Abstract:
:Hearts from rabbits with 8-16 weeks of alloxan-diabetes were compared with hearts from normal rabbits to determine whether diabetic myocardium is more sensitive to ischemic injury. In isolated buffer-perfused hearts, left ventricular developed pressure, diastolic pressure, time to peak pressure (TTPP), time to half-maximal relaxation (RT1/2), and positive and negative dP/dt were measured during generation of left ventricular filling curves before and after 90 minutes of low-flow ischemia. Hearts from diabetic rabbits (blood glucose, 384 +/- 28 mg/dl, mean +/- 95% confidence limits) had left ventricular developed and diastolic pressures similar to normal hearts but exhibited significant increases in TTPP and RT1/2 with decreased positive and negative dP/dt. Left ventricular chamber volume relative to heart mass was greater in diabetic than in normal hearts. Recovery of developed pressure after ischemia was similar in normal (41 +/- 16%) and diabetic hearts (47 +/- 13%). In diabetic hearts during recovery from ischemia, TTPP and R1/2 remained increased compared with normal hearts, with positive and negative dP/dt decreased compared with normal hearts, in proportion to the preischemic differences. After ischemia, high-energy phosphates were depleted to the same extent in normal and diabetic rabbits. In coronary ligation experiments, histochemically determined infarct size in diabetic rabbits after 30 minutes occlusion and 24 hours reperfusion was similar to that in normal rabbits when adjusted for a significantly smaller heart weight and a correspondingly smaller anatomic risk region in the diabetic animals. Thus, despite characteristic abnormalities of mechanical function in diabetic hearts, the severity of injury after ischemia with reperfusion was normal for diabetic hearts.
journal_name
Circ Resjournal_title
Circulation researchauthors
Vogel WM,Apstein CSdoi
10.1161/01.res.62.5.975subject
Has Abstractpub_date
1988-05-01 00:00:00pages
975-82issue
5eissn
0009-7330issn
1524-4571journal_volume
62pub_type
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更新日期:1993-11-01 00:00:00
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更新日期:1988-02-01 00:00:00
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pub_type: 杂志文章
doi:
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pub_type: 杂志文章,评审
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更新日期:1976-06-01 00:00:00
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更新日期:1993-08-01 00:00:00
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更新日期:2000-12-08 00:00:00
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更新日期:1991-04-01 00:00:00
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更新日期:2006-06-23 00:00:00
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更新日期:1990-05-01 00:00:00
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更新日期:2015-07-03 00:00:00
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更新日期:2020-01-31 00:00:00
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更新日期:1988-11-01 00:00:00
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更新日期:2012-01-20 00:00:00
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更新日期:1995-12-01 00:00:00