Myocardial protection by warm blood cardioplegia. A 31P nuclear magnetic resonance spectroscopy study of an isolated perfused rat heart.

Abstract:

OBJECTIVE:A study of the protective efficiency imparted by intermittent warm blood cardioplegia (WBCP) using perfused rat heart model. METHODS:Hemodynamic parameters were monitored simultaneously with metabolic changes in high-energy phosphates using 31P-NMR spectroscopy. Following 30 min perfusion with Krebs-Henseleit (KH) buffer, all hearts were arrested for one hour (G1 and G2) and than reperfused with KH for 30 minutes. A warm oxygenated crystalloid cardioplegia (WCCP, modified St Thomas' hospital solution) was used for the control group (G1). The second group of hearts (G2) were arrested with oxygenated WBCP (K+ = 15 mM; Hct = 15-20%) and the third group (G3), was subjected to a protocol consisting of 4 periods (10 min each) of WBCP interspersed by 10 min of global ischaemia. RESULTS:The post-arrest percentage recoveries of LVDP, +dP/dt and HR were respectively: 88, 93 and 90 for G1 (n = 8); 97, 100 and 98 for G2 (n = 10); 76, 79 and 91 for G3 (n = 12). The corresponding metabolic recoveries of ATP and PCr were respectively, 85 and 90 for G1; 91 and 98 for G2 and 73 and 85 for G3. The PCr level declined during the arrest period in G1 contrasting with elevated PCr level (> 140%) during the WBCP arrest in G2. After an initial rise to approximately 140%, PCr level gradually decreased during the intermittent WBCP interval (G3). CONCLUSIONS:At normothermia, with equal CF rates, continuous WBCP provides better myocardial protection, through an effective oxygen supply, compared with WCCP. During the intermittent periods of ischaemia, certain metabolic and hemodynamic dysfunction occurs.

journal_name

Minerva Cardioangiol

authors

Berman E,Chandra M,Olivson A,Uretzky G,Borman JB,Atlan H,Schwalb H

subject

Has Abstract

pub_date

1995-05-01 00:00:00

pages

177-83

issue

5

eissn

0026-4725

issn

1827-1618

journal_volume

43

pub_type

杂志文章
  • [Spinal cord electric stimulation. Treatment of serious chronic ischemic syndromes of the limbs].

    abstract:BACKGROUND:Aim of this study is to estimate the effectiveness of epidural electric stimulation of spinal cord for the treatment of patients with severe peripheral chronic arteriopathy who can't be surgically treated or when surgical therapy failed. METHODS:A retrospective study was carried out on 18 patients with peri...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Matarazzo A,Giordano A,Sassi O,Florio A,Rosati Tarulli V,Razzano D

    更新日期:2002-12-01 00:00:00

  • Improvement in aortic valve area using a new "hour glass" shaped valvuloplasty balloon compared with standard cylindrical balloons in severe aortic stenosis patients.

    abstract:AIM:Balloon aortic valvuloplasty (BAV) has reemerged with transcatheter valve therapy. Cylindrical balloons have been the device of choice despite limitations. An hour glass shaped balloon may permit enhanced fixation and broader leaflet opening without annular compromise. METHODS:We report our initial BAV experience ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Pedersen WR,Mooney MR,Ungs D,Pedersen C,Sorajja P,Poulose AK,Stark RP,Murad B,Garberich RF,Goldenberg E,Schwartz RS

    更新日期:2014-06-01 00:00:00

  • [Thrombophilia and thromboembolic disease. A case report].

    abstract::Congenital thrombophilia, specifically thrombophilia due to Leiden modified factor V as the cause of thromboembolic disease, is discussed. Thromboembolic disease is potentially fatal and disabling. A clinical case is presented of a girl of 15 with Leiden factor V thrombophilia in which all the typical thromboembolic e...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Bronzi G,Marini L,Frassanito S

    更新日期:2001-12-01 00:00:00

  • Emerging oral anticoagulants for stroke prevention in patients with non-valvular atrial fibrillation.

    abstract::In patients with atrial fibrillation (AF) warfarin has been the mainstay therapy for stroke prevention. In recent randomized clinical trials (RCTs) oral direct thrombin inhibitor (Dabigatran) and factor Xa inhibitors (Rivaroxaban and Apixaban) challenged the efficacy and safety benchmarks set by warfarin. These drugs ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Destephan C,Waller AH,Patel RJ,Dhruvakumar S,Mazza V,Gerula C,Maher J,Kaluski E

    更新日期:2012-08-01 00:00:00

  • Intravascular ultrasound guidance in drug-eluting stent deployment.

