Page last updated: 2024-10-26

dipyridamole and A-V Dissociation

dipyridamole has been researched along with A-V Dissociation in 32 studies

Dipyridamole: A phosphodiesterase inhibitor that blocks uptake and metabolism of adenosine by erythrocytes and vascular endothelial cells. Dipyridamole also potentiates the antiaggregating action of prostacyclin. (From AMA Drug Evaluations Annual, 1994, p752)
dipyridamole : A pyrimidopyrimidine that is 2,2',2'',2'''-(pyrimido[5,4-d]pyrimidine-2,6-diyldinitrilo)tetraethanol substituted by piperidin-1-yl groups at positions 4 and 8 respectively. A vasodilator agent, it inhibits the formation of blood clots.

Research Excerpts

ExcerptRelevanceReference
"We describe two cases of severe bradyarrhythmias (one complete AV dissociation; one sinus bradycardia) observed after the intravenous injection of dipyridamole."7.70[Severe bradyarrhythmia during myocardial perfusion scintigraphy with injection of dipyridamole (Persantine)]. ( Bielen, M; Karsera, D; Kulbertus, H; Mélon, P, 1999)
"A close or even causal relation between myocardial adenosine and bradyarrhythmias during acute myocardial hypoxia was testified in guinea pig, rabbit and dog mainly by using specific competitive antagonist and synchronous quantitative analysis of 3 variables: intensity of myocardial hypoxia, degree of endogenous adenosine increment and severity of bradyarrhythmias."7.68Adenosine's role in the genesis of bradyarrhythmias induced by acute myocardial hypoxia. ( Meng, FY; Sun, JW; Xu, J; Yuan, F, 1992)
" The ventilation was not affected by metoprolol, atropine, naloxone or cromolyn sodium but was attenuated by hyperventilation."5.06Adenosine receptor mediated stimulation of ventilation in man. ( Beermann, B; Brandt, R; Jonzon, B; Sylvén, C, 1989)
"We describe two cases of severe bradyarrhythmias (one complete AV dissociation; one sinus bradycardia) observed after the intravenous injection of dipyridamole."3.70[Severe bradyarrhythmia during myocardial perfusion scintigraphy with injection of dipyridamole (Persantine)]. ( Bielen, M; Karsera, D; Kulbertus, H; Mélon, P, 1999)
"A close or even causal relation between myocardial adenosine and bradyarrhythmias during acute myocardial hypoxia was testified in guinea pig, rabbit and dog mainly by using specific competitive antagonist and synchronous quantitative analysis of 3 variables: intensity of myocardial hypoxia, degree of endogenous adenosine increment and severity of bradyarrhythmias."3.68Adenosine's role in the genesis of bradyarrhythmias induced by acute myocardial hypoxia. ( Meng, FY; Sun, JW; Xu, J; Yuan, F, 1992)
" Information on safety and adverse events during and immediately after adenosine infusion was maintained in the Adenoscan Multicenter Trial Registry."2.67Safety profile of adenosine stress perfusion imaging: results from the Adenoscan Multicenter Trial Registry. ( Cerqueira, MD; Heo, J; Iskandrian, AS; Schwaiger, M; Verani, MS, 1994)

Research

Studies (32)

