Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
7
pubmed:dateCreated
1992-9-10
pubmed:abstractText
The effect of ischaemia, either alone or after a single or multidose infusion of St Thomas' Hospital cardioplegia solution (ST), on endothelial function was studied by examining its influence on 5-Hydroxytryptamine- (5-HT-) and nitroglycerine- (GTN-) induced coronary vasodilation in the isolated rat heart. Eighty rat hearts were perfused on a modified Langendorff preparation. Thirty minutes of unprotected ischaemia (N = 16) abolished the vasodilatory response to 5-HT but maintained the response to GTN (expressed as % of the control value 5-HT, pre 45.0 +/- 3.5, post 2.3 +/- 3.2, GTN, pre 42.3 +/- 4.4, post 39.8 +/- 4.0). The increase in coronary flow induced by either agent was unaltered following 30 or 60 min of ischaemia protected by a single dose of ST (N = 16 in each). Ninety minutes of ischaemia preceded by a single infusion of ST (N = 16) markedly reduced the 5-HT response but maintained the vasodilation induced by GTN (5-HT, pre 37 +/- 2.6, post 6.9 +/- 2.6, GTN, pre 40.1 +/- 2.5, post 37 +/- 2.8). During 90 min of ischaemia, infusion of an additional dose of ST after 45 min (N = 8) or two extra doses every 30 min (N = 8) maintained the 5-HT-induced increase in coronary flow (pre 39.5 +/- 3.9, post 36.4 +/- 3.5). It can be concluded that coronary vascular endothelium is more susceptible to ischaemic damage when compared with vascular smooth muscle. This results in early loss of endothelium-dependent vasodilation. Multidose infusion of St Thomas' Hospital cardioplegia solution is superior to a single infusion in protecting endothelial function following prolonged cardiac ischaemia.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0195-668X
pubmed:author
pubmed:issnType
Print
pubmed:volume
13
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
976-80
pubmed:dateRevised
2003-11-14
pubmed:meshHeading
pubmed-meshheading:1644091-Animals, pubmed-meshheading:1644091-Bicarbonates, pubmed-meshheading:1644091-Calcium Chloride, pubmed-meshheading:1644091-Cardioplegic Solutions, pubmed-meshheading:1644091-Coronary Circulation, pubmed-meshheading:1644091-Coronary Disease, pubmed-meshheading:1644091-Coronary Vessels, pubmed-meshheading:1644091-Dose-Response Relationship, Drug, pubmed-meshheading:1644091-Endothelium, Vascular, pubmed-meshheading:1644091-Heart Arrest, Induced, pubmed-meshheading:1644091-Magnesium, pubmed-meshheading:1644091-Male, pubmed-meshheading:1644091-Nitroglycerin, pubmed-meshheading:1644091-Potassium Chloride, pubmed-meshheading:1644091-Rats, pubmed-meshheading:1644091-Rats, Inbred Strains, pubmed-meshheading:1644091-Reperfusion Injury, pubmed-meshheading:1644091-Sodium Chloride
pubmed:year
1992
pubmed:articleTitle
Ischaemic endothelial dysfunction after single or multidose cardioplegia.
pubmed:affiliation
National Heart and Lung Institute, London, U.K.
pubmed:publicationType
Journal Article