Page last updated: 2024-10-31

mexiletine and Electrocardiogram QT Prolonged

mexiletine has been researched along with Electrocardiogram QT Prolonged in 76 studies

Mexiletine: Antiarrhythmic agent pharmacologically similar to LIDOCAINE. It may have some anticonvulsant properties.
mexiletine : An aromatic ether which is 2,6-dimethylphenyl ether of 2-aminopropan-1-ol.

Research Excerpts

ExcerptRelevanceReference
"We report a 28-year-old female patient with congenital type 2 long QT syndrome (LQTS) in which mexiletine shortened corrected QT interval (QTc) and effectively prevented refractory Torsade de Pointes (TdP) and ventricular fibrillation (VF)."8.12Mexiletine effectively prevented refractory Torsades de Pointes and ventricular fibrillation in a patient with congenital type 2 long QT syndrome. ( Kai, K; Nakashima, R; Sakamoto, K; Takase, S; Tsutsui, H, 2022)
"Experimental studies and clinical reports suggest antiarrhythmic properties of mexiletine in different arrhythmias."7.88Broad antiarrhythmic effect of mexiletine in different arrhythmia models. ( Dechering, DG; Eckardt, L; Ellermann, C; Frommeyer, G; Garthmann, J; Köbe, J; Kochhäuser, S; Reinke, F; Wasmer, K, 2018)
" This positive lidocaine challenge prompted clinical suspicion of long QT syndrome type 3 (LQT3) and early initiation of mexiletine therapy."7.76Neonatal long QT syndrome type 3 predicted by positive lidocaine challenge. ( Bailey, A; DI Maria, M; Howley, LW; Schaffer, MS, 2010)
"To make a LQT3 model (one form of the long QT syndromes) and to investigate the effect of mexiletine on LQT3."7.72Effect of mexiletine on long QT syndrome model. ( Li, CZ; Liu, YM; Wang, HW; Yang, ZF; Zheng, YQ, 2003)
"Potential utility of mexiletine for the treatment of sparfloxacin-induced long QT syndrome was assessed using the in vivo halothane-anesthetized canine model."7.72Effects of mexiletine on the canine model of sparfloxacin-induced long QT syndrome. ( Hashimoto, K; Satoh, Y; Sugiyama, A; Takahara, A, 2003)
"The purpose of this study was to test the potential utility of mexiletine for the treatment of drug-induced long QT syndrome in vivo."7.70Effects of mexiletine on the canine cardiovascular system complicating cisapride overdose: potential utility of mexiletine for the treatment of drug-induced long QT syndrome. ( Hashimoto, K; Satoh, Y; Sugiyama, A; Tamura, K, 2000)
"Flecainide is a potent blocker of the open sodium channel."6.70Normalization of ventricular repolarization with flecainide in long QT syndrome patients with SCN5A:DeltaKPQ mutation. ( Atkins, DL; Geletka, RC; Moss, AJ; Windle, JR; Zareba, W, 2001)
"Long QT syndrome is a potentially lethal yet highly treatable cardiac channelopathy."5.51Mexiletine Shortens the QT Interval in Patients With Potassium Channel-Mediated Type 2 Long QT Syndrome. ( Ackerman, MJ; Bos, JM; Castelletti, S; Crotti, L; Dagradi, F; Rohatgi, RK; Schwartz, PJ, 2019)
"We report a 28-year-old female patient with congenital type 2 long QT syndrome (LQTS) in which mexiletine shortened corrected QT interval (QTc) and effectively prevented refractory Torsade de Pointes (TdP) and ventricular fibrillation (VF)."4.12Mexiletine effectively prevented refractory Torsades de Pointes and ventricular fibrillation in a patient with congenital type 2 long QT syndrome. ( Kai, K; Nakashima, R; Sakamoto, K; Takase, S; Tsutsui, H, 2022)
"Experimental studies and clinical reports suggest antiarrhythmic properties of mexiletine in different arrhythmias."3.88Broad antiarrhythmic effect of mexiletine in different arrhythmia models. ( Dechering, DG; Eckardt, L; Ellermann, C; Frommeyer, G; Garthmann, J; Köbe, J; Kochhäuser, S; Reinke, F; Wasmer, K, 2018)
"The SCN5A mutation, P1332L, is linked to a malignant form of congenital long QT syndrome, type 3 (LQT3), and affected patients are highly responsive to the Na+ channel blocking drug, mexiletine."3.88Complex interactions in a novel SCN5A compound mutation associated with long QT and Brugada syndrome: Implications for Na+ channel blocking pharmacotherapy for de novo conduction disease. ( Aschar-Sobbi, R; Backx, PH; Bayer, JD; Chauhan, VS; Gollob, M; Liu, J; Spears, D; Tsushima, R; Vigmond, EJ; Wauchop, M, 2018)
" This positive lidocaine challenge prompted clinical suspicion of long QT syndrome type 3 (LQT3) and early initiation of mexiletine therapy."3.76Neonatal long QT syndrome type 3 predicted by positive lidocaine challenge. ( Bailey, A; DI Maria, M; Howley, LW; Schaffer, MS, 2010)
"It has been suggested that both pacing and treatment with mexiletine may reduce torsade de pointes (TdP) arrhythmias in patients with long QT syndrome 3 (LQT3), but it is not fully understood how these interventions could prevent TdP."3.72Effect of pacing and mexiletine on dispersion of repolarisation and arrhythmias in DeltaKPQ SCN5A (long QT3) mice. ( Breithardt, G; Carmeliet, E; Carmeliet, P; Fabritz, L; Franz, MR; Haverkamp, W; Kirchhof, P; Nuyens, D; Ottenhof, A; Rossenbacker, T, 2003)
"To make a LQT3 model (one form of the long QT syndromes) and to investigate the effect of mexiletine on LQT3."3.72Effect of mexiletine on long QT syndrome model. ( Li, CZ; Liu, YM; Wang, HW; Yang, ZF; Zheng, YQ, 2003)
