Prostacyclin analogue iloprost decreases thrombolytic potential of tissue-type plasminogen activator in canine coronary thrombosis.

Abstract:

:Platelets play an important role in the formation of a coronary thrombus and reocclusion after thrombolysis. Therefore, we examined the thrombolytic potential of concomitant intravenous administration of potent platelet inhibitor iloprost, a prostacyclin analogue, with tissue-type plasminogen activator (t-PA; n = 8) and t-PA alone (n = 9) in dogs with an electrically induced occlusive coronary artery thrombus. t-PA (0.75 mg/kg) was given over 20 minutes, and iloprost (4 micrograms/kg) was given over 40 minutes. Reperfusion rate was 63% (five of eight dogs) in the t-PA plus iloprost group and 67% (six of nine dogs) in the t-PA alone group (p = NS). The time to thrombolysis (or reperfusion) in the t-PA plus iloprost group was almost twice as great as in the t-PA alone group (33.0 +/- 13.3 vs. 18.5 +/- 6.7 minutes, mean +/- SD, p less than 0.02), and the duration of reperfusion was much shorter (3.4 +/- 1.8 vs. 39.3 +/- 17.4 minutes, p less than 0.005). Peak coronary artery blood flow after reperfusion in the t-PA plus iloprost group was also less (20 +/- 17 ml/min) than in the t-PA alone group (58 +/- 21 ml/min, p less than 0.005). Reocclusion occurred in all dogs given t-PA with iloprost despite potent synergistic platelet inhibitory effects of t-PA and iloprost, whereas four of six dogs given t-PA alone reoccluded. Neither regimen exerted a significant beneficial effect on regional myocardial shortening during coronary reperfusion. Plasma levels of t-PA were lower when iloprost was given with t-PA (1,022 +/- 360 vs. 1,459 +/- 270 ng/ml in t-PA alone group, p less than 0.05). The detrimental effects of iloprost identified in this study may relate to the reduction in plasma t-PA concentrations by its degradation in the liver caused by the prostacyclin analogue iloprost.

journal_name

Circulation

journal_title

Circulation

authors

Nicolini FA,Mehta JL,Nichols WW,Saldeen TG,Grant M

doi

10.1161/01.cir.81.3.1115

subject

Has Abstract

pub_date

1990-03-01 00:00:00

pages

1115-22

issue

3

eissn

0009-7322

issn

1524-4539

journal_volume

81

pub_type

杂志文章
  • Percutaneous transluminal coronary angioplasty reverses vasoconstriction of stenotic coronary arteries in hypertensive patients.

    abstract:BACKGROUND:Endothelial dysfunction of coronary arteries with impaired vasodilation has been reported in patients with arterial hypertension. However, the effect of dynamic exercise on coronary vasomotion of a stenotic vessel segment before and after PTCA has not yet been evaluated in these patients. METHODS AND RESULT...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.98.12.1192

    authors: Frielingsdorf J,Kaufmann P,Suter T,Hug R,Hess OM

    更新日期:1998-09-22 00:00:00

  • Value of planar 201Tl imaging in risk stratification of patients recovering from acute myocardial infarction.

    abstract::Although exercise ECG testing has been shown to have important prognostic value after acute myocardial infarction, exercise 201Tl scintigraphy offers several potential advantages, including: 1) increased sensitivity for detecting residual myocardial ischemia; 2) the ability to localize ischemia to a specific area or a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Gibson RS,Watson DD

    更新日期:1991-09-01 00:00:00

  • Limited exercise capacity in heterozygous manganese superoxide dismutase gene-knockout mice: roles of superoxide anion and nitric oxide.

    abstract:BACKGROUND:We have reported that there is a limitation of exercise capacity in mice with defects in the expression of endothelial nitric oxide (NO) synthase, which is associated with a greater increase in whole-body oxygen consumption (VO2). We hypothesized that in states in which superoxide anion (O2-) is increased, e...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000159261.11520.63

    authors: Kinugawa S,Wang Z,Kaminski PM,Wolin MS,Edwards JG,Kaley G,Hintze TH

    更新日期:2005-03-29 00:00:00

  • Myocardial perfusion-contraction matching. Implications for coronary heart disease and hibernation.