TimeframeStudies, this research(%)All Research%
pre-199017 (53.13)18.7374
1990's10 (31.25)18.2507
2000's5 (15.63)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Tse, HF1
Yu, C1
Wong, KK1
Tsang, V1
Leung, YL1
Ho, WY1
Lau, CP1
GONZALEZ MENENDEZ, E1
DEMIROGLU, C1
BERKARDA, B1
OZTUERK, M1
GARAN, R1
CHROBOK, H1
Erdogan, O1
Altun, A1
Durmus-Altun, G1
Ozbay, G1
Kishimoto, C1
Yoshida, Y1
Zen, E1
Nakamura, R1
Ito, K1
Stafford, A2
Belardinelli, L6
Shryock, J1
West, GA1
Clemo, HF1
DiMarco, JP2
Berne, RM2
Chilian, WM1
Marcus, ML1
Mattos, EC1
Taccola, A1
Cipolli, PL1
Bossi, MC1
Shammas, RL1
DeAntonio, HJ1
Movahed, A1
Pézard, P1
Hélias, J1
Victor, J1
Dupuis, JM1
Lejeune, JJ1
Geslin, P1
Jallet, P1
Tadei, A1
Cerqueira, MD1
Verani, MS1
Schwaiger, M1
Heo, J1
Iskandrian, AS1
Miller, DD1
Labovitz, AJ1
Toft, J1
Mortensen, J1
Hesse, B1
Preumont, N1
Velez Roa, S1
Berkenboom, G1
Goldman, S1
Lenaers, A1
Bielen, M1
Karsera, D1
Mélon, P1
Kulbertus, H1
Chapelon-Abric, C1
Alakhras, M1
Baldari, D1
El-Sherif, N1
Turitto, G1
Liusov, VA1
Savchuk, VI1
Belousov, IuB1
Pozin, VM1
Abdullaev, AA1
Sun, JW1
Yuan, F1
Xu, J1
Meng, FY1
Roelke, M1
Yurchak, PM1
Froldi, G1
Jonzon, B1
Sylvén, C1
Beermann, B1
Brandt, R1
Bubiński, R1
Lerman, BB1
Wesley, RC2
Haines, DE1
Jenkins, JR1
Boykin, MT1
Fukuda, T1
Kawakami, Y1
Furuno, K1
Araki, Y1
Nott, MW1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Comparison of Right Ventricular Septal Pacing to Minimized Right Ventricular Septal Stimulation in Patients With Sick Sinus Syndrome[NCT01477138]126 participants (Anticipated)Observational2011-07-31Recruiting
A Phase 2, Open-Label, Randomized Multicenter Study for the Development of One-Day Rest/Stress Cardiac Positron Emission Tomography (PET) Perfusion Imaging Protocols of BMS747158[NCT00849108]Phase 2176 participants (Actual)Interventional2009-01-31Completed
Early Cardiac Magnetic Resonance Imaging in Suspected Non-ST-Elevation Myocardial Infarction: An Observational Two-Center Study[NCT04140019]87 participants (Anticipated)Observational2018-10-01Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Cohort 1: Determination of Ratio of Stress Dose to Rest Dose

The stress flurpiridaz dose for subsequent same-day rest-stress efficacy studies was determined as a multiple of the rest dose by computer modeling. Images derived only from rest flurpiridaz administration were blended using image analysis with images derived only from administration of flurpiridaz following exercise or adenosine stress. The blending fraction that resulted in negligible change in reader interpretation of defect severity was determined for each subject. The minimum value that met this criterion for all subjects was used to calculate the ratio of the stress dose to the rest dose as a function of the delay between administration of the two doses for both adenosine stress and exercise stress separately. No statistical analysis was performed. (NCT00849108)
Timeframe: Dosing visit

InterventionFraction of rest added to stress image (Number)
Cohort 1 Dose Ranging and Dose Interval0.228

Cohort 1: Determination of Rest Dose: Dose Acquistion Time Product

The rest flurpiridaz dose to be used for subsequent efficacy studies was determined by a modeling method that simulated a range of injected doses using a single fixed injected dose at rest in each subject and a range of acquisition durations. From this, a dose acquisition time product (DATP was determined for each subject that specified the minimal dose for a given acquisition duration that yielded an image in that subject that was negligibly affected by photon counting statistics. Descriptive statistics were used to identify an appropriate rest dose for the population. No other statistical tests were performed (NCT00849108)
Timeframe: Dosing visit

InterventionMBq X Minutes (Mean)
Cohort 1: Dose Acquistion Time Product100

Cohort 2: Diagnostic Efficacy of One-day Rest/Stress BMS747158 PET MPI Sensitivity (SN) vs SPECT MPI Sensitivity

Diagnostic efficacy of one-day rest/stress BMS747158 PET MPI is measured by sensitivity as compared to single photon emission computed tomography (SPECT)MPI in the detection of coronary artery disease (CAD)using angiography or three-month cardiac events as the truth standard. (NCT00849108)
Timeframe: Dosing visit

