Abstract:
:Urapidil (URA) is used to treat acute hypertension in patients with coronary artery disease, but the effect of URA on the performance of ischemic myocardium has not yet been investigated. The present study was intended to assess the function of ischemic myocardium following URA administration. In eight anesthetized (piritramide) open-chest dogs systolic contraction (dL) and end-diastolic length (edL) of myocardium supplied by the left descending (LAD) and circumflex (LCA) coronary arteries were measured by sonomicrometry simultaneously with aortic pressure (AoP), left ventricular end-diastolic pressure (LVedP), heart rate (HR), stroke volume (SV), and LAD-flow (QLAD). QLAD was reduced by LAD stenosis to about 50% of control, decreasing dLLAD by 55%. Concomitantly, edLLAD increased by about 9% and LVedP by 22%, whereas AoP decreased by 5%. Then, URA was given i.v. (0.25 + 0.25 + 0.50 + 1.0 mg/kg) in 15-min intervals. Following URA, the performance of the non-ischemic area was not systematically affected, but dLLAD increased by about 50%. This could neither be related to the significant reduction in afterload (AoP: -8%), nor to an increase in preload (LVedP and edLLAD did not change significantly), nor to an improved oxygen supply via the LAD (QLAD even decreased), although an increased collateral flow the LCA could not be excluded. The increase in systolic shortening correlated very closely to a decrease in heart rate (r = -0.92). It is concluded that the improved function of ischemic myocardium following urapidil resulted from a reduced oxygen demand in consequence to the decrease in heart rate.
journal_name
Basic Res Cardioljournal_title
Basic research in cardiologyauthors
Schad H,Heimisch W,Barankay A,Hesse S,Mendler Ndoi
10.1007/BF01907115subject
Has Abstractpub_date
1990-05-01 00:00:00pages
270-8issue
3eissn
0300-8428issn
1435-1803journal_volume
85pub_type
杂志文章abstract::Long QT syndrome is a potentially life-threatening disease characterized by delayed repolarization of cardiomyocytes, QT interval prolongation in the electrocardiogram, and a high risk for sudden cardiac death caused by ventricular arrhythmia. The genetic type 3 of this syndrome (LQT3) is caused by gain-of-function mu...
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journal_title:Basic research in cardiology
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abstract::The authors have retracted this article [1] because of modifications in the control lanes of Figs. 2a and 8a of the COX1 blot obtained for 18-week-old rats (rotation, horizontal flipping and re-use of the control lanes for the 35-week-old rats blot). In light of the concerns raised, the conclusions drawn in this artic...
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pub_type: 杂志文章,撤回出版物
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journal_title:Basic research in cardiology
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journal_title:Basic research in cardiology
pub_type: 杂志文章
doi:
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journal_title:Basic research in cardiology
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更新日期:1977-07-01 00:00:00
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journal_title:Basic research in cardiology
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更新日期:1998-01-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Basic research in cardiology
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更新日期:2000-06-01 00:00:00
abstract::Cardioprotection aims at infarct size reduction and improvement of clinical outcome from myocardial infarction. The translation of cardioprotection from preclinical and promising proof-of-concept studies to clinical benefit for patients has been largely disappointing. Almost all of these studies which did not translat...
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journal_title:Basic research in cardiology
pub_type: 杂志文章
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abstract::The quantitative predominance of free and total cholesterol over the amount of mural calcium is a most significant criterion of healthy human coronary arteries during the whole life span (0-90 years). However, this normal ratio increasingly changes as soon as arteriosclerotic alterations of the coronary walls set in. ...
journal_title:Basic research in cardiology
pub_type: 杂志文章,评审
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更新日期:1994-01-01 00:00:00
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journal_title:Basic research in cardiology
pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:1981-03-01 00:00:00
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journal_title:Basic research in cardiology
pub_type: 杂志文章
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更新日期:1978-07-01 00:00:00
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pub_type: 杂志文章,评审
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