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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1993-6-30
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pubmed:abstractText |
Effect of verapamil post-treatment (0.2 mg/kg bolus, followed by 0.01 mg/kg/min infusion) on the functional and metabolic changes of the heart after a brief regional ischemia (20 min) followed by 1 hr of reperfusion was studied in open-chest pentobarbitone anaesthetized dogs. In control dogs 1 hr of reperfusion failed to cause any improvement of depressed myocardial contractility (LVdP/dtmax and LVEDP) caused by 20 min of ischemia, which confirmed the earlier reported phenomenon of 'Stunned Myocardium'. Myocardial ischemia caused a significant loss of high-energy phosphate (HEP) content of the affected myocardium (ATP decreased by 60% and CP decreased by 75% of non-ischemic level). Following 1 hr of reperfusion, myocardial ATP was not replenished, though creatine phosphate became near normal. When verapamil was administered just before reperfusion, it showed a profound beneficial effect on the incidence of fatal reperfusion arrhythmias. At the end of 1 hr of reperfusion in this group, the recovery of the myocardial contractility was incomplete, but a significant replenishment of the myocardial HEP content was observed. Thus verapamil post-treatment can prevent reperfusion-induced myocardial injury but functional recovery may be delayed due to the drug's inherent direct myocardial depressant effect.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0019-5189
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
31
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
120-4
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8500827-Adenosine Triphosphate,
pubmed-meshheading:8500827-Animals,
pubmed-meshheading:8500827-Creatine Kinase,
pubmed-meshheading:8500827-Depression, Chemical,
pubmed-meshheading:8500827-Dogs,
pubmed-meshheading:8500827-Myocardial Contraction,
pubmed-meshheading:8500827-Myocardial Reperfusion Injury,
pubmed-meshheading:8500827-Ventricular Fibrillation,
pubmed-meshheading:8500827-Verapamil
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pubmed:year |
1993
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pubmed:articleTitle |
Effect of verapamil post-treatment in myocardial reperfusion injury.
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pubmed:affiliation |
Department of Pharmacology, All India Institute of Medical Sciences, New Delhi.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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