"Potential utility of mexiletine for the treatment of sparfloxacin-induced long QT syndrome was assessed using the in vivo halothane-anesthetized canine model."3.72Effects of mexiletine on the canine model of sparfloxacin-induced long QT syndrome. ( Hashimoto, K; Satoh, Y; Sugiyama, A; Takahara, A, 2003)
"The purpose of this study was to test the potential utility of mexiletine for the treatment of drug-induced long QT syndrome in vivo."3.70Effects of mexiletine on the canine cardiovascular system complicating cisapride overdose: potential utility of mexiletine for the treatment of drug-induced long QT syndrome. ( Hashimoto, K; Satoh, Y; Sugiyama, A; Tamura, K, 2000)
"Recent clinical studies have reported a greater effectiveness of sodium channel block with mexiletine to abbreviate the QT interval in patients with the chromosome 3 variant (SCN5A, LQT3) of the long QT syndrome (LQTS) than those with the chromosome 7 form of the disease (HERG, LQT2), suggesting the possibility of gene-specific therapy for the two distinct forms of the congenital LQTS."3.69Effects of sodium channel block with mexiletine to reverse action potential prolongation in in vitro models of the long term QT syndrome. ( Antzelevitch, C; Antzelevitch, D; Heilmann, C; Sicouri, S, 1997)
"Drug-induced long QT syndrome has resulted in many drugs being withdrawn from the market."2.82Late sodium current block for drug-induced long QT syndrome: Results from a prospective clinical trial. ( Blinova, K; Chan, D; Crumb, WJ; Erato, C; Florian, J; Guo, P; Hong, M; Johannesen, L; Lin, J; Mason, JW; Mutlib, A; Sanabria, C; Stockbridge, N; Stohlman, J; Strauss, DG; Ugander, M; Vicente, J; Waite-Labott, K; Wang, J, 2016)
"Flecainide is a potent blocker of the open sodium channel."2.70Normalization of ventricular repolarization with flecainide in long QT syndrome patients with SCN5A:DeltaKPQ mutation. ( Atkins, DL; Geletka, RC; Moss, AJ; Windle, JR; Zareba, W, 2001)
"The proband with severe syndactyly and delayed language skills was identified harboring a G406R mutation in CACNA1C."2.49Inhibition of late sodium current by mexiletine: a novel pharmotherapeutical approach in timothy syndrome. ( Gao, Y; Hu, D; Li, C; Li, L; Liu, W; Sun, H; Timothy, KW; Xue, X; Yan, GX; Yuan, Y; Zhang, L, 2013)
"In 5 Mexiletine was added, shortening QTc and obtaining the disappearance of the T-wave alternance (TWA) in 3/3."1.91Autosomal Recessive Long QT Syndrome: Clinical Aspects and Therapy. ( Baban, A; Di Mambro, C; Drago, F; Gnazzo, M; Novelli, A; Paglia, S; Porco, L; Righi, D; Silvetti, MS; Tozzi, AE, 2023)
"He shows no structural heart disease, syndactyly, or cranio-facial abnormalities."1.62Long-term follow-up of a patient with type 2 Timothy syndrome and the partial efficacy of mexiletine. ( Bennis, Y; Berna, P; Hermida, A; Hermida, JS; Jedraszak, G; Kubala, M; Mathiron, A, 2021)
"Long QT syndrome is a potentially lethal yet highly treatable cardiac channelopathy."1.51Mexiletine Shortens the QT Interval in Patients With Potassium Channel-Mediated Type 2 Long QT Syndrome. ( Ackerman, MJ; Bos, JM; Castelletti, S; Crotti, L; Dagradi, F; Rohatgi, RK; Schwartz, PJ, 2019)
"Mexiletine is a Class 1B antiarrhythmic drug that causes the disappearance of T-wave alternans by shortening QTc and peak-to-end of the T wave."1.48A case report: Is mexiletine usage effective in the shortening of QTC interval and improving the T-wave alternans in Timothy syndrome? ( Ergul, Y; Tunca Sahin, G, 2018)
"Mexiletine (Mex) has been proposed as a gene-specific therapy for patients with long-QT syndrome type 3 (LQT3) caused by mutations in the cardiac sodium channel gene (SCN5A)."1.34Gating properties of SCN5A mutations and the response to mexiletine in long-QT syndrome type 3 patients. ( Bloise, R; Liu, N; Napolitano, C; Priori, SG; Ruan, Y, 2007)
"Sustained ventricular tachyarrhythmias were induced in 12 of the 56 trials of the VSP."1.32Ventricular tachyarrhythmias in a canine model of LQT3: arrhythmogenic effects of sympathetic activity and therapeutic effects of mexiletine. ( Aizawa, Y; Chinushi, M; Hosaka, Y; Komura, S; Sugiura, H; Tagawa, M; Washizuka, T, 2003)
"Mutations in SCN5A cause arrhythmia syndromes including Brugada syndrome (BrS) and congenital long QT syndrome subtype 3 (LQT3)."1.32A trafficking defective, Brugada syndrome-causing SCN5A mutation rescued by drugs. ( Ackerman, MJ; Jahangir, A; Makielski, JC; Munger, TM; Porter, CB; Rok, BA; Tester, DJ; Valdivia, CR, 2004)
"d-Sotalol was used to mimic LQT2, whereas ATX-II mimicked LQT3."1.30Sodium channel block with mexiletine is effective in reducing dispersion of repolarization and preventing torsade des pointes in LQT2 and LQT3 models of the long-QT syndrome. ( Antzelevitch, C; Shimizu, W, 1997)
"The idiopathic long QT syndrome is a congenital disease characterized by prolongation of the QT interval and by stress-induced syncopal episodes caused by the development of "torsades de pointes"."1.29The long QT syndrome: new diagnostic and therapeutic approach in the era of molecular biology. ( Cantù, F; Priori, SG; Schwartz, PJ, 1996)

