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spironolactone and Tachycardia, Ventricular

spironolactone has been researched along with Tachycardia, Ventricular in 9 studies

Spironolactone: A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827)
spironolactone : A steroid lactone that is 17alpha-pregn-4-ene-21,17-carbolactone substituted by an oxo group at position 3 and an alpha-acetylsulfanyl group at position 7.

Tachycardia, Ventricular: An abnormally rapid ventricular rhythm usually in excess of 150 beats per minute. It is generated within the ventricle below the BUNDLE OF HIS, either as autonomic impulse formation or reentrant impulse conduction. Depending on the etiology, onset of ventricular tachycardia can be paroxysmal (sudden) or nonparoxysmal, its wide QRS complexes can be uniform or polymorphic, and the ventricular beating may be independent of the atrial beating (AV dissociation).

Research Excerpts

ExcerptRelevanceReference
"Thus, in rats with aldosteronism, in which a reduction in effective refractory period was not evident, the mechanism for VA susceptibility is presumably linked to a decrease in conduction velocity and/or increased dispersion of refractoriness, probably caused by consequential myocardial fibrosis."5.37Spironolactone prevents the inducibility of ventricular tachyarrhythmia in rats with aldosteronism. ( Bellary, SR; de Jongh Curry, AL; Deshmukh, PA; Kamalov, G; Magotra, M; Schwender, FT; Sun, Y; Weber, KT, 2011)
"This study's aim was to determine whether chronic eplerenone treatment protects against detrimental ventricular electrical remodeling and development of an arrhythmogenic substrate in a rapid ventricular pacing (RVP)-induced heart failure model."3.75Aldosterone blockade attenuates development of an electrophysiological substrate associated with ventricular tachyarrhythmias in heart failure. ( Hoeker, G; Laurita, KR; Martovitz, NL; Shroff, SC; Stambler, BS, 2009)
"In patients with ventricular tachyarrhythmias, treatment with MRA was not associated with improved all-cause mortality at 3 years."1.72Effect of Mineralocorticoid Receptor Antagonists on the Prognosis of Patients with Ventricular Tachyarrhythmias. ( Abba, ML; Abumayyaleh, M; Akin, I; Behnes, M; Bertsch, T; Mashayekhi, K; Reiser, L; Schupp, T; von Zworowsky, M; Weidner, K, 2022)
"In conclusion, hypokalemia is extremely common in patients presenting with VT/VF, much more so than in patients with CHF alone."1.56Electrolyte Abnormalities in Patients Presenting With Ventricular Arrhythmia (from the LYTE-VT Study). ( Basil, A; Cooper, JM; Gangireddy, C; Greenberg, RM; Laslett, DB; Whitman, IR; Yesenosky, GA, 2020)
"We retrospectively evaluated the ventricular tachycardia (VT) rates in patients with structural heart disease actively treated with therapies with antifibrotic properties."1.37Spironolactone therapy is associated with reduced ventricular tachycardia rate in patients with cardiomyopathy. ( Ayers, C; Daniels, J; Dimas, V; Hill, JA; Joglar, JA; Naseem, RH, 2011)
"Thus, in rats with aldosteronism, in which a reduction in effective refractory period was not evident, the mechanism for VA susceptibility is presumably linked to a decrease in conduction velocity and/or increased dispersion of refractoriness, probably caused by consequential myocardial fibrosis."1.37Spironolactone prevents the inducibility of ventricular tachyarrhythmia in rats with aldosteronism. ( Bellary, SR; de Jongh Curry, AL; Deshmukh, PA; Kamalov, G; Magotra, M; Schwender, FT; Sun, Y; Weber, KT, 2011)

Research

Studies (9)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (11.11)29.6817
2010's4 (44.44)24.3611
2020's4 (44.44)2.80

Authors

AuthorsStudies
Schupp, T1
von Zworowsky, M1
Reiser, L1
Abumayyaleh, M1
Weidner, K1
Mashayekhi, K1
Bertsch, T1
Abba, ML1
Akin, I1
Behnes, M1
Huo, Q1
Liang, L1
Ding, X1
Pang, M1
Zhao, Y1
Zhang, H1
Su, W1
Laslett, DB1
Cooper, JM1
Greenberg, RM1
Yesenosky, GA1
Basil, A1
Gangireddy, C1
Whitman, IR1
Vaksmann, G1
Lucidarme, S1
Henriet, E1
Yan, S1
Yu, J1
Xia, Z1
Zhu, B1
Hu, J1
Li, J1
Stambler, BS1
Laurita, KR1
Shroff, SC1
Hoeker, G1
Martovitz, NL1
Dimas, V1
Ayers, C1
Daniels, J1
Joglar, JA1
Hill, JA1
Naseem, RH1
Deshmukh, PA1
Bellary, SR1
Schwender, FT1
Kamalov, G1
Magotra, M1
de Jongh Curry, AL1
Sun, Y1
Weber, KT1
Zarraga, IG1
Dougherty, CM1
MacMurdy, KS1
Raitt, MH1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Antiarrhythmic Effects of Spironolactone in Patients With ICDs[NCT04495712]Phase 490 participants (Actual)Interventional2004-07-28Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

All Cause Hospitalization

Number of patients hospitalized for any reason during study follow-up. (NCT04495712)
Timeframe: through study completion, an average of 35 months

InterventionParticipants (Count of Participants)
Spironolactone28
Placebo24

Kansas City Cardiomyopathy Questionnaire (KCCQ)