    abstract::Experimental studies demonstrate that short-term regional perfusion-contraction matching, in which the energy demands of regional myocardial contraction are reduced to match the diminished myocardial substrate supply, occurs during states of low coronary blood flow under resting conditions and during exercise-induced ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.83.3.1076

    authors: Ross J Jr

    更新日期:1991-03-01 00:00:00

  • Population characteristics according to recruitment source.

    abstract::Considerable variability was observed among recruitment sources and centers in the proportion of first protocol visits proceeding to entry. Some of the reasons for these differences are explored. Several characteristics of the participants were also analyzed to determine whether significant variability existed among r...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Hunninghake DB,Knoke J,LaDouceur M,Peterson F

    更新日期:1982-12-01 00:00:00

  • Ventricular expression of brain natriuretic peptide in hypertrophic cardiomyopathy.

    abstract:BACKGROUND:Brain natriuretic peptide (BNP), as a cardiac hormone, is expressed together with atrial natriuretic peptide (ANP) in the ventricles in congestive heart failure. However, the ventricular expression of BNP in hypertrophic cardiomyopathy (HCM) with normal systolic function is still unclear. METHODS AND RESULT...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.88.2.372

    authors: Hasegawa K,Fujiwara H,Doyama K,Miyamae M,Fujiwara T,Suga S,Mukoyama M,Nakao K,Imura H,Sasayama S

    更新日期:1993-08-01 00:00:00

  • Aldosterone synthase inhibitor ameliorates angiotensin II-induced organ damage.

    abstract:BACKGROUND:Aldosterone and angiotensin (Ang) II both may cause organ damage. Circulating aldosterone is produced in the adrenals; however, local cardiac synthesis has been reported. Aldosterone concentrations depend on the activity of aldosterone synthase (CYP11B2). We tested the hypothesis that reducing aldosterone by...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.521625

    authors: Fiebeler A,Nussberger J,Shagdarsuren E,Rong S,Hilfenhaus G,Al-Saadi N,Dechend R,Wellner M,Meiners S,Maser-Gluth C,Jeng AY,Webb RL,Luft FC,Muller DN

    更新日期:2005-06-14 00:00:00

  • Improved exercise tolerance and quality of life with cardiac rehabilitation of older patients after myocardial infarction: results of a randomized, controlled trial.

    abstract:BACKGROUND:Whether cardiac rehabilitation (CR) is effective in patients older than 75 years, who have been excluded from most trials, remains unclear. We enrolled patients 46 to 86 years old in a randomized trial and assessed the effects of 2 months of post-myocardial infarction (MI) CR on total work capacity (TWC, in ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.CIR.0000066322.21016.4A

    authors: Marchionni N,Fattirolli F,Fumagalli S,Oldridge N,Del Lungo F,Morosi L,Burgisser C,Masotti G

    更新日期:2003-05-06 00:00:00

  • Cytosolic heat shock protein 60, hypoxia, and apoptosis.

    abstract:BACKGROUND:Heat shock protein (HSP)60 is an abundant protein found primarily in the mitochondria, though 15% to 20% is found in the cytosol. Previously we observed that HSP60 complexes with bax in the cytosol. Reduction in HSP60 precipitates translocation of bax to the mitochondria and apoptosis. We hypothesized that H...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000038112.64503.6e

    authors: Gupta S,Knowlton AA

    更新日期:2002-11-19 00:00:00

  • Upregulation and modulation of inducible nitric oxide synthase in rat cardiac allografts with chronic rejection and transplant arteriosclerosis.