InterventionProportion of True Positive Cases (Number)
PET MPISPECT MPI
Cohort 2 Efficacy/Safety0.7690.596

Cohort 2: Diagnostic Efficacy of One-day Rest/Stress BMS747158 PET MPI Specificity (SP) vs SPECT MPI Specificity

Diagnostic efficacy of one-day rest/stress BMS747158 PET MPI is measured by specificity as compared to single photon emission computed tomography (SPECT)MPI in the detection of coronary artery disease (CAD)using angiography or three-month cardiac events as the truth standard. (NCT00849108)
Timeframe: Dosing Visit

InterventionProportion of True Negative Cases (Number)
PET MPISPECT MPI
Cohort 2: Efficacy/Safety0.8770.836

Reviews

1 review available for dipyridamole and A-V Dissociation

ArticleYear
[Cardiac sarcoidosis].
    Annales de medecine interne, 2001, Volume: 152, Issue:2

    Topics: Anti-Inflammatory Agents; Biopsy; Cardiomyopathies; Cardiomyopathy, Restrictive; Cardiovascular Agen

2001

Trials

4 trials available for dipyridamole and A-V Dissociation

ArticleYear
Functional abnormalities in patients with permanent right ventricular pacing: the effect of sites of electrical stimulation.
    Journal of the American College of Cardiology, 2002, Oct-16, Volume: 40, Issue:8

    Topics: Aged; Aged, 80 and over; Cardiac Pacing, Artificial; Coronary Circulation; Dipyridamole; Electrocard

2002
Safety profile of adenosine stress perfusion imaging: results from the Adenoscan Multicenter Trial Registry.
    Journal of the American College of Cardiology, 1994, Volume: 23, Issue:2

    Topics: Adenosine; Aged; Coronary Disease; Dipyridamole; Female; Heart; Heart Block; Humans; Infusions, Intr

1994
Safety profile of adenosine stress perfusion imaging: results from the Adenoscan Multicenter Trial Registry.
    Journal of the American College of Cardiology, 1994, Volume: 23, Issue:2

    Topics: Adenosine; Aged; Coronary Disease; Dipyridamole; Female; Heart; Heart Block; Humans; Infusions, Intr

1994
Safety profile of adenosine stress perfusion imaging: results from the Adenoscan Multicenter Trial Registry.
    Journal of the American College of Cardiology, 1994, Volume: 23, Issue:2

    Topics: Adenosine; Aged; Coronary Disease; Dipyridamole; Female; Heart; Heart Block; Humans; Infusions, Intr

1994
Safety profile of adenosine stress perfusion imaging: results from the Adenoscan Multicenter Trial Registry.
    Journal of the American College of Cardiology, 1994, Volume: 23, Issue:2

    Topics: Adenosine; Aged; Coronary Disease; Dipyridamole; Female; Heart; Heart Block; Humans; Infusions, Intr

1994
Dipyridamole and adenosine vasodilator stress for myocardial imaging: vive la différence!
    Journal of the American College of Cardiology, 1994, Volume: 23, Issue:2

    Topics: Adenosine; Coronary Disease; Dipyridamole; Heart; Heart Block; Humans; Radionuclide Imaging; Registr

1994
Adenosine receptor mediated stimulation of ventilation in man.
    European journal of clinical investigation, 1989, Volume: 19, Issue:1

    Topics: Adenosine; Adult; Afferent Pathways; Atropine; Chemoreceptor Cells; Cromolyn Sodium; Dipyridamole; F

1989

Other Studies

27 other studies available for dipyridamole and A-V Dissociation

ArticleYear
[Incomplete AV block. Further aspects of its therapy].
    Revista espanola de cardiologia, 1963, Volume: 16

    Topics: Adrenal Cortex Hormones; Atrioventricular Block; Cardiovascular Diseases; Dipyridamole; Heart Block;

