Ventricular fibrillation （VF） in myocardial ischemia is called ＂ischemic VF＂. As a severe morbid state and a leading cause of sudden cardiac attack, ischemic VF induces approximately 3 million deaths in the United...Ventricular fibrillation （VF） in myocardial ischemia is called ＂ischemic VF＂. As a severe morbid state and a leading cause of sudden cardiac attack, ischemic VF induces approximately 3 million deaths in the United States each year. Ischemic VF is caused by ＂triggers＂ such as ventricular premature beat or ventricular tachycardia in the presence of a suitable ＂substrate＂. The triggers frequently occur at the border zone and the substrate is required for the maintenance of ischemic VE The critical factors for the initiation and maintenance of ischemic VF are obscure. Tumor necrosis factor-α （TNF-α）, an inflammatory cytokine expressed in myocardial ischemia, plays an important role in the pathophysiological process of acute myocardial infarction （AMI）. TNF-α also causes arrhythmia by action potential prolongation and abnormal Ca^2＋ handling, which also contribute to ischemic VE But the relationship between TNF-α and ischemic VF is unknown. In this article, we suggest that TNF-α may be a novel substrate of ischemic VE This may be a new mechanism for ischemic VF.展开更多
基金This work was supported by grants from the National Basic Research Program of China （973 Program） （No. 2007CB512005） and National Natural Science Foundation of China （NSFC） （No. 30770880）.
文摘Ventricular fibrillation （VF） in myocardial ischemia is called ＂ischemic VF＂. As a severe morbid state and a leading cause of sudden cardiac attack, ischemic VF induces approximately 3 million deaths in the United States each year. Ischemic VF is caused by ＂triggers＂ such as ventricular premature beat or ventricular tachycardia in the presence of a suitable ＂substrate＂. The triggers frequently occur at the border zone and the substrate is required for the maintenance of ischemic VE The critical factors for the initiation and maintenance of ischemic VF are obscure. Tumor necrosis factor-α （TNF-α）, an inflammatory cytokine expressed in myocardial ischemia, plays an important role in the pathophysiological process of acute myocardial infarction （AMI）. TNF-α also causes arrhythmia by action potential prolongation and abnormal Ca^2＋ handling, which also contribute to ischemic VE But the relationship between TNF-α and ischemic VF is unknown. In this article, we suggest that TNF-α may be a novel substrate of ischemic VE This may be a new mechanism for ischemic VF.
