Pulmonary ventilation/perfusion defects induced by epinephrine during cardiopulmonary resuscitation.

Abstract:

BACKGROUND:Epinephrine has been shown to impair pulmonary excretion of CO2 during resuscitation. This phenomenon was investigated in a rodent model of cardiac arrest and conventional resuscitation. METHODS AND RESULTS:The effects of racemic epinephrine were compared with the selective alpha 1-agonist methoxamine and with saline placebo during cardiac resuscitation in 15 Sprague-Dawley rats mechanically ventilated with gas containing 70% oxygen. Epinephrine and methoxamine but not saline placebo significantly increased coronary perfusion pressure from approximately 32 to 55 mm Hg. Following epinephrine, end-tidal PCO2 decreased from approximately 10 to 5 mm Hg. This was associated with a time-coincident decrease in PaO2 from approximately 130 to 74 mm Hg and an increase in PaCO2 from approximately 26 to 40 mm Hg. These changes indicated increases in alveolar dead space ventilation concomitant with increases in pulmonary arteriovenous admixture. No such effects were observed after administration of either methoxamine or saline placebo. Each of the 15 rats was successfully resuscitated. However, a significantly larger number of transthoracic countershocks were required after epinephrine compared with methoxamine or placebo before return of spontaneous circulation. CONCLUSIONS:Epinephrine induced ventilation/perfusion during cardiopulmonary resuscitation as a result of redistribution of pulmonary blood flow.

journal_name

Circulation

journal_title

Circulation

authors

Tang W,Weil MH,Gazmuri RJ,Sun S,Duggal C,Bisera J

doi

10.1161/01.cir.84.5.2101

subject

Has Abstract

pub_date

1991-11-01 00:00:00

pages

2101-7

issue

5

eissn

0009-7322

issn

1524-4539

journal_volume

84

pub_type

杂志文章
  • Results and follow-up after percutaneous pulsed laser-assisted balloon angioplasty guided by spectroscopy.

    abstract:BACKGROUND:Few data are available on the long-term outcome of patients who undergo laser-assisted balloon angioplasty for recanalization of occluded peripheral arteries. Because the cost of laser angioplasty is high, the value of the method should be carefully analyzed before it can be considered a routine method for r...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.83.3.787

    authors: Geschwind HJ,Aptecar E,Boussignac G,Dubois-Randé JL,Zelinsky R,Poirot G,Tomaru T

    更新日期:1991-03-01 00:00:00

  • Novel MRI contrast agent for molecular imaging of fibrin: implications for detecting vulnerable plaques.

    abstract:BACKGROUND:Molecular imaging of thrombus within fissures of vulnerable atherosclerotic plaques requires sensitive detection of a robust thrombus-specific contrast agent. In this study, we report the development and characterization of a novel ligand-targeted paramagnetic molecular imaging agent with high avidity for fi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc3601.094303

    authors: Flacke S,Fischer S,Scott MJ,Fuhrhop RJ,Allen JS,McLean M,Winter P,Sicard GA,Gaffney PJ,Wickline SA,Lanza GM

    更新日期:2001-09-11 00:00:00

  • Multiple reaction monitoring to identify site-specific troponin I phosphorylated residues in the failing human heart.

    abstract:BACKGROUND:Human cardiac troponin I is known to be phosphorylated at multiple amino acid residues by several kinases. Advances in mass spectrometry allow sensitive detection of known and novel phosphorylation sites and measurement of the level of phosphorylation simultaneously at each site in myocardial samples. METHO...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.112.096388

    authors: Zhang P,Kirk JA,Ji W,dos Remedios CG,Kass DA,Van Eyk JE,Murphy AM

    更新日期:2012-10-09 00:00:00

  • Effect of digoxin and diuretics on high altitude left ventricular dysfunction.