Kansas City Cardiomyopathy Questionnaire (KCCQ) is a 23-item reliable and valid questionnaire, which evaluates HRQOL in heart failure. It quantifies, in a disease-specific fashion, physical limitations, symptoms, quality of life, social interference and self-efficacy. KCCQ provides the calculation of 2 main scores, the overall score and the clinical summary score, which includes functional status, social limitation and quality of life domains scores. Range 0-100, higher scores represent higher HRQOL. (NCT04495712)
Timeframe: through study completion, an average of 35 months

Interventionscore on a scale (Mean)
Spironolactone57.35
Placebo68.67

Patient Concerns Assessment (PCA)

Patient Concerns Assessment (PCA) is a symptom checklist that measures physical symptoms and fears that are common after ICD implantation. The PCA is a disease-specific instrument for ICD QOL, symptoms, and distress, with a reliability of ( = 0.88). Range 0-44, a higher score reflects more concerns and fears. (NCT04495712)
Timeframe: 12 months

Interventionscore on a scale (Mean)
Spironolactone22.15
Placebo18.42

Short Form Health Survey Adapted for Veterans (SF36V)

Short Form Health Survey adapted for veterans (SF36V) is a 36 item questionnaire that measures general physical and mental health [17]. The SF36V is a reliable and valid questionnaire, containing eight constructs of health status: physical functioning (PF), role limitations due to physical problems (RP), bodily pain (BP), general health perceptions (GH), energy/vitality (VT), social functioning (SF), role limitations due to emotional problems (RE), and mental health (MH). These eight dimensions can be summarized numerically into two scores, the physical component summary (PCS) and the mental component summary (MCS). Range 0-100 higher score is better Health Related Quality of Life (HRQOL). We are reporting the Mental Component Summary score at 12 months here. (NCT04495712)
Timeframe: 12 months after enrollment

Interventionscore on a scale (Mean)
Spironolactone54.87
Placebo63.31

Time to First Appropriate Implantable Cardioverter Defibrillator (ICD) Therapy

Time to first documented ICD therapy for ventricular tachycardia or ventricular fibrillation after randomization (NCT04495712)
Timeframe: through study completion, an average of 35 months

Interventionmonths (Median)
Spironolactone8.8
Placebo12.3

Ventricular Refractoriness

The right ventricular effective refractory period (ERP) will be measured at 3 month in patients enrolled at the Portland VA Medical Center by single extra stimuli via their implanted defibrillator. The ERP is defined as the shortest paced beat coupling interval that fails to produce ventricular capture after a baseline stable pacing train. (NCT04495712)
Timeframe: measured 3 months after randomization

Interventionmilliseconds (Mean)
Spironolactone294.2
Placebo278.3

Trials

1 trial available for spironolactone and Tachycardia, Ventricular

ArticleYear
The effect of spironolactone on ventricular tachyarrhythmias in patients with implantable cardioverter-defibrillators.
    Circulation. Arrhythmia and electrophysiology, 2012, Aug-01, Volume: 5, Issue:4

    Topics: Aged; Anti-Arrhythmia Agents; Combined Modality Therapy; Defibrillators, Implantable; Disease-Free S

2012

Other Studies

8 other studies available for spironolactone and Tachycardia, Ventricular

ArticleYear
Effect of Mineralocorticoid Receptor Antagonists on the Prognosis of Patients with Ventricular Tachyarrhythmias.
    Pharmacology, 2022, Volume: 107, Issue:1-2

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Case-Control Studies; Eplerenone; Female; Humans; Male;

2022
Isolated right ventricular noncompaction caused ventricular tachycardia and pulmonary embolism.
    Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2020, Volume: 25, Issue:5

    Topics: Adrenergic beta-Agonists; Adult; Angiotensin-Converting Enzyme Inhibitors; Anticoagulants; Heart Ven

2020
Electrolyte Abnormalities in Patients Presenting With Ventricular Arrhythmia (from the LYTE-VT Study).
    The American journal of cardiology, 2020, 08-15, Volume: 129

    Topics: Aged; Cardiomyopathies; Case-Control Studies; Diarrhea; Diuretics; Female; Heart Failure; Humans; Hy

2020
Fetal ventricular tachycardia: betablockers should be the first line treatment.
    Journal of gynecology obstetrics and human reproduction, 2021, Volume: 50, Issue:6

    Topics: Adrenergic beta-Antagonists; Adult; Diuretics; Female; Fetal Diseases; Fetal Monitoring; Humans; Inf

2021
A rare form of extremely wide QRS complex due to reversed homologous electrical ventricular separation of acute heart failure.
    Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2018, Volume: 23, Issue:1

    Topics: Acute Disease; Amiodarone; Angiotensin-Converting Enzyme Inhibitors; Anti-Arrhythmia Agents; Benzaze

2018
Aldosterone blockade attenuates development of an electrophysiological substrate associated with ventricular tachyarrhythmias in heart failure.
    Heart rhythm, 2009, Volume: 6, Issue:6

    Topics: Animals; Disease Models, Animal; Dogs; Electrocardiography; Eplerenone; Heart Failure; Mineralocorti

2009
Spironolactone therapy is associated with reduced ventricular tachycardia rate in patients with cardiomyopathy.
    Pacing and clinical electrophysiology : PACE, 2011, Volume: 34, Issue:3

    Topics: Aged; Cardiomyopathies; Comorbidity; Diuretics; Female; Heart Rate; Humans; Male; Middle Aged; Preva

2011
Spironolactone prevents the inducibility of ventricular tachyarrhythmia in rats with aldosteronism.
    Journal of cardiovascular pharmacology, 2011, Volume: 58, Issue:5

    Topics: Aldosterone; Animals; Blood Pressure; Body Weight; Collagen; Electric Stimulation; Electrocardiograp

2011