    abstract::The role of routine intravascular ultrasound (IVUS) guidance during percutaneous coronary intervention (PCI) in the bare metal stent era remains controversial. The potential to reduce revascularization was reported without impacting non-fatal myocardial infarction and death. Drug-eluting stents (DES) have realized imp...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Roy P,Waksman R

    更新日期:2008-02-01 00:00:00

  • [The echocardiographic diagnosis and evolution of coronary aneurysms in Kawasaki's disease].

    abstract::Some cases of coronary aneurysms studied echocardiographically in children suffering from Kawasaki's disease are reported. In the fourth case, bidimensional echocardiography highlighted a uniform dilatation of the right and left coronary proximal segments which had retreated at subsequent controls. In the third case, ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Mollica N

    更新日期:1994-12-01 00:00:00

  • [The Study Group of Quinapril in Arterial Hypertension. The Steering Committee].

    abstract::The efficacy and safety of the treatment of arterial hypertension with the ACE-inhibitor quinapril, were evaluated in a multicentre study conducted in Italy. The study, lasting 14 weeks, after a preliminary wash-out period, allowed response-based titration of quinapril dose from 10 mg to 40 mg once a day, with provisi...

    journal_title:Minerva cardioangiologica

    pub_type: 临床试验,杂志文章,多中心研究

    doi:

    authors: Ambrosioni E,Brusca A,Caponnetto S,Condorelli M,Corea L,Dal Palù C,Fogari R,Mameli P,Mancia G,Neri Serneri GG

    更新日期:1992-03-01 00:00:00

  • Contrast echocardiography: mechanism of action, safety and clinical applications.

    abstract::Since its initial description by Gramiak and Shah in 1968, contrast echocardiography has become an established practice world-wide. Microbubbles have the unique property of being pure intravascular tracers. The basic rationale behind bubble imaging is the characteristic responses to ultrasound power that results in en...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Soliman OI,De Jong N,Van Der Zwaan HB,Galema TW,Vletter WB,Van Dalen BM,Schinkel AF,Ten Cate FJ,Geleijnse ML

    更新日期:2010-06-01 00:00:00

  • [Cardiac myxoma in the elderly. Clinical study].

    abstract::Cardiac mixoma in the elderly. A clinical study. The clinical features of 13 cardiac myxomas surgically resected are presented. The mean age at presentation was 68 years. Ten were in the left atrium, 5 near the fossa ovalis, 3 at the base of the atrial septum, 1 at the inferior wall and 1 on the anterior leaflet of mi...

    journal_title:Minerva cardioangiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Pentimone F,Del Corso L,Siuti E,Verunelli F,Bortolotti U,Salvatore L

    更新日期:1997-01-01 00:00:00

  • [Incidence of aortic aneurysms in Piedmont].

    abstract::A retrospective clinico-epidemiological study of the incidence of all arteriopathy hospitalization in the Region of Piemonte over a twelve year period (1976-1987) has been performed: among all the cases, patients affected by aortic aneurysm show an average of hospitalization of 0.8 cases per 24 hours. The prevalence o...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Raso AM,Sisto G,Muncinelli M,Castagno PL,Trogolo M

    更新日期:1991-12-01 00:00:00

  • Coronary computed tomographic angiography: from anatomical to functional assessment of coronary artery disease.

    abstract::Contrast enhanced computed tomography angiography (CTA) has seen rapid progress in its utility for the assessment of coronary artery disease (CAD) in the last few years. More and more technological enhancements have widened the horizons for the use of this non-invasive modality beyond its traditional role in assessmen...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Rathod A

    更新日期:2013-02-01 00:00:00

  • [Effectiveness of nasal positive pressure ventilation in the management of acute refractory left ventricular insufficiency].

    abstract:BACKGROUND:Ehen refractory to optimal medical treatment cardiogenic pulmonary edema requires mechanical ventilation as a last therapeutic resource. In recent years an increasing number of authors reported their experience in the management of acute or subacute respiratory failure with non-invasive mechanical ventilatio...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Chesi G,Pinelli G,Galimberti D,Navazio A,Montanari P

    更新日期:1994-04-01 00:00:00

  • [Correlation of waist-to-hip circumference ratio and cardiovascular risk factors in a population of Southern Italy].

    abstract:AIM:To evaluate the relationship between body mass index (BMI), body fat distribution and some coronary heart disease risk factors like hyperlipidemia, hypertension and cigarette smoking. STUDY DESIGN:Cross-sectional. PLACE:Tiriolo, a little town close to Catanzaro, of prevalent rural economy. PARTICIPANTS:Volunteer...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Gnasso A,Pujia A,Cortese C,Calindro MC,Gorgone G,Irace C,Mannarino I,Pane P,Romeo P,Siclari D

