Evidence mapPaperPMID 41754776Full record

ReviewPharmaceuticals (Basel, Switzerland)2026

Conventional Antiarrhythmics Class I-IV, Late INa Inhibitors, IKs Enhancers, RyR2 Stabilizers, Gap Junction Modulators, Atrial-Selective Antiarrhythmics, and Stable Gastric Pentadecapeptide BPC 157 as Useful Cytoprotective Therapy in Arrhythmias.

Predrag Sikiric, Ivan Barisic, Mario Udovicic, Martina Lovric Bencic, Diana Balenovic, Dean Strinic, Gordana Zivanovic Posilovic, Sandra Uzun, Hrvoje Vranes, Ivan Krezic and 13 more

Abstract readReview
In one paragraph

Review in Pharmaceuticals (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Predrag SikiricDepartment of Pharmacology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.ORCID 0000-0002-7952-2252
Ivan BarisicDepartment of Pharmacology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
Mario UdovicicDepartment of Pharmacology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
Martina Lovric BencicDepartment of Pharmacology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.ORCID 0000-0001-8446-6120
Diana BalenovicDepartment of Pharmacology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
Dean StrinicDepartment of Pharmacology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
Gordana Zivanovic PosilovicDepartment of Pharmacology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
Sandra UzunDepartment of Pharmacology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.ORCID 0000-0002-2346-3740
Hrvoje VranesDepartment of Pharmacology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.ORCID 0000-0003-3544-8385
Ivan KrezicDepartment of Pharmacology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
Marin LozicDepartment of Pharmacology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.ORCID 0000-0001-5915-626X
Vasilije StambolijaDepartment of Pharmacology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
Ivica Premuzic MestrovicDepartment of Pharmacology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
Lidija Beketic OreskovicDepartment of Pharmacology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
Ivana OreskovicDepartment of Pharmacology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
Sanja StrbeDepartment of Pharmacology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
Suncana SikiricDepartment of Pathology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
Laura TomicDepartment of Pharmacology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
Mario KordicDepartment of Pharmacology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
Ante TvrdeicDepartment of Pharmacology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.ORCID 0000-0002-8881-2278
Sven SeiwerthDepartment of Pathology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.ORCID 0000-0002-5894-419X
Alenka Boban BlagaicDepartment of Pharmacology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
Anita SkrticDepartment of Pathology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.ORCID 0000-0002-9275-7283

Funding

University of Zagreb 10106-22-3071
6 · The paper itself

Abstract

This review examines and hypothesizes cytoprotection as a conceptual therapeutic criterion for antiarrhythmic drugs, referring to the possibility of suppressing arrhythmias while avoiding adverse electrophysiological or systemic effects. Toward a theoretically complete cytoprotective profile-preserving benefits and eliminating toxicity-the criterion was the degree of counteraction of arrhythmias (i.e., bradycardia, tachycardia, atrioventricular (AV) block, ventricular tachycardia (VT), ST-segment changes, prolonged P, PR, QRS, and QT/QTc intervals, and repolarization). Conventional and new antiarrhythmics share class I-IV ≈ partial cytoprotection/narrow range; late INa inhibitors, IKs enhancers, RyR2 stabilizers, gap junction modulators, and atrial-selective antiarrhythmics ≈ partial cytoprotection/more extended range. Still predominantly in preclinical models, stable gastric pentadecapeptide BPC 157, in the clinic, has not demonstrated adverse effects in available human trials (non-cardiac) to date. As a prominent cytoprotection mediator (LD1 not achieved in toxicology studies), it demonstrates well-matched cytoprotective-antiarrhythmic effects, BPC 157 ≈ full cytoprotection/wide-range homeostasis. In vivo, this was across models of hypo-/hyperkalemia, hypermagnesemia, ischemia-reperfusion, myocardial infarction, drug-induced arrhythmias (including local anesthetics), and vascular occlusion. BPC 157 restores sinus rhythm, normalizes P/QRS/QT intervals, prevents AV block, suppresses VT, attenuates ST-segment changes, and stabilizes heart rate, even when insults are advanced. In vitro, HEK293 studies confirm direct membrane-stabilizing actions: BPC 157 prevents hypokalemia-induced hyperpolarization, reduces hyperkalemia- and hypermagnesemia-induced depolarization, and mitigates local anesthetic-induced Na

Indexed as

antiarrhythmicsAV blockBPC 157membrane potentialQT prolongationventricular tachycardia

Identifiers

PMID41754776
PMCPMC12943208

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.