Research

Studies (76)

TimeframeStudies, this research(%)All Research%
pre-19901 (1.32)18.7374
1990's9 (11.84)18.2507
2000's22 (28.95)29.6817
2010's27 (35.53)24.3611
2020's17 (22.37)2.80

Authors

AuthorsStudies
Cashman, JR3
Ryan, D2
McKeithan, WL3
Okolotowicz, K3
Gomez-Galeno, J3
Johnson, M3
Sampson, KJ4
Kass, RS4
Pezhouman, A1
Karagueuzian, HS1
Mercola, M3
Wåström, M1
Pfammatter, JP1
Nakashima, R1
Takase, S1
Kai, K2
Sakamoto, K1
Tsutsui, H1
Pereira, ENS1
Sacilotto, L1
Pessente, GD1
Guirao, C1
Carvalho, MLP1
Pereira, ADC1
Darrieux, FCDC1
Scanavacca, MI1
Kim, M2
Sager, PT2
Tester, DJ5
Pradhananga, S1
Hamrick, SK1
Srinivasan, D1
Das, S1
Ackerman, MJ7
Stutzman, MJ1
Gao, X1
Ye, D1
Zhou, W1
Giudicessi, JR1
Shannon, K1
Shimizu, T1
Kawai, S1
Kawada, A1
Wakamiya, T1
Nakano, Y1
Watanabe, S1
Iwamoto, M1
Nasilli, G1
Yiangou, L1
Palandri, C1
Cerbai, E1
Davis, RP1
Verkerk, AO1
Casini, S1
Remme, CA1
Milani, G1
Budriesi, R1
Tavazzani, E1
Cavalluzzi, MM1
Mattioli, LB1
Miniero, DV1
Delre, P1
Belviso, BD1
Denegri, M2
Cuocci, C1
Rotondo, NP1
De Palma, A1
Gualdani, R1
Caliandro, R1
Mangiatordi, GF1
Kumawat, A1
Camilloni, C1
Priori, S1
Lentini, G1
Righi, D1
Porco, L1
Di Mambro, C1
Gnazzo, M1
Baban, A1
Paglia, S1
Silvetti, MS1
Novelli, A1
Tozzi, AE1
Drago, F1
Olleik, F1
Kamareddine, MH1
Spears, J1
Tse, G1
Liu, T1
Yan, GX2
Kang, Y1
Wei, J1
Kim, HJ1
Kim, BG1
Park, JE1
Ki, CS1
Huh, J1
Youm, JB1
Kang, JS1
Cho, H1
Avidan, OR1
Tayebi, K1
Del Toro, K1
Warrier, R1
Hermida, A1
Jedraszak, G1
Kubala, M1
Mathiron, A1
Berna, P1
Bennis, Y1
Hermida, JS1
Xu, B1
Li, K1
Liu, F1
Kong, L1
Yang, J1
Zhou, B1
Lv, T1
Liu, Y1
She, F1
He, R1
Zhang, P2
Yang, Y1
Lv, TT1
Li, SY1
Frommeyer, G1
Garthmann, J1
Ellermann, C1
Dechering, DG1
Kochhäuser, S1
Reinke, F1
Köbe, J1
Wasmer, K1
Eckardt, L1
Tunca Sahin, G1
Ergul, Y1
Liu, J1
Bayer, JD1
Aschar-Sobbi, R1
Wauchop, M1
Spears, D1
Gollob, M1
Vigmond, EJ1
Tsushima, R1
Backx, PH1
Chauhan, VS1
Hu, RM1
Li, R1
Sun, T1
Peterson, BZ1
Makielski, JC4
Tan, BH1
Zhu, W1
Mazzanti, A3
Voelker, TL1
Hou, P1
Moreno, JD1
Angsutararux, P1
Naegle, KM1
Priori, SG10
Silva, JR1
Schwartz, PJ8
Sala, L1
Bos, JM1
Crotti, L2
Rohatgi, RK1
Castelletti, S1
Dagradi, F1
Gao, Y1
Xue, X1
Hu, D1
Liu, W1
Yuan, Y1
Sun, H1
Li, L1
Timothy, KW1
Zhang, L1
Li, C1
Ma, D1
Wei, H1
Zhao, Y1
Lu, J1
Li, G1
Sahib, NB1
Tan, TH1
Wong, KY1
Shim, W1
Wong, P1
Cook, SA1
Liew, R1
Johannesen, L2
Vicente, J2
Mason, JW2
Erato, C1
Sanabria, C1
Waite-Labott, K1
Hong, M1
Lin, J1
Guo, P1
Mutlib, A1
Wang, J1
Crumb, WJ1
Blinova, K1
Chan, D1
Stohlman, J1
Florian, J1
Ugander, M1
Stockbridge, N1
Strauss, DG2
Iyer, V1
Roman-Campos, D1
Kang, G1
Fishman, GI1
Funasako, M1
Aiba, T1
Ishibashi, K1
Nakajima, I1
Miyamoto, K1
Inoue, Y1
Okamura, H1
Noda, T1
Kamakura, S1
Anzai, T1
Noguchi, T1
Yasuda, S1
Miyamoto, Y1
Fukushima Kusano, K1
Ogawa, H1
Shimizu, W4
Arbelo, E1
Sarquella-Brugada, G1
Brugada, J1
Maragna, R2
Faragli, A1
Monteforte, N1
Bloise, R2
Memmi, M1
Novelli, V1
Baiardi, P1
Bagnardi, V1
Etheridge, SP1
Napolitano, C8
Hosseini, M1
Pueyo, E1
Hameed, A1
Yano, M1
Nishida, Y1
Ishii, T1
Takahashi, N1
Narahara, H1
Howley, LW1
DI Maria, M1
Bailey, A1
Schaffer, MS1
Wang, DW2
Pedrazzini, M1
Cantu, F5
De Filippo, P1
Kishiki, K1
Miyazaki, A1
Ikeda, T1
George, AL2
Aziz, PF1
Tanel, RE1
Zelster, IJ1
Pass, RH2
Wieand, TS1
Vetter, VL1
Vogel, RL1
Shah, MJ1
Ruan, Y2
Liu, N2
Bachetti, T1
Seregni, M1
Morotti, S1
Severi, S1
Sato, A1
Chinushi, M4
Suzuki, H1
Numano, F1
Hanyu, T1
Iijima, K1
Watanabe, H1
Furushima, H2
Yoshikane, Y1
Yoshinaga, M1
Hamamoto, K1
Hirose, S1
Terrenoire, C1
Wang, K1
Tung, KW1
Chung, WK1
Lu, JT1
Jean, JC1
Omari, A1
Kotton, DN1
Keller, G1
Park, J1
Kim, SK1
Pak, HN1
Bezzina, CR1
Tan, HL1
Valdivia, CR2
Wada, T1
McCormack, J1
Ye, B1
Washizuka, T3
Hosaka, Y2
Tanabe, Y1
Chinushi, Y1
Aizawa, Y2
Yoshida, H1
Sugiyama, A3
Satoh, Y3
Ishida, Y1
Kugiyama, K1
Hashimoto, K3
Buob, A1
Siaplaouras, S1
Böhm, M1
Jung, J1
Tagawa, M1
Sugiura, H1
Komura, S1
Fabritz, L1
Kirchhof, P1
Franz, MR1
Nuyens, D1
Rossenbacker, T1
Ottenhof, A1
Haverkamp, W2
Breithardt, G1
Carmeliet, E1
Carmeliet, P1
Wang, HW1
Zheng, YQ1
Yang, ZF1
Li, CZ1
Liu, YM1
Takahara, A1
Rok, BA1
Porter, CB1
Munger, TM1
Jahangir, A1
Kehl, HG1
Rellensmann, G1
Yelbuz, TM1
Krasemann, T1
Vogt, J1
Schulze-Bahr, E1
Head, CE1
Balasubramaniam, R1
Thomas, G1
Goddard, CA1
Lei, M1
Colledge, WH1
Grace, AA1
Huang, CL1
Divekar, A1
Soni, R1
Tian, XL1
Cheng, Y1
Zhang, T1
Liao, ML1
Yong, SL1
Wang, QK1
El Yaman, M1
Perry, J1
Locati, EH1
Towbin, JA1
Keating, MT1
Hammoude, H1
Brown, AM2
Chen, LS1
Colatsky, TJ1
Yazawa, K1
Makita, N1
Bennett, PB1
Paganini, V1
Antzelevitch, C3
Sicouri, S1
Antzelevitch, D1
Heilmann, C1
Tamura, K1
Windle, JR1
Geletka, RC1
Moss, AJ1
Zareba, W1
Atkins, DL1
Nishizaki, M1
Ashikaga, T1
Yamawake, N1
Fujii, H1
Arita, M1
Sumitomo, N1
Sakurada, H1
Hiraoka, M1
Yao, CT1
Wang, JN1
Tsai, YC1
Lin, CS1
Wu, JM1
Takamizawa, K1
Takao, A1
Aiba, S1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Clinical ECG Study to Evaluate Electrophysiological Effects of Potential QT Prolonging Drugs With Novel ECG Biomarkers With Exposure-Response Analysis[NCT05716854]Phase 144 participants (Actual)Interventional2023-03-21Completed
Five Period Crossover Study of the Ability of Late Sodium or Calcium Current Block (Mexiletine, Lidocaine, or Diltiazem) to Balance the Electrocardiographic Effects of hERG Potassium Current Block (Dofetilide or Moxifloxacin)[NCT02308748]Phase 122 participants (Actual)Interventional2014-05-31Completed
A Double-Blind, Randomized, Placebo-Controlled Single-Dose, Five Period Crossover Study of the Electrocardiographic Effects of Ranolazine, Dofetilide, Verapamil, and Quinidine in Healthy Subjects[NCT01873950]Phase 122 participants (Actual)Interventional2013-05-31Completed
Long QT Syndrome-Population Genetics and Cardiac Studies[NCT00005176]2,125 participants (Actual)Observational1985-08-31Completed
Efficacy of Ranolazine in LQT3 Patients[NCT01648205]Phase 225 participants (Actual)Interventional2012-09-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Placebo Corrected Change From Baseline QTc Interval on the ECG Measured in Milliseconds When Moxifloxacin is Administered With Diltiazem at the Evening Dose Compared to When Moxifloxacin is Administered Alone at Afternoon Dose on Treatment Day.