    abstract:BACKGROUND:The Lewis-F344 rat cardiac transplantation model produces cardiac allografts with chronic rejection characterized by arteriosclerotic lesions composed of macrophages and smooth muscle cells. Modulation of the inflammatory response with a diet deficient in essential fatty acids protects against the developmen...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.3.457

    authors: Russell ME,Wallace AF,Wyner LR,Newell JB,Karnovsky MJ

    更新日期:1995-08-01 00:00:00

  • Intravenous pretreatment with A1-selective adenosine analogues protects the heart against infarction.

    abstract:BACKGROUND:Recent data from this laboratory indicate that pretreatment with adenosine can protect the heart against infarction via A1-receptors, but because of systemic hypotension, adenosine had to be given into the coronary circulation. METHODS AND RESULTS:In this study, we tested whether the protection could be ach...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.85.2.659

    authors: Thornton JD,Liu GS,Olsson RA,Downey JM

    更新日期:1992-02-01 00:00:00

  • Influence of dietary fat on the pharmacodynamics of propafenone in isolated, perfused rabbit hearts.

    abstract:BACKGROUND:The fatty acid composition of the phospholipids in sarcolemma may significantly influence cell membrane functions. We evaluated the effects of dietary fat on the pharmacodynamics of the antiarrhythmic drug propafenone in isolated, perfused rabbit hearts. METHODS AND RESULTS:Three groups of weanling rabbits ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.85.4.1501

    authors: Gillis AM,Keashly R,Watson PA,Mathison HJ,Parsons HG

    更新日期:1992-04-01 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

  • Infiltrates of activated mast cells at the site of coronary atheromatous erosion or rupture in myocardial infarction.

    abstract:BACKGROUND:Erosion and rupture of coronary atheromas are the events preceding the vast majority of acute coronary syndromes. The shoulder regions of atheromas, the sites at which erosion or rupture is most likely to occur, are the sites at which mast cells accumulate. These cells are filled with neutral proteases capab...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.5.1084

    authors: Kovanen PT,Kaartinen M,Paavonen T

    更新日期:1995-09-01 00:00:00

  • Shock occurrence and survival in 241 patients with implantable cardioverter-defibrillator therapy.

    abstract:BACKGROUND:The purpose of this study was to determine the influence of clinical characteristics on shock occurrence and survival in 241 patients with implantable cardioverter-defibrillator (ICD) therapy. METHODS AND RESULTS:Two hundred forty-one consecutive patients underwent ICD implantation between November 1982 and...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.87.6.1880

    authors: Grimm W,Flores BT,Marchlinski FE

    更新日期:1993-06-01 00:00:00

  • Enhanced sympathetic and ventilatory responses to central chemoreflex activation in heart failure.

    abstract:BACKGROUND:Sympathetic activation and respiratory abnormalities may each be implicated in the pathophysiology of congestive heart failure (CHF). Chemoreflexes are an important mechanism regulating both sympathetic drive and breathing. We therefore tested the hypothesis that chemoreflex function is altered in CHF. METH...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.100.3.262

    authors: Narkiewicz K,Pesek CA,van de Borne PJ,Kato M,Somers VK

    更新日期:1999-07-20 00:00:00

  • Arrhythmia burden in adults with surgically repaired tetralogy of Fallot: a multi-institutional study.

    abstract:BACKGROUND:The arrhythmia burden in tetralogy of Fallot, types of arrhythmias encountered, and risk profile may change as the population ages. METHODS AND RESULTS:The Alliance for Adult Research in Congenital Cardiology (AARCC) conducted a multicenter cross-sectional study to quantify the arrhythmia burden in tetralog...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.109.928481

    authors: Khairy P,Aboulhosn J,Gurvitz MZ,Opotowsky AR,Mongeon FP,Kay J,Valente AM,Earing MG,Lui G,Gersony DR,Cook S,Ting JG,Nickolaus MJ,Webb G,Landzberg MJ,Broberg CS,Alliance for Adult Research in Congenital Cardiology (AARCC).