    更新日期:1994-09-01 00:00:00

  • [The acute treatment of supraventricular tachycardia with endovenous amiodarone].

    abstract::In the present study we evaluated 35 patients of both sexes, aged 21-84, with newly occurring supraventricular tachyarrhythmias, 19 atrial fibrillation (AF), 6 atrial flutter (FL) and 10 paroxysmal supraventricular tachycardias (PSVT). They were treated with a single amiodarone infusion up to two hours after the resto...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Veglio F,Vietti Ramus G,Marchisio U,Bonino ML,Burzio P,Bigo P,Leopaldi D,Ricco G

    更新日期:1991-03-01 00:00:00

  • Ex vivo and preclinical assessment of an endothelial progenitor cell capturing bioengineered stent.

    abstract::Although drug-eluting stents (DES) have significantly reduced the rates of restenosis as compared to bare metal stents, late stent thrombosis remains a major drawback, especially for "off-label" use. Delayed arterial healing, characterized by persistent fibrin deposition and poor endothelialization, has been shown to ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Yazdani SK,Kolodgie FD,Virmani R

    更新日期:2012-02-01 00:00:00

  • [Current views on the use of vasodilators in pulmonary hypertension].

    abstract::Vasodilators represent one of the main steps for the medical treatment of pulmonary hypertension; the rationale for their use is the reversibility of the pulmonary vasoconstriction, to be tested with a correct pharmacological trial. In this report the authors consider the use of calcium-channel blockers, prostaglandin...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Ceriana P,De Amici D,Pagnin A,Braschi A

    更新日期:1995-06-01 00:00:00

  • Left ventricular hypertrophy and diastolic dysfunction in alcohol-associated hypertension.

    abstract::In order to assess left ventricular structure and diastolic function, 50 hypertensive male subjects, 25 with and 25 without a history of alcohol abuse, and 20 normotensive male controls underwent Doppler echocardiographic examination followed by ambulatory blood pressure monitoring for 24 hours. Left ventricular mass ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Melina D,Colivicchi F,Melina G,Pristipino C

    更新日期:1993-07-01 00:00:00

  • [Ventricular pre-excitation in Wolff Parkinson White syndrome in the aged].

    abstract:AIM:To evaluate any differences in ventricular pre-excitation secondary to Wolff Parkinson White syndrome in the aged compared to young and adult patients. METHODS: EXPERIMENTAL DESIGN:a clinical study was performed using a comparative prospective criterion with retrospective analysis. The duration of follow-up range...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Tamburrini LR,Fontanelli A,Bizzarini E,Faggioli F

    更新日期:1998-12-01 00:00:00

  • Heart failure in diabetes mellitus: causal and treatment considerations.

    abstract::The metabolic abnormalities associated with diabetes mellitus result in macrovascular and microvascular complications in multiple organ systems; it is the cardiovascular impact that accounts for the greatest morbidity and mortality associated with this disease. Heart failure, both with reduced and preserved systolic f...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Sander GE,Wilklow FE,Giles TD

    更新日期:2004-12-01 00:00:00

  • [Clinical course and incidence of post-thrombophlebitic syndrome after profound asymptomatic deep vein thrombosis. Results of a transverse epidemiologic study].

    abstract:UNLABELLED:Currently, there are not reliable data on the incidence and prevalence of post-phlebitic syndrome (PTS) after an episode of asymptomatic postoperative deep vein thrombosis (DVT). In order to evaluate the epidemiology and the clinical course of PTS in patients who were submitted to hip and knee replacement, w...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Siragusa S,Beltrametti C,Barone M,Piovella F

    更新日期:1997-03-01 00:00:00

  • Extracorporeal membrane oxygenation for critically ill patients with coronavirus-associated disease 2019: an updated perspective of the European experience.

    abstract:BACKGROUND:Infection due to severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), i.e. coronavirus-associated disease 2019 (COVID-2019), may occasionally lead to acute respiratory distress syndrome (ARDS), requiring in the most severe cases extracorporeal membrane oxygenation (ECMO). Yet, limited data, if any, ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:10.23736/S0026-4725.20.05328-1

    authors: Marullo AG,Cavarretta E,Biondi Zoccai G,Mancone M,Peruzzi M,Piscioneri F,Sartini P,Versaci F,Morelli A,Miraldi F,Frati G

    更新日期:2020-10-01 00:00:00

  • [The long-term results in multiple procedures on the heart valves].