Evening dose (moxifloxacin+diltiazem) versus afternoon dose (diltiazem alone). (NCT02308748)
Timeframe: 5 weeks

Interventionms (Mean)
Moxifloxacin Alone29.9
Moxifloxacin + Diltiazem31.3

Change in Placebo Corrected Change From Baseline QTc and J-Tpeakc Intervals on the ECG Measured in Milliseconds When Dofetilide is Administered With Mexiletine or Lidocaine Compared to When Dofetilide is Administered Alone at Evening Dose on Treatment Day

After 3rd dose of mexiletine or lidocaine (evening dose) on treatment day when combined with dofetilide to evening dose on dofetilide alone day. (NCT02308748)
Timeframe: 5 weeks

,,
Interventionms (Mean)
Placebo corrected change from baseline in QTcPlacebo corrected change from baseline in J-Tpeakc
Dofetilide + Lidocaine183.5
Dofetilide + Mexiletine20.40.8
Dofetilide Alone37.924.0

Change in Relationship (Ratio) Between Heart Rate and QT

Different post-dose time-points employ different techniques for altering heart rate (leg raises and postural maneuvers). Using the measurements from all the time-points of postural maneuvers, the QT/RR relationship was modeled as a linear relationship between the square root of RR in seconds and QT in seconds and computed on a by subject, treatment and time-point basis. The change in the QT and heart rate relationship was assessed as the difference (mean and 95% CI) between the slopes from the models for each drug vs. placebo. (NCT01873950)
Timeframe: 24 hours

Interventionratio (Mean)
Ranolazine 1500mg0.01
Dofetilide 500mcg0.06
Verapamil HCl 120 mg0.02
Quinidine Sulfate 400mg0.11

Change in Spatial QRS-T Angle Using Exposure/Response (Dofetilide and Verapamil Arms)

"The exposure response analysis will be performed for each treatment and will use a linear or nonlinear model (as determined by visual inspection) to quantify the relationship between exposure and Baseline and placebo adjusted change from Baseline for each ECG parameter (same as for primary analysis).~The magnitude of change (mean and 95% CI) in spatial QRS-T angle for the observed mean Cmax for each drug may be calculated." (NCT01873950)
Timeframe: 24 hours

Interventiondegrees per ng/ml (Mean)
Dofetilide 500mcg-3.9
Verapamil HCl 120 mg0.4

Change in Spatial QRS-T Angle Using Exposure/Response (Ranolazine and Quinidine Arms)

"The exposure response analysis will be performed for each treatment and will use a linear or nonlinear model (as determined by visual inspection) to quantify the relationship between exposure and Baseline and placebo adjusted change from Baseline for each ECG parameter (same as for primary analysis).~The magnitude of change (mean and 95% CI) in spatial QRS-T angle for the observed mean Cmax for each drug may be calculated." (NCT01873950)
Timeframe: 24 hours

Interventiondegrees per mcg/ml (Mean)
Ranolazine 1500mg-1.0
Quinidine Sulfate 400mg2.7

Change in Ventricular Gradient Using Exposure/Response (Dofetilide and Verapamil Arms)

"The exposure response analysis will be performed for each treatment and will use a linear or nonlinear model (as determined by visual inspection) to quantify the relationship between exposure and Baseline and placebo adjusted change from Baseline for each ECG parameter (same as for primary analysis).~The magnitude of change (mean and 95% CI) in ventricular gradient for the observed mean Cmax for each drug may be calculated." (NCT01873950)
Timeframe: 24 hours

InterventionmV.ns per ng/ml (Mean)
Dofetilide 500mcg4.0
Verapamil HCl 120 mg1.2

Change in Ventricular Gradient Using Exposure/Response (Ranolazine and Quinidine Arms)

"The exposure response analysis will be performed for each treatment and will use a linear or nonlinear model (as determined by visual inspection) to quantify the relationship between exposure and Baseline and placebo adjusted change from Baseline for each ECG parameter (same as for primary analysis).~The magnitude of change (mean and 95% CI) in ventricular gradient for the observed mean Cmax for each drug may be calculated." (NCT01873950)
Timeframe: 24 hours

InterventionmV.ns per mcg/ml (Mean)
Ranolazine 1500mg-0.7
Quinidine Sulfate 400mg1.6

Placebo, and Baseline-adjusted Changes in Spatial QRS-T Angle

Compute maximum mean placebo, and baseline-adjusted change for: spatial QRS-T angle (degrees) (NCT01873950)
Timeframe: 24 hours

Interventiondegrees (Least Squares Mean)
Ranolazine 1500mg-2.2
Dofetilide 500mcg-4.9
Verapamil HCl 120 mg-2.4
Quinidine Sulfate 400mg3.9

Placebo, and Baseline-adjusted Changes in Ventricular Gradient

Compute maximum mean placebo, and baseline-adjusted change for: ventricular gradient (mV*ms). (NCT01873950)
Timeframe: 24 hours

InterventionmV*ms (Least Squares Mean)
Ranolazine 1500mg2.5
Dofetilide 500mcg4.8
Verapamil HCl 120 mg4.2
Quinidine Sulfate 400mg6.0

Change in PR, QRS, J-Tpeak, Tpeak-Tend and QTc Using Exposure/Response (Dofetilide and Verapamil Arms)

"The exposure response analysis will be performed for each treatment and will use a linear or nonlinear model (as determined by visual inspection) to quantify the relationship between exposure and Baseline and placebo adjusted change from Baseline for each ECG parameter (same as for primary analysis).~The magnitude of change (mean and 95% CI) in QTc for the observed mean Cmax for each drug may be calculated." (NCT01873950)
Timeframe: 24 hours

,
Interventionms per ng/ml (Mean)
Change in PRChange in QTcChange in QRSChange in J-TpeakcChange in Tpeak-Tend
Dofetilide 500mcg-0.573.60.239.134.4
Verapamil HCl 120 mg28.73.90.3-0.73.6

Change in PR, QRS, J-Tpeak, Tpeak-Tend and QTc Using Exposure/Response (Ranolazine and Quinidine Arms)

"The exposure response analysis will be performed for each treatment and will use a linear or nonlinear model (as determined by visual inspection) to quantify the relationship between exposure and Baseline and placebo adjusted change from Baseline for each ECG parameter (same as for primary analysis).~The magnitude of change (mean and 95% CI) in QTc for the observed mean Cmax for each drug may be calculated." (NCT01873950)
Timeframe: 24 hours

,
Interventionms per mcg/ml (Mean)
Change in PRChange in QTcChange in QRSChange in J-TpeakcChange in Tpeak-Tend
Quinidine Sulfate 400mg3.078.90.426.151.2
Ranolazine 1500mg4.212.00.80.710.0

Placebo, and Baseline-adjusted Changes in PR, QRS, J-Tpeak, Tpeak-Tend and QTc

Compute maximum mean placebo, and baseline-adjusted change for: PR (ms), QRS (ms), J-Tpeak (ms), Tpeak-Tend (ms) and QTc (ms) (NCT01873950)
Timeframe: 24 hours

,,,
Interventionms (Least Squares Mean)
Change in PR intervalChange in QRS durationChange in J-TpeakcChange in Tpeak-TendChange in QTc
Dofetilide 500mcg2.31.139.540.079.3
Quinidine Sulfate 400mg5.12.129.149.878.1
Ranolazine 1500mg6.52.73.38.812.6
Verapamil HCl 120 mg32.12.6-2.44.85.2