    更新日期:2010-08-31 00:00:00

  • Coronary atherosclerotic wall thickening and vascular reactivity in humans. Elevated high-density lipoprotein levels ameliorate abnormal vasoconstriction in early atherosclerosis.

    abstract:BACKGROUND:Abnormal vascular reactivity represents a fundamental disturbance in vascular biology with the development of atherosclerosis. Because endothelial vasodilator function plays a pivotal role in controlling vasomotor tone, we hypothesized that atherosclerotic wall thickening might directly interfere with defici...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.89.6.2525

    authors: Zeiher AM,Schächlinger V,Hohnloser SH,Saurbier B,Just H

    更新日期:1994-06-01 00:00:00

  • Variability, reproducibility, and applications of precordial ST-segment mapping following acute myocardial infarction.

    abstract::In 58 patients with uncomplicated acute anterior myocardial infarction, a mean decline in the sum of ST segments (sigmaST) of 34% was observed when comparing sigmaST values recorded at 3-6 hours with those recorded at 6-9 hours after the onset of symptoms (P less than 0.05). The mean absolute difference between 19 pai...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.57.6.1096

    authors: Hardarson T,Henning H,O'Rourke RA,Karliner JS,Ryan W,Ross J Jr

    更新日期:1978-06-01 00:00:00

  • Beneficial effects of pimobendan on exercise tolerance and quality of life in patients with heart failure. Results of a multicenter trial. The Pimobendan Multicenter Research Group.

    abstract:BACKGROUND:This multicenter trial was conducted to determine the efficacy and safety of pimobendan, an inotropic agent with calcium-sensitizing properties and activity as a phosphodiesterase inhibitor, in patients with heart failure. METHODS AND RESULTS:One hundred ninety-eight ambulatory patients with symptoms of mod...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1161/01.cir.85.3.942

    authors: Kubo SH,Gollub S,Bourge R,Rahko P,Cobb F,Jessup M,Brozena S,Brodsky M,Kirlin P,Shanes J

    更新日期:1992-03-01 00:00:00

  • Subcostal two-dimensional echocardiographic imaging of peripheral right coronary artery in Kawasaki disease.

    abstract::A new two-dimensional echocardiographic technique was developed to detect peripheral right coronary aneurysms in Kawasaki disease. Because the main stem of the right coronary artery runs along the tricuspid valve ring and the posterior interventricular groove, these regions were examined for coronary aneurysms using t...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.65.5.956

    authors: Yoshida H,Maeda T,Funabashi T,Nakaya S,Takabatake S,Taniguchi N

    更新日期:1982-05-01 00:00:00

  • Effect of increased exercise in school children on physical fitness and endothelial progenitor cells: a prospective randomized trial.

    abstract:BACKGROUND:The aim of this prospective, randomized study was to examine whether additional school exercise lessons would result in improved peak oxygen uptake (primary end point) and body mass index-standard deviation score, motor and coordinative abilities, circulating progenitor cells, and high-density lipoprotein ch...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.109.865808

    authors: Walther C,Gaede L,Adams V,Gelbrich G,Leichtle A,Erbs S,Sonnabend M,Fikenzer K,Körner A,Kiess W,Bruegel M,Thiery J,Schuler G

    更新日期:2009-12-01 00:00:00

  • Premature ventricular complexes in the absence of identifiable heart disease.

    abstract::To define the prevalence, frequency and characteristics of premature ventricular complexes (PVCs) in adults free of recognizable heart disease, we performed 24-hour ambulatory electrocardiography on 101 subjects (51 men and 50 women, mean age 48.8 years) in whom physical examination, chest x-ray, ECG, echocardiogram, ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.63.6.1351

    authors: Kostis JB,McCrone K,Moreyra AE,Gotzoyannis S,Aglitz NM,Natarajan N,Kuo PT

    更新日期:1981-06-01 00:00:00

  • Regulation of Kv4.3 current by KChIP2 splice variants: a component of native cardiac I(to)?