1963
[ON AN INTERESTING ACTION OF PERSANTIN ON HEART CONDUCTION DISORDERS].
    Wiener medizinische Wochenschrift (1946), 1964, Feb-15, Volume: 114

    Topics: Arrhythmias, Cardiac; Brugada Syndrome; Cardiac Conduction System Disease; Dipyridamole; Electrocard

1964
[3 CASES OF TRANSIENT BUNDLE BRANCH BLOCK].
    Kardiologia polska, 1965, Volume: 8

    Topics: Bundle-Branch Block; Cardiac Conduction System Disease; Dipyridamole; Drug Therapy; Heart Block; Hum

1965
Inferolateral myocardial perfusion defect caused by right ventricular outflow tract pacing.
    Pacing and clinical electrophysiology : PACE, 2004, Volume: 27, Issue:6 Pt 1

    Topics: Bradycardia; Coronary Angiography; Diagnosis, Differential; Dipyridamole; Electrodes, Implanted; Flu

2004
[Dipyridamole-induced regular R-R intervals in a case of old myocardial infarction with atrial fibrillation-flutter].
    Journal of cardiology, 2006, Volume: 48, Issue:5

    Topics: Atrial Fibrillation; Atrial Flutter; Dipyridamole; Electrocardiography; Heart; Heart Block; Humans;

2006
Potentiation of adenosine by dipyridamole.
    Nature, 1967, Apr-22, Volume: 214, Issue:5086

    Topics: Animals; Dipyridamole; Drug Synergism; Electrocardiography; Electroencephalography; Female; Guinea P

1967
Effects of adenosine and adenine nucleotides on the atrioventricular node of isolated guinea pig hearts.
    Circulation, 1984, Volume: 70, Issue:6

    Topics: Adenine; Adenine Nucleotides; Adenosine; Adenosine Deaminase; Adenosine Deaminase Inhibitors; Aminop

1984
Phasic coronary blood flow velocity in intramural and epicardial coronary arteries.
    Circulation research, 1982, Volume: 50, Issue:6

    Topics: Animals; Arterial Occlusive Diseases; Blood Flow Velocity; Cardiac Pacing, Artificial; Coronary Circ

1982
Evidence for adenosine mediation of atrioventricular block in the ischemic canine myocardium.
    The Journal of clinical investigation, 1981, Volume: 68, Issue:1

    Topics: Adenosine; Aminophylline; Animals; Coronary Disease; Dipyridamole; Dogs; Electrocardiography; Female

1981
[Platelet hyperaggregation premonitory of myocardial infarct? A clinical case report].
    Minerva medica, 1981, Jan-21, Volume: 72, Issue:2

    Topics: Anticoagulants; Aspirin; Dipyridamole; Heart Block; Humans; Male; Middle Aged; Myocardial Infarction

1981
High-grade atrioventricular block during dipyridamole stress testing.
    International journal of cardiology, 1994, Volume: 46, Issue:3

    Topics: Aged; Aminophylline; Coronary Disease; Dipyridamole; Electrocardiography; Heart Block; Humans; Male

1994
[Thallium 201 myocardial scintigraphy and left branch block. Comparative value of exercise test and dipyridamole test].
    Archives des maladies du coeur et des vaisseaux, 1993, Volume: 86, Issue:12

    Topics: Adult; Aged; Aged, 80 and over; Coronary Disease; Dipyridamole; Exercise Test; False Positive Reacti

1993
Risk of atrioventricular block during adenosine pharmacologic stress testing in heart transplant recipients.
    The American journal of cardiology, 1998, Sep-01, Volume: 82, Issue:5

    Topics: Adenosine; Adolescent; Adult; Cardiovascular Agents; Dipyridamole; Dose-Response Relationship, Drug;

1998
Transient second-degree heart block during dipyridamole myocardial perfusion imaging.
    Acta cardiologica, 1998, Volume: 53, Issue:5

    Topics: Aged; Dipyridamole; Female; Heart Block; Humans; Infusions, Intravenous; Male; Middle Aged; Tomograp