Change in QTc at 6 Months

Change in QTc at 6 months on ranolazine vs. at 1 month on placebo. This was prespecified outcome. (NCT01648205)
Timeframe: 1 month to 6 months

Interventionmiliseconds (Mean)
Placebo504
Ranolazine at 6 Months501

Change in QTc Duration at 2 Months

Change in QTc at 2 months on ranolazine vs. at 1 month on placebo. This was prespecified outcome. (NCT01648205)
Timeframe: 1 month to 2 months

Interventionmiliseconds (Mean)
Placebo503
Ranolazine at 2 Months497

Reviews

6 reviews available for mexiletine and Electrocardiogram QT Prolonged

ArticleYear
Mexiletine: Antiarrhythmic mechanisms, emerging clinical applications and mortality.
    Pacing and clinical electrophysiology : PACE, 2023, Volume: 46, Issue:11

    Topics: Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Humans; Long QT Syndrome; Mexiletine; Myocardium

2023
Sodium channel blockers in the management of long QT syndrome types 3 and 2: A system review and meta-analysis.
    Journal of cardiovascular electrophysiology, 2021, Volume: 32, Issue:11

    Topics: Adrenergic beta-Antagonists; Electrocardiography; Flecainide; Humans; Long QT Syndrome; Mexiletine;

2021
Inhibition of late sodium current by mexiletine: a novel pharmotherapeutical approach in timothy syndrome.
    Circulation. Arrhythmia and electrophysiology, 2013, Volume: 6, Issue:3

    Topics: Animals; Autistic Disorder; Child, Preschool; DNA Mutational Analysis; Echocardiography, Doppler; El

2013
[Differential diagnosis of idiopathic ventricular fibrillation].
    Deutsche medizinische Wochenschrift (1946), 2002, Nov-22, Volume: 127, Issue:47

    Topics: Adrenergic beta-Antagonists; Adult; Anti-Arrhythmia Agents; Chromosome Aberrations; Defibrillators,

2002
Molecular biology of the long QT syndrome: impact on management.
    Pacing and clinical electrophysiology : PACE, 1997, Volume: 20, Issue:8 Pt 2

    Topics: Action Potentials; Adrenergic Antagonists; Animals; Anti-Arrhythmia Agents; Cardiac Pacing, Artifici

1997
[Possibility of gene-specific treatment for hereditary arrhythmic diseases].
    Nihon rinsho. Japanese journal of clinical medicine, 2002, Volume: 60, Issue:1

    Topics: Adrenergic beta-Antagonists; Anti-Arrhythmia Agents; Cardiac Pacing, Artificial; Humans; Ion Channel

2002

Trials

4 trials available for mexiletine and Electrocardiogram QT Prolonged

ArticleYear
Predicting Patient Response to the Antiarrhythmic Mexiletine Based on Genetic Variation.
    Circulation research, 2019, 02-15, Volume: 124, Issue:4

    Topics: Adolescent; Adult; Animals; Anti-Arrhythmia Agents; Female; HEK293 Cells; Humans; Ion Channel Gating

2019
Late sodium current block for drug-induced long QT syndrome: Results from a prospective clinical trial.
    Clinical pharmacology and therapeutics, 2016, Volume: 99, Issue:2

    Topics: Adult; Anti-Arrhythmia Agents; Calcium Channel Blockers; Cross-Over Studies; Diltiazem; Drug Therapy

2016
Late sodium current block for drug-induced long QT syndrome: Results from a prospective clinical trial.
    Clinical pharmacology and therapeutics, 2016, Volume: 99, Issue:2

    Topics: Adult; Anti-Arrhythmia Agents; Calcium Channel Blockers; Cross-Over Studies; Diltiazem; Drug Therapy

2016
Late sodium current block for drug-induced long QT syndrome: Results from a prospective clinical trial.
    Clinical pharmacology and therapeutics, 2016, Volume: 99, Issue:2

    Topics: Adult; Anti-Arrhythmia Agents; Calcium Channel Blockers; Cross-Over Studies; Diltiazem; Drug Therapy

2016
Late sodium current block for drug-induced long QT syndrome: Results from a prospective clinical trial.
    Clinical pharmacology and therapeutics, 2016, Volume: 99, Issue:2

    Topics: Adult; Anti-Arrhythmia Agents; Calcium Channel Blockers; Cross-Over Studies; Diltiazem; Drug Therapy

2016
Electrocardiographic Biomarkers for Detection of Drug-Induced Late Sodium Current Block.
    PloS one, 2016, Volume: 11, Issue:12

    Topics: Adult; Biomarkers; Calcium Channel Blockers; Cross-Over Studies; Electrocardiography; Ether-A-Go-Go

2016
Electrocardiographic Biomarkers for Detection of Drug-Induced Late Sodium Current Block.
    PloS one, 2016, Volume: 11, Issue:12

    Topics: Adult; Biomarkers; Calcium Channel Blockers; Cross-Over Studies; Electrocardiography; Ether-A-Go-Go

2016
Electrocardiographic Biomarkers for Detection of Drug-Induced Late Sodium Current Block.
    PloS one, 2016, Volume: 11, Issue:12

    Topics: Adult; Biomarkers; Calcium Channel Blockers; Cross-Over Studies; Electrocardiography; Ether-A-Go-Go

2016
Electrocardiographic Biomarkers for Detection of Drug-Induced Late Sodium Current Block.
    PloS one, 2016, Volume: 11, Issue:12

    Topics: Adult; Biomarkers; Calcium Channel Blockers; Cross-Over Studies; Electrocardiography; Ether-A-Go-Go

2016
Normalization of ventricular repolarization with flecainide in long QT syndrome patients with SCN5A:DeltaKPQ mutation.
    Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2001, Volume: 6, Issue:2

    Topics: Administration, Oral; Adolescent; Adult; Anti-Arrhythmia Agents; Child; Child, Preschool; Drug Monit

2001

Other Studies

66 other studies available for mexiletine and Electrocardiogram QT Prolonged

ArticleYear
Antiarrhythmic Hit to Lead Refinement in a Dish Using Patient-Derived iPSC Cardiomyocytes.
    Journal of medicinal chemistry, 2021, 05-13, Volume: 64, Issue:9

    Topics: Action Potentials; Animals; Anti-Arrhythmia Agents; Behavior, Animal; Cardiac Conduction System Dise

2021
Ten-year-old boy with congenital long QT syndrome type 2 (LQTS2) and life-threatening electrical storm: a case report of successful treatment with mexiletine.
    Cardiology in the young, 2022, Volume: 32, Issue:11

    Topics: Arrhythmias, Cardiac; Humans; Isoproterenol; Long QT Syndrome; Male; Mexiletine; Ventricular Fibrill

2022
Mexiletine effectively prevented refractory Torsades de Pointes and ventricular fibrillation in a patient with congenital type 2 long QT syndrome.
    Journal of cardiovascular electrophysiology, 2022, Volume: 33, Issue:7

    Topics: Adult; Arrhythmias, Cardiac; DNA-Binding Proteins; Electrocardiography; Female; Humans; Long QT Synd

2022
Mexiletine in a Newborn with Type 3 Long QT Syndrome: When Access is Difficult.
    Arquivos brasileiros de cardiologia, 2022, Volume: 118, Issue:5

