apoptosis; Bupivacaine; Cardiotoxicity; Caspases; Cell Line; Cell Proliferation; Emulsions; Humans;

2015
Lipid emulsion attenuates apoptosis induced by a toxic dose of bupivacaine in H9c2 rat cardiomyoblast cells.
    Human & experimental toxicology, 2016, Volume: 35, Issue:9

    Topics: Anesthetics, Local; Animals; Apoptosis; Bupivacaine; Cardiotoxicity; Cell Line; Cell Survival; Dose-

2016
The significant contribution of the partitioning effect in lipid resuscitation for bupivacaine-induced cardiotoxicity: evaluation using centrifuged solution in vivo and in isolated hearts.
    British journal of anaesthesia, 2015, Volume: 115, Issue:6

    Topics: Anesthetics, Local; Animals; Bupivacaine; Cardiotoxicity; Fat Emulsions, Intravenous; Guinea Pigs; H

2015
Insulin Signaling in Bupivacaine-induced Cardiac Toxicity: Sensitization during Recovery and Potentiation by Lipid Emulsion.
    Anesthesiology, 2016, Volume: 124, Issue:2

    Topics: AMP-Activated Protein Kinases; Anesthesia Recovery Period; Anesthetics, Local; Animals; Blotting, We

2016
Institutional Policy Changes to Prevent Cardiac Toxicity Associated With Bupivacaine Penile Blockade in Infants.
    A & A case reports, 2016, Aug-01, Volume: 7, Issue:3

    Topics: Anesthetics, Local; Bupivacaine; Cardiotoxicity; Humans; Infant; Male; Nerve Block; Pain, Postoperat

2016
Electroacupuncture pretreatment induces rapid tolerance to bupivacaine cardiotoxicity in rats.
    Acupuncture in medicine : journal of the British Medical Acupuncture Society, 2016, Volume: 34, Issue:6

    Topics: Anesthetics, Local; Animals; Arrhythmias, Cardiac; Arterial Pressure; Blood Pressure; Bupivacaine; C

2016
L-carnitine reduces susceptibility to bupivacaine-induced cardiotoxicity: an experimental study in rats.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2017, Volume: 64, Issue:3

    Topics: Animals; Bupivacaine; Cardiotoxicity; Carnitine; Humans; Male; Rats; Rats, Sprague-Dawley

2017