    abstract::Systolic time intervals, stroke volume, cardiac output and (dZ/dt)/RZ index were serially estimated in 51 normal healthy volunteers at sea level, for ten days after air induction to 3658 m altitude and on return to sea level. The subjects were divided into three groups and were administered a diuretic, beta methyldigo...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.57.6.1180

    authors: Balasubramanian V,Behl A,Das GS,Wadhwa AK,Mathew OP,Hoon RS

    更新日期:1978-06-01 00:00:00

  • Coronary bypass surgery in chronic stable angina.

    abstract::Over the last 20 years, operative mortality has decreased and late survival has improved for patients with chronic stable angina who have coronary artery bypass surgery. However, this favorable trend may not continue because the operation is now extended to elderly and high-risk patients. The most powerful predictors ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,评审

    doi:

    authors: Gersh BJ,Califf RM,Loop FD,Akins CW,Pryor DB,Takaro TC

    更新日期:1989-06-01 00:00:00

  • Glutathione reverses endothelial damage from peroxynitrite, the byproduct of nitric oxide degradation, in crystalloid cardioplegia.

    abstract:BACKGROUND:NO has been advocated as an adjunct to cardioplegia solutions. However, NO undergoes a rapid biradical reaction with superoxide anions to produce peroxynitrite (ONOO(-)). ONOO(-) in crystalloid cardioplegia solution induces injury to coronary endothelium and to systolic function after cardioplegia and reperf...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.suppl_3.iii-332

    authors: Nakamura M,Thourani VH,Ronson RS,Velez DA,Ma XL,Katzmark S,Robinson J,Schmarkey LS,Zhao ZQ,Wang NP,Guyton RA,Vinten-Johansen J

    更新日期:2000-11-07 00:00:00

  • Angiotensin-converting enzyme inhibition increases human vascular tissue-type plasminogen activator release through endogenous bradykinin.

    abstract:BACKGROUND:Angiotensin-converting enzyme (ACE) inhibition potentiates the tissue-type plasminogen activator (t-PA) response to exogenous bradykinin. This study tested the hypothesis that ACE inhibition increases endothelial t-PA release through endogenous bradykinin. METHODS AND RESULTS:We measured the effect of intra...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.0000046268.59922.a4

    authors: Pretorius M,Rosenbaum D,Vaughan DE,Brown NJ

    更新日期:2003-02-04 00:00:00

  • Effects of weight loss and long-term weight maintenance with diets varying in protein and glycemic index on cardiovascular risk factors: the diet, obesity, and genes (DiOGenes) study: a randomized, controlled trial.

    abstract:BACKGROUND:We sought to separately examine the effects of either weight loss or diets varying in protein content and glycemic index without further changes in body weight on cardiovascular risk factors within the Diet, Obesity, and Genes study (DiOGenes). METHODS AND RESULTS:DiOGenes is a pan-European controlled dieta...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.111.033274

    authors: Gögebakan O,Kohl A,Osterhoff MA,van Baak MA,Jebb SA,Papadaki A,Martinez JA,Handjieva-Darlenska T,Hlavaty P,Weickert MO,Holst C,Saris WH,Astrup A,Pfeiffer AF,DiOGenes.

    更新日期:2011-12-20 00:00:00

  • Clopidogrel for coronary stenting: response variability, drug resistance, and the effect of pretreatment platelet reactivity.

    abstract:BACKGROUND:Clopidogrel is administered to prevent stent thrombosis; however, the uniformity of platelet inhibition after treatment and the influence of pretreatment reactivity on drug response have not been described. METHODS AND RESULTS:Platelet aggregation (5 and 20 micromol/L ADP), the activation of glycoprotein II...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.CIR.0000072771.11429.83

    authors: Gurbel PA,Bliden KP,Hiatt BL,O'Connor CM

    更新日期:2003-06-17 00:00:00

  • Intravascular thrombosis after hypoxia-induced pulmonary hypertension: regulation by cyclooxygenase-2.