    Topics: Anti-Arrhythmia Agents; Electrocardiography; Humans; Infant, Newborn; Long QT Syndrome; Mexiletine

2022
SGK1 inhibition attenuates the action potential duration in reengineered heart cell models of drug-induced QT prolongation.
    Heart rhythm, 2023, Volume: 20, Issue:4

    Topics: Action Potentials; Humans; Long QT Syndrome; Mexiletine; Myocytes, Cardiac; Sulfonamides

2023
Functional characterization and identification of a therapeutic for a novel SCN5A-F1760C variant causing type 3 long QT syndrome refractory to all guideline-directed therapies.
    Heart rhythm, 2023, Volume: 20, Issue:5

    Topics: Anti-Arrhythmia Agents; Humans; Infant; Lidocaine; Long QT Syndrome; Mexiletine; NAV1.5 Voltage-Gate

2023
Combined mexiletine and flecainide for severe long QT syndrome type 3.
    Pediatrics international : official journal of the Japan Pediatric Society, 2023, Volume: 65, Issue:1

    Topics: Anti-Arrhythmia Agents; Cardiac Conduction System Disease; Electrocardiography; Flecainide; Humans;

2023
Beneficial effects of chronic mexiletine treatment in a human model of SCN5A overlap syndrome.
    Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 2023, 06-02, Volume: 25, Issue:6

    Topics: Action Potentials; Brugada Syndrome; Cardiac Conduction System Disease; Humans; Long QT Syndrome; Me

2023
hERG stereoselective modulation by mexiletine-derived ureas: Molecular docking study, synthesis, and biological evaluation.
    Archiv der Pharmazie, 2023, Volume: 356, Issue:10

    Topics: Animals; Guinea Pigs; Humans; Long QT Syndrome; Mexiletine; Molecular Docking Simulation; Potassium

2023
Autosomal Recessive Long QT Syndrome: Clinical Aspects and Therapy.
    Pediatric cardiology, 2023, Volume: 44, Issue:8

    Topics: Child; Deafness; Heart Arrest; Humans; Jervell-Lange Nielsen Syndrome; KCNQ1 Potassium Channel; Long

2023
Mexiletine Suppressed Recurrent Ventricular Tachycardia Triggered by Hemodialysis in an Old Patient with LQT2.
    International heart journal, 2019, Sep-27, Volume: 60, Issue:5

    Topics: Anti-Arrhythmia Agents; Electrocardiography; Female; Follow-Up Studies; Humans; Kidney Failure, Chro

2019
Characterization of a novel LQT3 variant with a selective efficacy of mexiletine treatment.
    Scientific reports, 2019, 09-10, Volume: 9, Issue:1

    Topics: Action Potentials; Adult; Anti-Arrhythmia Agents; Female; Humans; Infant; Long QT Syndrome; Male; Me

2019
Seizure After Minor Head Trauma: A Red Herring?
    Clinical pediatrics, 2021, Volume: 60, Issue:1

    Topics: Anti-Arrhythmia Agents; Child; Craniocerebral Trauma; Electrocardiography; Electrocardiography, Ambu

2021
Long-term follow-up of a patient with type 2 Timothy syndrome and the partial efficacy of mexiletine.
    Gene, 2021, Apr-20, Volume: 777

    Topics: Autistic Disorder; Calcium Channels, L-Type; Child; Electrocardiography; Exons; Follow-Up Studies; H

2021
Mexiletine Shortened QT Interval and Reduced Ventricular Arrhythmias in a Pedigree of Type 2 Long QT Syndrome Combined with Left Ventricular Non-Compaction.
    International heart journal, 2021, Mar-30, Volume: 62, Issue:2

    Topics: Anti-Arrhythmia Agents; Echocardiography; Electrocardiography; Female; Heart Ventricles; Humans; Lon

2021
Human iPSC-derived cardiomyocytes and pyridyl-phenyl mexiletine analogs.
    Bioorganic & medicinal chemistry letters, 2021, 08-15, Volume: 46

    Topics: Cardiac Conduction System Disease; Dose-Response Relationship, Drug; Humans; Induced Pluripotent Ste

2021
Human-induced pluripotent stem cell-derived cardiomyocytes: Cardiovascular properties and metabolism and pharmacokinetics of deuterated mexiletine analogs.
    Pharmacology research & perspectives, 2021, Volume: 9, Issue:4

    Topics: Animals; Behavior, Animal; Cells, Cultured; Female; Humans; Induced Pluripotent Stem Cells; Liver; L

2021
Broad antiarrhythmic effect of mexiletine in different arrhythmia models.
    Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 2018, 08-01, Volume: 20, Issue:8

    Topics: Action Potentials; Animals; Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Atrial Fibrillation; Disea

2018
A case report: Is mexiletine usage effective in the shortening of QTC interval and improving the T-wave alternans in Timothy syndrome?
    Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2018, Volume: 23, Issue:3

    Topics: Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Autistic Disorder; Child, Preschool; Electrocardiograp

2018
Complex interactions in a novel SCN5A compound mutation associated with long QT and Brugada syndrome: Implications for Na+ channel blocking pharmacotherapy for de novo conduction disease.
    PloS one, 2018, Volume: 13, Issue:5

    Topics: Animals; Brugada Syndrome; CHO Cells; Computer Simulation; Cricetulus; Humans; Long QT Syndrome; Mal

2018
Mexiletine rescues a mixed biophysical phenotype of the cardiac sodium channel arising from the SCN5A mutation, N406K, found in LQT3 patients.
    Channels (Austin, Tex.), 2018, Volume: 12, Issue:1

    Topics: Anti-Arrhythmia Agents; Cardiac Conduction System Disease; Female; HEK293 Cells; Humans; Infant; Lon

2018
Precision Versus Traditional Medicine-Clinical Questions Trigger Progress in Basic Science.
    Circulation research, 2019, 02-15, Volume: 124, Issue:4

    Topics: Anti-Arrhythmia Agents; Genetic Variation; Humans; Long QT Syndrome; Medicine, Traditional; Mexileti

2019
Mexiletine Shortens the QT Interval in Patients With Potassium Channel-Mediated Type 2 Long QT Syndrome.
    Circulation. Arrhythmia and electrophysiology, 2019, Volume: 12, Issue:5

    Topics: Action Potentials; Adolescent; Adrenergic beta-Antagonists; Adult; Anti-Arrhythmia Agents; Child; Dr

2019
Modeling type 3 long QT syndrome with cardiomyocytes derived from patient-specific induced pluripotent stem cells.
    International journal of cardiology, 2013, Oct-15, Volume: 168, Issue:6

    Topics: Action Potentials; Child; Child, Preschool; Chromosomes, Human, Pair 3; Dermis; Electrocardiography;

2013
Purkinje Cells as Sources of Arrhythmias in Long QT Syndrome Type 3.
    Scientific reports, 2015, Aug-20, Volume: 5

    Topics: Action Potentials; Animals; Arrhythmias, Cardiac; Calcium; Cardiac Conduction System Disease; Heart

2015
Pronounced Shortening of QT Interval With Mexiletine Infusion Test in Patients With Type 3 Congenital Long QT Syndrome.
    Circulation journal : official journal of the Japanese Circulation Society, 2016, Volume: 80, Issue:2

    Topics: Adolescent; Adult; Child; Child, Preschool; Electrocardiography; Female; Humans; Long QT Syndrome; M

