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US4364922A Expired / Lapsed US ⏱️ 0.0 years remaining

Adenosine antagonists in the treatment and diagnosis of A-V node conduction disturbances

Assignee: UVA Licensing and Ventures Group
•
Filing: 1980-10-14
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Granted: 1982-12-21
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Expires: 2000-10-14
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Abstract

Abstract A method of relieving atrioventricular conduction block by administering to a human or animal an effective amount of an adenosine antagonist that competitively inhibits adenosine or that reduces the level of adenosine present in myocardial tissue and associated fluids. A method of diagnosing atrioventricular conduction block caused by ischemia of the heart by measuring the time delay between atrial and ventricular excitation before and after the administration of an adenosine antagonist. Specific antagonists disclosed include methylxanthines.

Inventors

  • 👤 Robert M. Berne
  • 👤 Luiz Belardinelli
  • 👤 Rafael Rubio

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-11-09 20:13
CPC Classifications
A; A61; A61K; A61K31/00; A61K31/33; A61K31/395; A61K31/495; A61K31/505; A61K31/519; A61K31/52; A61K31/435; A61K31/46

Claims Analysis

Total Claims: 29
Claim 1
Independent Claim 54 words
A method of treating atrioventricular conduction block, comprising the steps of: administering to a human or animal with an atrioventricular conduction block an amount of an antagonist of adenosine sufficient to alleviate atrioventricular conduction block, wherein said antagonist competitively inhibits adenosine or reduces the level of adenosine present in myocardial tissue and associated fluids.
Claim 2
Independent Claim 54 words
A method of treating atrioventricular conduction block, comprising the steps of: administering to a human or animal with an atrioventricular conduction block an amount of an antagonist of adenosine sufficient to alleviate atrioventricular conduction block, wherein said antagonist competitively inhibits adenosine or reduces the level of adenosine present in myocardial tissue and associated fluids.
Claim 3
Dependent Claim 17 words
A method of treating atrioventricular conduction block according to claim 1, wherein said antagonist is a methylxanthine.
Claim 4
Dependent Claim 22 words
A method of treating atrioventricular conduction block according to claim 2, wherein said methylxanthine is administered in a dosage of 0.1-20 mg/kg.
Claim 5
Dependent Claim 22 words
A method of treating atrioventricular conduction block according to claim 2, wherein said methylxanthine is administered in a dosage of 0.45-10 mg/kg.
Claim 6
Dependent Claim 22 words
A method of treating atrioventricular conduction block according to claim 2, wherein said methylxanthine is administered in a dosage of 3-5 mg/kg.
Claim 7
Independent Claim 25 words
A method of treating atrioventricular conduction block according to claims 2, 3, 4, or 5, wherein said methyl xanthine is theophylline or a derivative thereof.
Claim 8
Dependent Claim 18 words
A method of treating atrioventricular conduction block according to claim 6, wherein said administration is by intravenous injection.
Claim 9
Dependent Claim 18 words
A method of treating atrioventricular conduction block according to claim 6, wherein said administration is by oral ingestion.
Claim 10
Dependent Claim 20 words
A method of treating atrioventricular conduction block according to claim 6, wherein said administration is by insertion of a suppository.
Claim 11
Dependent Claim 17 words
A method of treating atrioventricular conduction block according to claim 6, wherein said theophylline derivative is aminophylline.
Claim 12
Dependent Claim 18 words
A method of treating atrioventricular conduction block according to claim 10, wherein said administration is by intraveneous injection.
Claim 13
Dependent Claim 18 words
A method of treating atrioventricular conduction block according to claim 10, wherein said administration is by oral ingestion.
Claim 14
Dependent Claim 20 words
A method of treating atrioventricular conduction block according to claim 10, wherein said administration is by insertion of a suppository.
Claim 15
Dependent Claim 19 words
A method of treating atrioventricular conduction block according to claim 2, wherein said administration is a continuous intraveneous injection.
Claim 16
Dependent Claim 24 words
A method of treating atrioventricular conduction block according to claim 14, wherein said continuous intravenous injection is at a rate of about 0.45 mg/kg/hr.
Claim 17
Independent Claim 22 words
A method of treating atrioventricular conduction intravenous according to claims 14 o4 15, wherein said methylxanthine is theophylline or a derivative thereof.
Claim 18
Dependent Claim 17 words
A method of treating atrioventricular conduction block according to claim 16, wherein said theophylline derivative is aminophylline.
Claim 19
Dependent Claim 20 words
A method of treating atrioventricular conduction block according to claim 1, wherein said administration occurs concurrently with administration of atropine.
Claim 20
Dependent Claim 20 words
A method of treating atrioventricular conduction block according to claim 6, wherein said administration occurs concurrently with administration of atropine.
Claim 21
Dependent Claim 20 words
A method of treating atrioventricular conduction block according to claim 10, wherein said administration occurs concurrently with administration of atropine.
Claim 22
Dependent Claim 19 words
A method of treating atrioventricular conduction block according to claim 20, wherein 0.1-3 mg of said atropine is administered.
Claim 23
Independent Claim 50 words
A method of diagnosing atrioventricular conduction block, comprising the steps of: administering an antagonist of adenosine to a human or other animal, wherein said antagonist competitively inhibits adenosine or reduces the levels of adenosine present in myocardial tissue and associated fluids; and monitoring the delay between atrial and ventricular contraction.
Claim 24
Independent Claim 50 words
A method of diagnosing atrioventricular conduction block, comprising the steps of: administering an antagonist of adenosine to a human or other animal, wherein said antagonist competitively inhibits adenosine or reduces the levels of adenosine present in myocardial tissue and associated fluids; and monitoring the delay between atrial and ventricular contraction.
Claim 25
Dependent Claim 17 words
A method of diagnosing atrioventricular conduction block according to claim 22, wherein said monitoring is by electrocardiography.
Claim 26
Dependent Claim 17 words
A method of diagnosing atrioventricular conduction block according to claim 23, wherein said antagonist is a methylxanthine.
Claim 27
Dependent Claim 20 words
A method of diagnosing atrioventricular conduction block according to claim 24, wherein said methylxanthine is theophylline or a derivative thereof.
Claim 28
Dependent Claim 17 words
A method of diagnosing atrioventricular conduction block according to claim 25, wherein said theophylline derivative is aminophylline.
Claim 29
Independent Claim 22 words
A method of diagnosing atrioventricular conduction block according to claims 23, 24, 25 or 26, wherein said administration is by intravenous injection.

References Cited (Backward Citations)

US3317533A Cited
US3493573A Cited
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USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1985-12-20 1986-06-21 1986-12-21 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 1989-12-20 1990-06-21 1990-12-21 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 1993-12-20 1994-06-21 1994-12-21 $7700.00 Window Closed / Lapsed

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