    abstract:BACKGROUND:Pulmonary hypertension induced by chronic hypoxia is characterized by thickening of pulmonary artery walls, elevated pulmonary vascular resistance, and right-heart failure. Prostacyclin analogues reduce pulmonary pressures in this condition; raising the possibility that cycloxygenase-2 (COX-2) modulates the ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000145613.01188.0B

    authors: Pidgeon GP,Tamosiuniene R,Chen G,Leonard I,Belton O,Bradford A,Fitzgerald DJ

    更新日期:2004-10-26 00:00:00

  • Arterial imaging with a new forward-viewing intravascular ultrasound catheter, II. Three-dimensional reconstruction and display of data.

    abstract:BACKGROUND:Current intravascular ultrasound (IVUS) catheters provide transverse imaging at the level of the ultrasound transducer. This limits imaging to large-diameter segments without critical atherosclerotic narrowings. We have developed a prototype 20-MHz forward-viewing IVUS catheter that provides two-dimensional ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.89.2.718

    authors: Ng KH,Evans JL,Vonesh MJ,Meyers SN,Mills TA,Kane BJ,Aldrich WN,Jang YT,Yock PG,Rold MD

    更新日期:1994-02-01 00:00:00

  • Plasma brain natriuretic peptide to detect preclinical ventricular systolic or diastolic dysfunction: a community-based study.

    abstract:BACKGROUND:Preclinical systolic or diastolic dysfunction is associated with increased morbidity and mortality. We postulated that plasma brain natriuretic peptide (BNP) might serve as a biomarker for preclinical ventricular dysfunction (PCVD) but that the discriminatory values for BNP may vary with age and sex. METHOD...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000130845.38133.8F

    authors: Redfield MM,Rodeheffer RJ,Jacobsen SJ,Mahoney DW,Bailey KR,Burnett JC Jr

    更新日期:2004-06-29 00:00:00

  • Preoperative risk evaluation and stratification of long-term survival after valve replacement for aortic stenosis. Reasons for earlier operative intervention.

    abstract::Predictability of prognosis was analyzed in 630 patients who were alive 30 days after valve replacement (1965-1986) for aortic stenosis. Follow-up totaled 4,072 patient-years. During the operative periods of 1965-1971 (n = 62), 1972-1976 (n = 164), 1977-1981 (n = 158), and 1982-1986 (n = 246), decreases in cardiothora...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.82.1.124

    authors: Lund O

    更新日期:1990-07-01 00:00:00

  • Myocardial perfusion after aortocoronary bypass surgery: measurements at rest and after administration of isoproterenol.

    abstract::This study examined quantitative regional myocardial perfusion (RMP) measured by the washout of 133Xe at rest and after an isoproterenol challenge in 50 patients (group I) studied 8 to 14 days after they underwent saphenous vein bypass grafting to the left coronary artery, and compared this with RMP measured in the na...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.71.4.767

    authors: Schmidt DH,Blau FM,Hendrix LJ,Kamath ML,Ray G

    更新日期:1985-04-01 00:00:00

  • Acute kidney injury is associated with increased long-term mortality after cardiothoracic surgery.

    abstract:BACKGROUND:Long-term survival after acute kidney injury (AKI) is poorly studied. We report the relationship between long-term mortality and AKI with small changes in serum creatinine during hospitalization after various cardiothoracic surgery procedures. METHODS AND RESULTS:This was a retrospective study of 2973 patie...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.800011

    authors: Hobson CE,Yavas S,Segal MS,Schold JD,Tribble CG,Layon AJ,Bihorac A

    更新日期:2009-05-12 00:00:00

  • Coronary flow velocity pattern immediately after percutaneous coronary intervention as a predictor of complications and in-hospital survival after acute myocardial infarction.

    abstract:BACKGROUND:Recently, it was reported that the degree of microvascular injury and left ventricular functional recovery during the chronic period can be predicted after treatment of the infarct-related artery based on the coronary flow velocity (CFV) pattern assessed using a Doppler guidewire. The aim of this prospective...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.0000043022.44032.77

    authors: Yamamuro A,Akasaka T,Tamita K,Yamabe K,Katayama M,Takagi T,Morioka S

    更新日期:2002-12-10 00:00:00

  • Cardioplegic solutions for myocardial preservation: analysis of hypothermic arrest, potassium arrest, and procaine arrest.