2016
Gene-Specific Therapy for Congenital Long QT Syndrome: Are We There Yet?
    Journal of the American College of Cardiology, 2016, Mar-08, Volume: 67, Issue:9

    Topics: Electrocardiography; Female; Genetic Therapy; Heart Rate; Humans; Long QT Syndrome; Male; Mexiletine

2016
Gene-Specific Therapy With Mexiletine Reduces Arrhythmic Events in Patients With Long QT Syndrome Type 3.
    Journal of the American College of Cardiology, 2016, Mar-08, Volume: 67, Issue:9

    Topics: Administration, Oral; Adolescent; Adult; Child; Electrocardiography; Female; Follow-Up Studies; Gene

2016
Reply: Did Mutation Type Affect the Efficacy of Mexiletine Observed in Patients With LQTS Type 3?
    Journal of the American College of Cardiology, 2017, 01-17, Volume: 69, Issue:2

    Topics: Anti-Arrhythmia Agents; Humans; Long QT Syndrome; Mexiletine; Mutation

2017
Did Mutation Type Affect the Efficacy of Mexiletine Observed in Patients With LQTS Type 3?
    Journal of the American College of Cardiology, 2017, 01-17, Volume: 69, Issue:2

    Topics: Anti-Arrhythmia Agents; Cardiac Conduction System Disease; Humans; Long QT Syndrome; Mexiletine; Mut

2017
Long QT syndrome in pregnancy: A successful case of ICD implantation during the prenatal period.
    Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology, 2017, Volume: 37, Issue:4

    Topics: Adrenergic beta-Antagonists; Adult; Defibrillators, Implantable; Electrocardiography; ERG1 Potassium

2017
Neonatal long QT syndrome type 3 predicted by positive lidocaine challenge.
    Pacing and clinical electrophysiology : PACE, 2010, Volume: 33, Issue:3

    Topics: Anti-Arrhythmia Agents; Bradycardia; Electrocardiography; Female; Humans; Infant, Newborn; Lidocaine

2010
Malignant perinatal variant of long-QT syndrome caused by a profoundly dysfunctional cardiac sodium channel.
    Circulation. Arrhythmia and electrophysiology, 2008, Volume: 1, Issue:5

    Topics: Action Potentials; Anti-Arrhythmia Agents; DNA Mutational Analysis; Dose-Response Relationship, Drug

2008
Congenital long QT syndrome and 2:1 atrioventricular block: an optimistic outcome in the current era.
    Heart rhythm, 2010, Volume: 7, Issue:6

    Topics: Adrenergic beta-Antagonists; Anti-Arrhythmia Agents; Atrioventricular Block; Child; Child, Preschool

2010
Trafficking defects and gating abnormalities of a novel SCN5A mutation question gene-specific therapy in long QT syndrome type 3.
    Circulation research, 2010, Apr-30, Volume: 106, Issue:8

    Topics: Action Potentials; Anti-Arrhythmia Agents; Cell Line; Computer Simulation; Electrocardiography; Fata

2010
Long QT syndrome with nocturnal cardiac events caused by a KCNH2 missense mutation (G604S).
    Internal medicine (Tokyo, Japan), 2012, Volume: 51, Issue:14

    Topics: Child; Electrocardiography; Epinephrine; ERG1 Potassium Channel; Ether-A-Go-Go Potassium Channels; G

2012
A case of long QT syndrome with triple gene abnormalities: digenic mutations in KCNH2 and SCN5A and gene variant in KCNE1.
    Heart rhythm, 2013, Volume: 10, Issue:4

    Topics: Child; DNA Mutational Analysis; Electrocardiography; ERG1 Potassium Channel; Ether-A-Go-Go Potassium

2013
Induced pluripotent stem cells used to reveal drug actions in a long QT syndrome family with complex genetics.
    The Journal of general physiology, 2013, Volume: 141, Issue:1

    Topics: Anti-Arrhythmia Agents; Biophysical Phenomena; Cell Communication; Cells, Cultured; ERG1 Potassium C

2013
A case of Long QT syndrome type 3 aggravated by beta-blockers and alleviated by mexiletine: the role of epinephrine provocation test.
    Yonsei medical journal, 2013, Mar-01, Volume: 54, Issue:2

    Topics: Adolescent; Adrenergic beta-Antagonists; Defibrillators, Implantable; Diagnosis, Differential; Diagn

2013
Pharmacological rescue of mutant ion channels.
    Cardiovascular research, 2002, Aug-01, Volume: 55, Issue:2

    Topics: Anti-Arrhythmia Agents; Humans; Long QT Syndrome; Mexiletine; Mutation; NAV1.5 Voltage-Gated Sodium

2002
A novel SCN5A arrhythmia mutation, M1766L, with expression defect rescued by mexiletine.
    Cardiovascular research, 2002, Aug-01, Volume: 55, Issue:2

    Topics: Anti-Arrhythmia Agents; DNA Mutational Analysis; Electrocardiography; Fatal Outcome; Follow-Up Studi

2002
Activation-recovery interval as a parameter to assess the intracardiac ventricular repolarization in patients with congenital long QT syndrome.
    The American journal of cardiology, 2002, Aug-15, Volume: 90, Issue:4

    Topics: Adolescent; Adult; Aged; Anti-Arrhythmia Agents; Electrocardiography; Electrophysiologic Techniques,

2002
Effects of disopyramide and mexiletine on the terminal repolarization process of the in situ heart assessed using the halothane-anesthetized in vivo canine model.
    Circulation journal : official journal of the Japanese Circulation Society, 2002, Volume: 66, Issue:9

    Topics: Action Potentials; Anesthetics, Inhalation; Animals; Anti-Arrhythmia Agents; Blood Pressure; Cardiac

2002
Ventricular tachyarrhythmias in a canine model of LQT3: arrhythmogenic effects of sympathetic activity and therapeutic effects of mexiletine.
    Circulation journal : official journal of the Japanese Circulation Society, 2003, Volume: 67, Issue:3

    Topics: Animals; Anti-Arrhythmia Agents; Cardiac Complexes, Premature; Dogs; Electrocardiography; Heart Rate

2003
Effect of pacing and mexiletine on dispersion of repolarisation and arrhythmias in DeltaKPQ SCN5A (long QT3) mice.
    Cardiovascular research, 2003, Mar-15, Volume: 57, Issue:4

    Topics: Action Potentials; Animals; Anti-Arrhythmia Agents; Cardiac Pacing, Artificial; Disease Models, Anim

2003
Effect of mexiletine on long QT syndrome model.
    Acta pharmacologica Sinica, 2003, Volume: 24, Issue:4

    Topics: Action Potentials; Animals; Anti-Arrhythmia Agents; Cell Separation; Cnidarian Venoms; Electrocardio

2003
Effects of mexiletine on the canine model of sparfloxacin-induced long QT syndrome.
    European journal of pharmacology, 2003, Aug-22, Volume: 476, Issue:1-2

    Topics: Action Potentials; Animals; Anti-Arrhythmia Agents; Anti-Bacterial Agents; Blood Pressure; Bundle of

2003
A trafficking defective, Brugada syndrome-causing SCN5A mutation rescued by drugs.
    Cardiovascular research, 2004, Apr-01, Volume: 62, Issue:1

    Topics: Adolescent; Animals; Arrhythmias, Cardiac; Cell Line; Humans; Long QT Syndrome; Male; Mexiletine; Mu

