口头和海报报告摘要

Zhu De, Wang Wei, Chen Hong, Zhang Wei, Lin Ru, Xiongkai Zhu, Ahznk Zewei, Kang Manli, Xia Qiang
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摘要

本研究旨在探讨pinacidil (atp敏感的K+通道打开剂)对未成熟兔心肌缺血再灌注损伤的保护作用。方法:在Langendorff仪上进行30min全心常温缺血,30min再灌注。取3 ~ 4周龄幼兔离体心脏52只,随机分为4组。缺血时,每隔15分钟间歇输注3种不同的停搏液(每次20 ~ 25 ml);第二组:含钾K-H溶液(16 mmol/L) (n=13);第三组:钾(16 mmol/L)和pinacidil (50 mmol/L)的K-H溶液(n=13);IV组:钾(16 mmol/L)、pinacidil(50 mmol/L)和格列本脲(10 mmol/L)的K-H溶液(n=13)。通过左室发育压(LVDP)、左室舒张末期压(LVEDP)恢复百分比、左室压力一阶导数正负峰(±dp/ptmax)、冠状动脉血流(CF)、CK、LDH、冠状静脉窦流出液AST及心肌超微结构变化评估缺血前后心肌功能。结果:心肌缺血前,四组患者上述各项指标均无显著差异。ⅲ组大鼠LVDP、LVEDP、±dp/dtmax、CF、CK、LDH、AST水平及心肌超微结构变化均优于其他3组。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Abstracts for Oral and Poster Presentations
The purpose of this study is to investigate the effectiveness of pinacidil, an opener of ATP-sensitive K+ channels, in protecting myocardium of immature rabbit hearts from ischemic reperfusion injury. Methods: On Langendorff apparatus the hearts underwent 30 minutes of global normothermic ischemia followed by 30 minutes of reperfusion. 52 isolated hearts of 3–4 weeks old immature rabbits were divided into four groups randomly. During ischemia, three different cardioplegic solutions were administered intermittently by infusion every 15 minutes (20–25 ml every time) Group I control (n=13),; Group II: K-H solution with potassium (16 mmol/L) (n=13) ; Group III: K-H solution with potassium (16 mmol/L) and pinacidil (50 m mol/L) (n=13); Group IV: K-H solution with potassium (16 mmol/L), pinacidil(50 m mol/L) and glibenclamide (10 m mol/L) (n=13). The pre and postischemic myocardial function were assessed by the percentage recovery of left ventricular developed pressure (LVDP), left ventricular end-diastolic pressure (LVEDP), both positive and negative peak first derivative of left ventricular pressures(± dp/ptmax), coronary flow(CF), CK, LDH, AST in coronary sinus venous effluent and by myocardial ultrastructural changes. Results: Before myocardial ischemia, there were no significant difference in all above mentioned parameters in four groups. Postischemic recovery of LVDP, LVEDP, ± dp/dtmax, CF, the level of CK, LDH, AST and myocardial ultrastructural changes were better in group III than that in three other groups.
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