    abstract::In the period 1972-1988, 209 patients (81 males, 128 females, mean age 42.4 +/- 11.9, range 20-71 years) underwent surgery for multiple valve repair (MVR) at the Italian Institution of Cardiac Surgery. Ninety-five patients had previously undergone mitral commissurotomy (MC). NTHA function class was III-IV in 89% of th...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Actis Dato GM,Actis Dato A Jr,Nudi F,De Benedictis M,Borioni R

    更新日期:1994-06-01 00:00:00

  • [Aortic coarctation and intracranial aneurysm: an unusual association. Description of an unusual case and diagnostic-therapeutic considerations].

    abstract::A case of double unruptured intracranial aneurysm associated with aortic coarctation is presented. The main characteristics of the unusual association, the diagnostic criteria and the surgical strategies are reviewed. ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Cosentino F,Innocenzi G,Salvati M,Tacconi L,Ferrante L,Cosentino F

    更新日期:1992-01-01 00:00:00

  • [Pseudoaneurysm of the superficial femoral artery diagnosed preoperatively by magnetic resonance].

    abstract::A case of pseudoaneurysm of the superficial femoral artery identified preoperatively by Magnetic Resonance is reported. The number of different parameters and planes covered by the technique permitted an accurate assessment of the site, extent, internal conformation and staging of the thrombotic deposits inside the ps...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Pavone P,Tella S,Di Renzi P,Di Cesare E

    更新日期:1989-03-01 00:00:00

  • Recent developments in renal denervation.

    abstract::Renal denervation is a novel catheter based approach that has been shown to effectively lower blood pressure in patients with resistant hypertension. Small studies have shown additional benefits in patients being treated for hypertension, such as improvements in insulin sensitivity, sleep apnoea and arrhythmias. More ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Raphael CE,Davies JE

    更新日期:2013-06-01 00:00:00

  • [Effectiveness of mesoglycan topical treatment of leg ulcers in subjects with chronic venous insufficiency].

    abstract:BACKGROUND:Aim of the present comparative clinical study was to demonstrate the efficacy of the topical application of mesoglycan, a profibrinolytic agent, for healing of leg ulcers in patients with chronic venous insufficiency. METHODS:Forty patients, observed in our outpatients department, with venous leg ulcers hav...

    journal_title:Minerva cardioangiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: La Marca G,Pumilia G,Martino A

    更新日期:1999-09-01 00:00:00

  • Coronary stenting for ST-elevation myocardial infarction vs. other indications in patients on oral anticoagulation: any difference in in-hospital management and outcome?

    abstract:AIM:The aim of this paper was to compare the in-hospital management and outcome of patients on oral anticoagulation (OAC) undergoing coronary artery stenting (PCI-S) for ST-elevation myocardial infarction (STEMI) vs. other indications. METHODS:One hundred and sixteen patients on OAC at the time of PCI-S who were prosp...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Vecchio S,Zanolla L,Valencia J,Colletta M,Capecchi A,Franco N,Piovaccari G,Margheri M,Di Pasquale G,Rubboli A,WARfarin and Coronary STENTing (WAR-STENT) Study Group.

    更新日期:2011-10-01 00:00:00

  • The role of myocardial fibrosis in determining the success rate of ablation for the treatment of atrial fibrillation.

    abstract::Atrial fibrillation is the most common sustained cardiac arrhythmia and with an aging population its prevalence will increase. In addition to appropriate anticoagulation to reduce the thromboembolic risk, there has been an increasing need for a personalized approach in identifying which patients are likely to benefit ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:10.23736/S0026-4725.17.04371-7

    authors: Selvendran S,Aggarwal N,Li J,Tse G,Vassiliou VS

    更新日期:2017-08-01 00:00:00

  • What's new about clopidogrel.

    abstract::Clopidogrel is an oral tyenopiridin with a central role in the management of acute coronary syndromes and after stent implantation. Despite the use of this drug, many patients continue to experience thrombotic events which are usually referred as "therapy failure". Actually, to date, only stent thrombosis is considere...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Cialdella P,Gustapane M,Camaioni C,Biasucci LM

    更新日期:2013-12-01 00:00:00

  • Current controversies in PCI pharmacotherapy.

    abstract::Coronary artery disease and atherothrombosis are complex pathologic entities. The intricate interplay between anatomical, cellular and molecular factors characterizes their pathogenesis and determines their clinical manifestations. Coronary artery revascularization strategies, by restoring myocardial blood perfusion, ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Giustino G,Mehran R

    更新日期:2015-08-01 00:00:00