2004
Images in cardiovascular medicine. Life-threatening neonatal arrhythmia: successful treatment and confirmation of clinically suspected extreme long QT-syndrome-3.
    Circulation, 2004, May-11, Volume: 109, Issue:18

    Topics: Bradycardia; Cardiovascular Agents; Electrocardiography; Heart Block; Humans; Infant, Newborn; Infan

2004
Paced electrogram fractionation analysis of arrhythmogenic tendency in DeltaKPQ Scn5a mice.
    Journal of cardiovascular electrophysiology, 2005, Volume: 16, Issue:12

    Topics: Action Potentials; Adrenergic beta-Antagonists; Animals; Anti-Arrhythmia Agents; Cardiac Pacing, Art

2005
Successful parental use of an automated external defibrillator for an infant with long-QT syndrome.
    Pediatrics, 2006, Volume: 118, Issue:2

    Topics: Anti-Arrhythmia Agents; Combined Modality Therapy; Death, Sudden, Cardiac; Defibrillators; Defibrill

2006
Optical mapping of ventricular arrhythmias in LQTS mice with SCN5A mutation N1325S.
    Biochemical and biophysical research communications, 2007, Jan-26, Volume: 352, Issue:4

    Topics: Animals; Arrhythmias, Cardiac; Asparagine; Cardiac Complexes, Premature; Long QT Syndrome; Mexiletin

2007
Gating properties of SCN5A mutations and the response to mexiletine in long-QT syndrome type 3 patients.
    Circulation, 2007, Sep-04, Volume: 116, Issue:10

    Topics: Adult; Child; Child, Preschool; Genetic Therapy; Humans; Infant; Ion Channel Gating; Long QT Syndrom

2007
Suppression of atrial fibrillation with mexiletine pharmacotherapy in a young woman with type 1 long QT syndrome.
    Heart rhythm, 2008, Volume: 5, Issue:3

    Topics: Anti-Arrhythmia Agents; Atrial Fibrillation; Child; Female; Humans; Long QT Syndrome; Mexiletine

2008
Long QT syndrome patients with mutations of the SCN5A and HERG genes have differential responses to Na+ channel blockade and to increases in heart rate. Implications for gene-specific therapy.
    Circulation, 1995, Dec-15, Volume: 92, Issue:12

    Topics: Adult; Anti-Arrhythmia Agents; Cardiac Pacing, Artificial; Case-Control Studies; Chromosome Mapping;

1995
Long QT syndrome patients with mutations of the SCN5A and HERG genes have differential responses to Na+ channel blockade and to increases in heart rate. Implications for gene-specific therapy.
    Circulation, 1995, Dec-15, Volume: 92, Issue:12

    Topics: Adult; Anti-Arrhythmia Agents; Cardiac Pacing, Artificial; Case-Control Studies; Chromosome Mapping;

1995
Long QT syndrome patients with mutations of the SCN5A and HERG genes have differential responses to Na+ channel blockade and to increases in heart rate. Implications for gene-specific therapy.
    Circulation, 1995, Dec-15, Volume: 92, Issue:12

    Topics: Adult; Anti-Arrhythmia Agents; Cardiac Pacing, Artificial; Case-Control Studies; Chromosome Mapping;

1995
Long QT syndrome patients with mutations of the SCN5A and HERG genes have differential responses to Na+ channel blockade and to increases in heart rate. Implications for gene-specific therapy.
    Circulation, 1995, Dec-15, Volume: 92, Issue:12

    Topics: Adult; Anti-Arrhythmia Agents; Cardiac Pacing, Artificial; Case-Control Studies; Chromosome Mapping;

1995
Differential response to Na+ channel blockade, beta-adrenergic stimulation, and rapid pacing in a cellular model mimicking the SCN5A and HERG defects present in the long-QT syndrome.
    Circulation research, 1996, Volume: 78, Issue:6

    Topics: Action Potentials; Animals; Cardiac Pacing, Artificial; Cation Transport Proteins; Ether-A-Go-Go Pot

1996
The long QT syndrome: new diagnostic and therapeutic approach in the era of molecular biology.
    Schweizerische medizinische Wochenschrift, 1996, Oct-12, Volume: 126, Issue:41

    Topics: Animals; Anti-Arrhythmia Agents; Cardiotonic Agents; Cation Transport Proteins; DNA-Binding Proteins

1996
A molecular basis for the therapy of the long QT syndrome.
    Archives des maladies du coeur et des vaisseaux, 1996, Volume: 89, Issue:9

    Topics: Action Potentials; Adrenergic beta-Agonists; Animals; Anti-Arrhythmia Agents; Chromosomes, Human, Pa

1996
Pharmacological targeting of long QT mutant sodium channels.
    The Journal of clinical investigation, 1997, Apr-01, Volume: 99, Issue:7

    Topics: Anti-Arrhythmia Agents; Dose-Response Relationship, Drug; Humans; Long QT Syndrome; Mexiletine; Muta

1997
Sodium channel block with mexiletine is effective in reducing dispersion of repolarization and preventing torsade des pointes in LQT2 and LQT3 models of the long-QT syndrome.
    Circulation, 1997, Sep-16, Volume: 96, Issue:6

    Topics: Action Potentials; Animals; Anti-Arrhythmia Agents; Benz(a)Anthracenes; Dogs; Electrocardiography; H

1997
Effects of sodium channel block with mexiletine to reverse action potential prolongation in in vitro models of the long term QT syndrome.
    Journal of cardiovascular electrophysiology, 1997, Volume: 8, Issue:11

    Topics: Action Potentials; Animals; Anti-Arrhythmia Agents; Dogs; Dose-Response Relationship, Drug; Long QT

1997
Cellular basis for the ECG features of the LQT1 form of the long-QT syndrome: effects of beta-adrenergic agonists and antagonists and sodium channel blockers on transmural dispersion of repolarization and torsade de pointes.
    Circulation, 1998, Nov-24, Volume: 98, Issue:21

    Topics: Adrenergic beta-Agonists; Adrenergic beta-Antagonists; Animals; Disease Models, Animal; Dogs; Dose-R

1998
Effects of mexiletine on the canine cardiovascular system complicating cisapride overdose: potential utility of mexiletine for the treatment of drug-induced long QT syndrome.
    Japanese journal of pharmacology, 2000, Volume: 83, Issue:4

    Topics: Action Potentials; Animals; Anti-Arrhythmia Agents; Cardiac Output; Cardiovascular System; Cisapride

2000
Effects of glucose-induced insulin secretion on ventricular repolarization in patients with congenital long QT syndrome.
    Circulation journal : official journal of the Japanese Circulation Society, 2002, Volume: 66, Issue:1

    Topics: Adolescent; Adrenergic beta-Antagonists; Adult; Blood Glucose; Child; Electrocardiography; Female; G

2002
Congenital long QT syndrome with functionally impaired atrioventricular conduction: successful treatment by mexiletine and propranolol.
    Journal of the Formosan Medical Association = Taiwan yi zhi, 2002, Volume: 101, Issue:4

    Topics: Drug Therapy, Combination; Heart Block; Humans; Infant, Newborn; Long QT Syndrome; Male; Mexiletine;

2002
[Tachycardia in children and its management].
    Nihon rinsho. Japanese journal of clinical medicine, 1985, Volume: 43, Issue:11

    Topics: Child, Preschool; Female; Humans; Infant; Infant, Newborn; Long QT Syndrome; Male; Mexiletine; Pre-E

1985