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).
Excerpt | Relevance | Reference |
---|---|---|
"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." | 5.37 | Spironolactone 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." | 3.75 | Aldosterone 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." | 1.72 | Effect 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." | 1.56 | Electrolyte 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." | 1.37 | Spironolactone 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." | 1.37 | Spironolactone 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) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 0 (0.00) | 18.7374 |
1990's | 0 (0.00) | 18.2507 |
2000's | 1 (11.11) | 29.6817 |
2010's | 4 (44.44) | 24.3611 |
2020's | 4 (44.44) | 2.80 |
Authors | Studies |
---|---|
Schupp, T | 1 |
von Zworowsky, M | 1 |
Reiser, L | 1 |
Abumayyaleh, M | 1 |
Weidner, K | 1 |
Mashayekhi, K | 1 |
Bertsch, T | 1 |
Abba, ML | 1 |
Akin, I | 1 |
Behnes, M | 1 |
Huo, Q | 1 |
Liang, L | 1 |
Ding, X | 1 |
Pang, M | 1 |
Zhao, Y | 1 |
Zhang, H | 1 |
Su, W | 1 |
Laslett, DB | 1 |
Cooper, JM | 1 |
Greenberg, RM | 1 |
Yesenosky, GA | 1 |
Basil, A | 1 |
Gangireddy, C | 1 |
Whitman, IR | 1 |
Vaksmann, G | 1 |
Lucidarme, S | 1 |
Henriet, E | 1 |
Yan, S | 1 |
Yu, J | 1 |
Xia, Z | 1 |
Zhu, B | 1 |
Hu, J | 1 |
Li, J | 1 |
Stambler, BS | 1 |
Laurita, KR | 1 |
Shroff, SC | 1 |
Hoeker, G | 1 |
Martovitz, NL | 1 |
Dimas, V | 1 |
Ayers, C | 1 |
Daniels, J | 1 |
Joglar, JA | 1 |
Hill, JA | 1 |
Naseem, RH | 1 |
Deshmukh, PA | 1 |
Bellary, SR | 1 |
Schwender, FT | 1 |
Kamalov, G | 1 |
Magotra, M | 1 |
de Jongh Curry, AL | 1 |
Sun, Y | 1 |
Weber, KT | 1 |
Zarraga, IG | 1 |
Dougherty, CM | 1 |
MacMurdy, KS | 1 |
Raitt, MH | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
Antiarrhythmic Effects of Spironolactone in Patients With ICDs[NCT04495712] | Phase 4 | 90 participants (Actual) | Interventional | 2004-07-28 | Completed | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
Number of patients hospitalized for any reason during study follow-up. (NCT04495712)
Timeframe: through study completion, an average of 35 months
Intervention | Participants (Count of Participants) |
---|---|
Spironolactone | 28 |
Placebo | 24 |
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
Intervention | score on a scale (Mean) |
---|---|
Spironolactone | 57.35 |
Placebo | 68.67 |
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
Intervention | score on a scale (Mean) |
---|---|
Spironolactone | 22.15 |
Placebo | 18.42 |
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
Intervention | score on a scale (Mean) |
---|---|
Spironolactone | 54.87 |
Placebo | 63.31 |
Time to first documented ICD therapy for ventricular tachycardia or ventricular fibrillation after randomization (NCT04495712)
Timeframe: through study completion, an average of 35 months
Intervention | months (Median) |
---|---|
Spironolactone | 8.8 |
Placebo | 12.3 |
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
Intervention | milliseconds (Mean) |
---|---|
Spironolactone | 294.2 |
Placebo | 278.3 |
1 trial available for spironolactone and Tachycardia, Ventricular
Article | Year |
---|---|
The effect of spironolactone on ventricular tachyarrhythmias in patients with implantable cardioverter-defibrillators.
Topics: Aged; Anti-Arrhythmia Agents; Combined Modality Therapy; Defibrillators, Implantable; Disease-Free S | 2012 |
8 other studies available for spironolactone and Tachycardia, Ventricular
Article | Year |
---|---|
Effect of Mineralocorticoid Receptor Antagonists on the Prognosis of Patients with Ventricular Tachyarrhythmias.
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.
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).
Topics: Aged; Cardiomyopathies; Case-Control Studies; Diarrhea; Diuretics; Female; Heart Failure; Humans; Hy | 2020 |
Fetal ventricular tachycardia: betablockers should be the first line treatment.
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.
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.
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.
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.
Topics: Aldosterone; Animals; Blood Pressure; Body Weight; Collagen; Electric Stimulation; Electrocardiograp | 2011 |