1998
[Severe bradyarrhythmia during myocardial perfusion scintigraphy with injection of dipyridamole (Persantine)].
    Revue medicale de Liege, 1999, Volume: 54, Issue:2

    Topics: Aged; Arrhythmia, Sinus; Bradycardia; Dipyridamole; Electrocardiography; Female; Heart; Heart Block;

1999
Location and clinical implications of high-degree atrioventricular block during dipyridamole infusion: a case report.
    Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2002, Volume: 7, Issue:2

    Topics: Aged; Dipyridamole; Electrocardiography; Female; Heart Block; Humans; Hypertension; Osteoarthritis;

2002
[Role of changes in rheological properties of blood in the pathogenesis of disorders of cardiac rhythm and conductivity].
    Kardiologiia, 1979, Volume: 19, Issue:7

    Topics: Animals; Blood Viscosity; Dipyridamole; Drug Antagonism; Erythrocyte Aggregation; Erythrocytes, Abno

1979
Adenosine's role in the genesis of bradyarrhythmias induced by acute myocardial hypoxia.
    Chinese medical journal, 1992, Volume: 105, Issue:11

    Topics: Adenosine; Aminophylline; Animals; Bradycardia; Dipyridamole; Dogs; Electrocardiography; Guinea Pigs

1992
Adenosine and supraventricular tachycardia.
    The New England journal of medicine, 1992, Apr-30, Volume: 326, Issue:18

    Topics: Adenosine; Aged; Dipyridamole; Drug Interactions; Heart Block; Humans; Tachycardia, Supraventricular

1992
Species-dependent effects of adenosine on heart rate and atrioventricular nodal conduction. Mechanism and physiological implications.
    Circulation research, 1990, Volume: 67, Issue:4

    Topics: Adenine; Adenosine; Adenosine Deaminase Inhibitors; Animals; Atrioventricular Node; Bundle of His; D

1990
[Effect of dipyridamole on the functional state of the atrioventricular node].
    Kardiologia polska, 1989, Volume: 32, Issue:6

    Topics: Action Potentials; Adult; Atrioventricular Node; Dipyridamole; Female; Heart Block; Heart Conduction

1989
Antiadrenergic effects of adenosine on His-Purkinje automaticity. Evidence for accentuated antagonism.
    The Journal of clinical investigation, 1988, Volume: 82, Issue:6

    Topics: Adenosine; Adult; Aged; Aged, 80 and over; Aminophylline; Animals; Atropine; Bundle of His; Dipyrida

1988
Atrioventricular nodal accommodation in isolated guinea pig hearts: physiological significance and role of adenosine.
    Circulation research, 1988, Volume: 63, Issue:1

    Topics: Acetylcholine; Adenosine; Animals; Atrioventricular Node; Atropine; Dipyridamole; Guinea Pigs; Heart

1988
Role of adenosine as mediator of bradyarrhythmias during hypoxia in isolated guinea pig hearts.
    Cardiovascular research, 1986, Volume: 20, Issue:10

    Topics: Adenosine; Aminophylline; Animals; Atrioventricular Node; Dipyridamole; Female; Guinea Pigs; Heart B

1986
Determination of the onset of beta-methyl-digoxin action by potentiation of the adenosine response in guinea pigs.
    Acta medica Okayama, 1985, Volume: 39, Issue:3

    Topics: Adenosine; Animals; Digoxin; Dipyridamole; Drug Synergism; Guinea Pigs; Heart; Heart Block; Intestin

1985
The possible role of adenosine in the coronary dilator action of some pyrimidopyrimidines and pteridines.
    British journal of pharmacology, 1970, Volume: 39, Issue:2

    Topics: Animals; Cats; Coronary Vessels; Dipyridamole; Drug Synergism; Guinea Pigs; Heart Atria; Heart Block

1970
Potentiation of adenosine and the adenine nucleotides by dipyridamole.
    British journal of pharmacology and chemotherapy, 1966, Volume: 28, Issue:2

    Topics: Acetylcholine; Adenine Nucleotides; Adenosine Triphosphate; Animals; Arrhythmias, Cardiac; Azaguanin

1966