    abstract::Separate effects of perfusion hypothermia, potassium arrest, and procaine arrest were studied in 150 hearts using the isolated rat heart preparation. Aortic flow rate (AFR), coronary flow rate (CFR), and heart rate (HR) were measured before and after ischemic periods of 90 to 300 min. Prior to the ischemic period, the...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Harlan BJ,Ross D,Macmanus Q,Knight R,Luber J,Starr A

    更新日期:1978-09-01 00:00:00

  • Cardiovascular Care in Women Veterans.

    abstract::Cardiovascular disease is the number one cause of death for women in the United States. Of the 1.3 million active duty service members, 16.3% are currently women, and the number of women veterans is expected to increase. Women veterans have higher rates of cardiovascular disease than civilian women and present a uniqu...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.118.037748

    authors: Han JK,Yano EM,Watson KE,Ebrahimi R

    更新日期:2019-02-19 00:00:00

  • The effect of potassium ion depletion on postinfarction canine cardiac arrhythmias.

    abstract::The effect of potassium ion (K+) depletion on postmyocardial infarction ventricular arrhythmias was investigated in 32 dogs: 12 control animals, 10 animals that ate a diet extremely low in K+ for 15 days, and 10 others that, in addition to dietary K+ deprivation, received 50 mg of hydrochlorothiazide four times. The e...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.77.3.696

    authors: Garan H,McGovern BA,Canzanello VJ,McCauley J,Bodvarsson M,Harrington JT,Madias NE,Newell JB,Ruskin JN

    更新日期:1988-03-01 00:00:00

  • Rate-related electrophysiologic effects of long-term administration of amiodarone on canine ventricular myocardium in vivo.

    abstract::The electrophysiologic effects of amiodarone were examined in 13 dogs that received 30 g amiodarone orally during 3 weeks and compared with 13 control dogs that did not receive amiodarone. Longitudinal and transverse epicardial conduction velocities were estimated with a square array of 64 closely spaced electrodes an...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.79.4.948

    authors: Anderson KP,Walker R,Dustman T,Lux RL,Ershler PR,Kates RE,Urie PM

    更新日期:1989-04-01 00:00:00

  • Cariporide (HOE642), a selective Na+-H+ exchange inhibitor, inhibits the mitochondrial death pathway.

    abstract:BACKGROUND:The Na+-H+ exchanger figures prominently in cardiac ischemia-reperfusion injury. Several experimental and clinical studies have demonstrated a cardioprotective effect of Na+-H+ exchanger inhibition; however, the precise mechanisms have not been established. METHODS AND RESULTS:We examined the effects of car...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000093277.20968.C7

    authors: Teshima Y,Akao M,Jones SP,Marbán E

    更新日期:2003-11-04 00:00:00

  • Re-entrant ventricular arrhythmias in the late myocardial infarction period. 2. Patterns of initiation and termination of re-entry.

    abstract::The electrophysiologic mechanisms for the initiation and termination of re-entrant ventricular arrhythmias (RVA) were critically analyzed in dogs 3-7 days following ligation of the anterior descending coronary artery, utilizing direct recordings of the re-entrant pathway (RP) from the epicardial surface of the infarct...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.55.5.702

    authors: El-Sherif N,Hope RR,Scherlag BJ,Lazzara R

    更新日期:1977-05-01 00:00:00

  • Pathogenesis of paradoxical hypertension after coarctation resection.

