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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1998-2-17
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pubmed:abstractText |
Our objective was to investigate the effects of alpha1- or beta-adrenoceptor blockers on endocardial and epicardial refractory-period changes during myocardial ischemia in alpha-chloralose-anesthetized dogs. The first and second diagonal branches of the left anterior descending coronary artery were ligated. The refractory period was determined by an S1-S2 extrastimulus method. Dogs were treated with the alpha1-blocker bunazosin (0.1-0.2 mg/kg, i.v.; n = 16), the beta-blocker propranolol (0.2 mg/kg, i.v.; n = 15), or saline (n = 11). Dogs that developed ventricular tachycardia/fibrillation (VT/VF) during the experiment were excluded from the statistical assessment in refractory periods. In all groups, coronary ligation produced a significant shortening of the refractory period of ischemic epicardial tissue (p < 0.05) but only minimal shortening of ischemic endocardial refractory periods, resulting in an increased difference in repolarization time between the endo- and epicardial sites. Treatment with bunazosin ameliorated this ischemia-related shortening of refractory periods at both the endo- and epicardial sites, with a greater effect seen epicardially (p < 0.05), resulting in values similar to those in the nonischemic tissue. Treatment with propranolol prolonged refractory periods more in the epicardial (p < 0.01) than in endocardial sites, exacerbating the disparity in the refractory period between the endo- and epicardial sites (p < 0.05). Propranolol also prolonged the refractory period of nonischemic tissue (p < 0.05 and p < 0.01 in endo- and epicardial sites, respectively), resulting in a significant difference between the ischemic and normal myocardium at the endocardial site (p < 0.05). Results suggest that the alpha1-blocker bunazosin reduces the refractory-period disparity between the ischemic and normal myocardium without increasing the disparity between the endo- and epicardial surfaces, whereas propranolol produces a greater disparity.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Adrenergic alpha-1 Receptor...,
http://linkedlifedata.com/resource/pubmed/chemical/Adrenergic alpha-Antagonists,
http://linkedlifedata.com/resource/pubmed/chemical/Adrenergic beta-Antagonists,
http://linkedlifedata.com/resource/pubmed/chemical/Propranolol,
http://linkedlifedata.com/resource/pubmed/chemical/Quinazolines,
http://linkedlifedata.com/resource/pubmed/chemical/Receptors, Adrenergic, alpha-1,
http://linkedlifedata.com/resource/pubmed/chemical/bunazosin
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0160-2446
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
30
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
824-30
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:9436824-Adrenergic alpha-1 Receptor Antagonists,
pubmed-meshheading:9436824-Adrenergic alpha-Antagonists,
pubmed-meshheading:9436824-Adrenergic beta-Antagonists,
pubmed-meshheading:9436824-Animals,
pubmed-meshheading:9436824-Blood Pressure,
pubmed-meshheading:9436824-Dogs,
pubmed-meshheading:9436824-Endocardium,
pubmed-meshheading:9436824-Heart Ventricles,
pubmed-meshheading:9436824-Myocardial Ischemia,
pubmed-meshheading:9436824-Pericardium,
pubmed-meshheading:9436824-Propranolol,
pubmed-meshheading:9436824-Quinazolines,
pubmed-meshheading:9436824-Receptors, Adrenergic, alpha-1,
pubmed-meshheading:9436824-Refractory Period, Electrophysiological,
pubmed-meshheading:9436824-Tachycardia, Ventricular,
pubmed-meshheading:9436824-Ventricular Fibrillation,
pubmed-meshheading:9436824-Ventricular Function
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pubmed:year |
1997
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pubmed:articleTitle |
Differences in refractory-period response of canine subendocardium and subepicardium to bunazosin, an alpha1-adrenoceptor antagonist, and propranolol during myocardial ischemia.
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pubmed:affiliation |
Department of Cardiovascular Medicine, School of Medicine, Tokai University, Isehara, Kanagawa, Japan.
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pubmed:publicationType |
Journal Article
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