Influence of dexamethasone on electrical activities in cultured rat beating myocardial cells infected with Coxsackie B-2 virus

The effects of dexamethasone (Dex) on electrical activities in cultured rat beating myocardial cells infected with 100 TCID-50 Coxsackie B-2 virus (CB2V) was evaluated by conventional intracellular microelectrode technique. The frequency began to increase, the beating % decreased, and multiform arrhythmias were shown in the infected group 24 h post-challenge. Meanwhile, the cytopathic effect (CPE) appeared rapidly from 1+ to 3+. In the infected and Dex-treated group, the beating % was higher and the arrhythmias and CPE were less than in the infected group at the same intervals. The numbers of non-beating cells increased parallel to the incubation time in the infected group. Decreases of maximal diastolic potential (MDP), maximal upstroke rate (Vmax), overshoot (OS) and action potential amplitude (APA), and abbreviation of action potential duration (APD50 and APD100) in infected and Dex-treated group were less than those in control group during 24-96 h post-challenge. Premature beats, tachycardia, bradycardia and fibrillation occurred in the early stages after infection. It is surmised that steroids can probably save the lives of patients with severe myocarditis if Dex was supplemented.