    abstract::The pathogenesis of paradoxical hypertension after resection of coarctation of the aorta was investigated by comparing the course of seven children undergoing repair of coarctation with five acyanotic children undergoing elective cardiovascular surgery. During the first 24 hours after surgery, all coarctation patients...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.54.3.382

    authors: Rocchini AP,Rosenthal A,Barger AC,Castaneda AR,Nadas AS

    更新日期:1976-09-01 00:00:00

  • Diagnosis of noninfective cardiac mass lesions by two-dimensional echocardiography. Comparison of the transthoracic and transesophageal approaches.

    abstract::This study was conducted in 46 patients with cardiac thrombi, 15 patients with atrial myxomas, and 32 patients with other cardiac or paracardiac tumors. Diagnoses were subsequently proven by surgery, autopsy, computed tomography, magnetic resonance imaging, or angiography in all patients. All patients underwent precor...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.83.1.70

    authors: Mügge A,Daniel WG,Haverich A,Lichtlen PR

    更新日期:1991-01-01 00:00:00

  • Spontaneous near closure of coronary artery fistula.

    abstract::An asymptomatic 14-year-old male was found at cardiac catheterization to have a coronary artery fistula involving a vessel originating from the left main coronary artery and terminating in the right heart. Chest X-ray and electrocardiogram were within normal limits and shunt flow was too small to be detected by oximet...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.57.1.197

    authors: Shubrooks SJ Jr,Naggar CZ

    更新日期:1978-01-01 00:00:00

  • Effects of stress and beta-blockade on platelet function.

    abstract::Platelet function can be assessed by various techniques in vitro or in vivo, but methodological problems in the field are considerable. By use of the conventional in vitro technique (Born aggregometry), it has been shown that sympathoadrenal activation in vivo (e.g., mental stress, epinephrine infusions, exercise, and...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:

    authors: Hjemdahl P,Larsson PT,Wallén NH

    更新日期:1991-12-01 00:00:00

  • Vascular disease in mice with a dysfunctional circadian clock.

    abstract:BACKGROUND:Cardiovascular disease is the leading cause of death for both men and women in the United States and the world. A profound pattern exists in the time of day at which the death occurs; it is in the morning, when the endothelium is most vulnerable and blood pressure surges, that stroke and heart attack most fr...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.827477

    authors: Anea CB,Zhang M,Stepp DW,Simkins GB,Reed G,Fulton DJ,Rudic RD

    更新日期:2009-03-24 00:00:00

  • Quantitative assessment of right and left ventricular growth in the human fetal heart: a pathoanatomic study.

    abstract::We quantitated the growth patterns of the normal fetal heart and the right and left ventricles from postmortem hearts obtained from 55 spontaneously aborted human fetuses from the completion of cardiogenesis to term. Fetal gestational age was assessed by menstrual history of the mother, crown-rump length, head circumf...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.70.6.935

    authors: St John Sutton MG,Raichlen JS,Reichek N,Huff DS

    更新日期:1984-12-01 00:00:00

  • Associations of parental, birth, and early life characteristics with systolic blood pressure at 5 years of age: findings from the Mater-University study of pregnancy and its outcomes.

    abstract:BACKGROUND:We examined the associations of a range of parental and early life characteristics with systolic blood pressure at 5 years of age. METHODS AND RESULTS:Information from 3864 children who were followed up prospectively from their mother's first antenatal clinic assessment was used. Maternal age, body mass ind...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000145165.80130.B5

    authors: Lawlor DA,Najman JM,Sterne J,Williams GM,Ebrahim S,Davey Smith G

    更新日期:2004-10-19 00:00:00

  • Chronic hypoxia stimulates periarterial sympathetic nerve development in chicken embryo.

    abstract:BACKGROUND:Epidemiological findings suggest an association between low-for-age birth weight and the risk to develop coronary heart diseases in adulthood. During pregnancy, an imbalance between fetal demands and supply may result in permanent alterations of neuroendocrine development in the fetus. We evaluated whether c...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.23.2892

    authors: Ruijtenbeek K,le Noble FA,Janssen GM,Kessels CG,Fazzi GE,Blanco CE,De Mey JG

    更新日期:2000-12-05 00:00:00