Electrophysiological effects of somatostatin at the supraventricular level of isolated guinea pig hearts.

1. The objective of the present study was to evaluate the electrophysiological effects of the peptide somatostatin (SST) at the supraventricular level in isolated guinea pig hearts. 2. ECG recording from isolated hearts perfused by the Langendorff method indicated that 1.0 microM SST induced a decrease in heart rate from 174 +/- 15 to 157 +/- 9 bpm (N = 6, P < 0.05), blocked AV conduction (the PR interval increased from 92 +/- 11 ms to 106 +/- 5 ms, N = 5, P < 0.05) and increased the QTc interval from 210 +/- 0 to 232 +/- 4 ms (N = 5, P < 0.05). The supraventricular effects of SST, particularly upon the AV conduction, were potentiated by a reduction in calcium concentration from 2.5 to 0.5 mM in the perfusing solution. Thus, 1.0 microM SST induced 2nd degree AV conduction block progressing to AV dissociation in 75% of the hearts in the low calcium medium instead of the first degree conduction block observed in all hearts in normal calcium medium. 3. His bundle electrogram evidenced a complete A-H dissociation without significant change in the H-V interval and microelectrode studies showed a complete abolition of the AV node action potential in the presence of 1.0 microM SST. Both results demonstrate that the site of AV conduction block induced by SST is at the AV node. 4. All the supraventricular effects of SST were transitory, subsiding within about 10 min of hormone exposition, showing desensitization. 5. The effects of somatostatin here described were not blocked by 10 microM atropine, indicating that they are not mediated by muscarinic receptors. 6. These data provide a direct electrophysiological demonstration of the supraventricular effects of SST, and suggest that this peptide decreases calcium influx during the action potential.