    abstract:BACKGROUND:The transient outward potassium current (I(to)) encoded by the Kv4 family of potassium channels is important in the repolarization of cardiac myocytes. KChIPs are a recently identified group of Ca2+-binding accessory subunits that modulate Kv4-encoded currents. KChIP2 is the only family member expressed in t...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000025417.65658.b6

    authors: Deschênes I,DiSilvestre D,Juang GJ,Wu RC,An WF,Tomaselli GF

    更新日期:2002-07-23 00:00:00

  • Heterogeneous atrial denervation creates substrate for sustained atrial fibrillation.

    abstract:BACKGROUND:Heterogeneous electrophysiological properties, which may be due in part to autonomic innervation, are important in the maintenance of atrial fibrillation (AF). We hypothesized that heterogeneous sympathetic denervation with phenol would create a milieu for sustained AF. METHODS AND RESULTS:After the determi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.98.23.2608

    authors: Olgin JE,Sih HJ,Hanish S,Jayachandran JV,Wu J,Zheng QH,Winkle W,Mulholland GK,Zipes DP,Hutchins G

    更新日期:1998-12-08 00:00:00

  • Sustained improvement after combined anterior mitral leaflet extension and myectomy in hypertrophic obstructive cardiomyopathy.

    abstract:BACKGROUND:Mitral leaflet extension (MLE) combined with septal myectomy is a new surgical approach to treat hypertrophic obstructive cardiomyopathy (HOCM) and an enlarged mitral leaflet area. The study presents the long-term clinical results and outcome of this technique. METHODS AND RESULTS:MLE entails grafting a glu...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.CIR.0000092912.57140.14

    authors: van der Lee C,Kofflard MJ,van Herwerden LA,Vletter WB,ten Cate FJ

    更新日期:2003-10-28 00:00:00

  • The relationship of cardiac output and arterial pressure control.

    abstract::Many basic concepts of cardiac output and arterial pressure control have changed considerably in the past few years. In general, each tissue controls its own local resistance and blood flow regardless of the level of arterial pressure; the sum of the local flows then determines the venous return and cardiac output. Ho...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/01.cir.64.6.1079

    authors: Guyton AC

    更新日期:1981-12-01 00:00:00

  • Relation between troponin T and the risk of subsequent cardiac events in unstable coronary artery disease. The FRISC study group.

    abstract:BACKGROUND:Early risk assessment is important in patients with unstable coronary artery disease, ie, unstable angina or non-Q-wave myocardial infarction. Some previous small studies have indicated that patients with unstable angina and elevation of troponin T (tn-T) have worse short-term and long-term prognoses. In thi...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.93.9.1651

    authors: Lindahl B,Venge P,Wallentin L

    更新日期:1996-05-01 00:00:00

  • Elderly patients with acute coronary syndromes managed without revascularization: insights into the safety of long-term dual antiplatelet therapy with reduced-dose prasugrel versus standard-dose clopidogrel.

    abstract:BACKGROUND:Dual antiplatelet therapy in older versus younger patients with acute coronary syndromes is understudied. Low-dose prasugrel (5 mg/d) is recommended for younger, lower-body-weight patients and elderly patients with acute coronary syndromes to mitigate the bleeding risk of standard-dose prasugrel (10 mg/d). ...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.113.002303

    authors: Roe MT,Goodman SG,Ohman EM,Stevens SR,Hochman JS,Gottlieb S,Martinez F,Dalby AJ,Boden WE,White HD,Prabhakaran D,Winters KJ,Aylward PE,Bassand JP,McGuire DK,Ardissino D,Fox KA,Armstrong PW

    更新日期:2013-08-20 00:00:00

  • Endocardial excision: a new surgical technique for the treatment of recurrent ventricular tachycardia.

    abstract::Twelve patients with medically refractory ventricular tachycardia secondary to ischemic heart disease underwent surgery for cure of their arrhythmia. Preoperatively, the tachycardia could be reproducibly initiated and terminated in each patient by programmed stimulation. In all instances, intraoperative mapping locali...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.60.7.1430

    authors: Josephson ME,Harken AH,Horowitz LN

    更新日期:1979-12-01 00:00:00