Increased release of NO during ischemia reduces myocardial contractility and improves metabolic dysfunction.

Abstract:

BACKGROUND:We have reported that myocardial ischemia increases nitric oxide (NO) production. Several lines of evidence suggest that NO reduces myocardial contraction. Therefore, we tested whether endogenous NO decreases the inotropic response of the ischemic myocardium and whether endogenous NO is beneficial in the metabolic function of ischemic myocardium. METHODS AND RESULTS:The left anterior descending coronary artery was perfused with blood from the left carotid artery in 72 dogs. An infusion of NG-nitro-L-arginine methyl ester (L-NAME), an inhibitor of NO synthase, did not affect fractional shortening (FS) under nonischemic conditions. After reduction of perfusion pressure so that coronary blood flow decreased to 60% of the control value, FS of the perfused area decreased, and intravenous infusion of isoproterenol increased FS. Before and during intravenous infusion of isoproterenol under conditions of coronary hypoperfusion, FS was significantly increased in the L-NAME group compared with the untreated group. Both lactate extraction ratio and the pH in coronary venous blood were significantly lower in the L-NAME-treated group than in the untreated group during coronary hypoperfusion. Infusion of L-arginine prevented the effects of L-NAME in the ischemic myocardium. CONCLUSIONS:These results indicate that endogenous NO reduces myocardial contractile function and improves myocardial metabolic function in the ischemic heart. The myocardial energy-sparing effect as well as coronary vasodilation due to NO may be beneficial to the ischemic myocardium.

journal_name

Circulation

journal_title

Circulation

authors

Node K,Kitakaze M,Kosaka H,Komamura K,Minamino T,Inoue M,Tada M,Hori M,Kamada T

doi

10.1161/01.cir.93.2.356

subject

Has Abstract

pub_date

1996-01-15 00:00:00

pages

356-64

issue

2

eissn

0009-7322

issn

1524-4539

journal_volume

93

pub_type

杂志文章
  • Premortem assessment of myocardial area at risk with the use of intracoronary technetium macroaggregated albumin and gated nuclear imaging.

    abstract::The purpose of this study was to develop a clinically applicable system for quantifying premortem myocardial area at risk. Coronary artery occlusion was performed in 18 closed-chest dogs (11 left anterior descending and seven circumflex). 99mTc (15 mCi)-labeled macroaggregated albumin was then injected through an angi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.73.3.551

    authors: Feiring AJ,Bruch P,Husayni TS,Kirchner PT,Marcus ML

    更新日期:1986-03-01 00:00:00

  • Vitamin C augments the inotropic response to dobutamine in humans with normal left ventricular function.

    abstract:BACKGROUND:We studied the effect of an antioxidant, the intracoronary infusion of vitamin C, on basal and dobutamine-stimulated left ventricular (LV) contractility. METHODS AND RESULTS:Nineteen patients with normal ventricular function participated in this study. A micromanometer-tipped catheter was inserted into the ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.103.6.826

    authors: Mak S,Newton GE

    更新日期:2001-02-13 00:00:00

  • Fibroblast growth factor receptor-1 signaling induces osteopontin expression and vascular smooth muscle cell-dependent adventitial fibroblast migration in vitro.

    abstract:BACKGROUND:Increased expression of osteopontin (OPN), fibroblast growth factors (FGFs), and their type-1 receptor (FGFR-1) is associated with neointima formation and atherosclerosis. This study tested the hypothesis that ligand activation of FGFR-1 stimulates OPN expression in rat aortic smooth muscle cells (RASMCs), e...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000024113.26985.cc

    authors: Li G,Oparil S,Kelpke SS,Chen YF,Thompson JA

    更新日期:2002-08-13 00:00:00

  • Randomized trial comparing intravenous nitroglycerin and heparin for treatment of unstable angina secondary to restenosis after coronary artery angioplasty.

    abstract:BACKGROUND:The treatment of unstable angina targets the specific pathophysiological thrombotic process at the site of the active culprit lesion. In unstable angina due to a restenotic lesion, smooth muscle cell proliferation and increased vasoreactivity may play a more important role than thrombus formation. Therefore,...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.101.9.955

    authors: Doucet S,Malekianpour M,Théroux P,Bilodeau L,Côté G,de Guise P,Dupuis J,Joyal M,Gosselin G,Tanguay JF,Juneau M,Harel F,Nattel S,Tardif JC,Lespérance J

    更新日期:2000-03-07 00:00:00

  • Loss of nocturnal decline in blood pressure after cardiac transplantation.

    abstract::Twenty-four hour noninvasive ambulatory blood pressure and heart rate monitoring was performed on patients who underwent orthotopic cardiac transplantation, as part of the investigation of the de novo hypertension that developes in such patients. Patients with essential hypertension served as control subjects. The res...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.73.3.401

    authors: Reeves RA,Shapiro AP,Thompson ME,Johnsen AM

    更新日期:1986-03-01 00:00:00

  • Sustained improvement in flow-mediated vasodilation after short-term administration of dobutamine in patients with severe congestive heart failure.

    abstract:BACKGROUND:In patients with severe congestive heart failure (CHF), short-term administration of dobutamine exerts sustained clinical benefits that are partially mediated by a training-like effect on skeletal muscle. Recently, physical training has been shown to enhance endothelial function in the skeletal muscle vascul...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.99.1.60

    authors: Patel MB,Kaplan IV,Patni RN,Levy D,Strom JA,Shirani J,LeJemtel TH

    更新日期:1999-01-05 00:00:00

  • Ascorbic acid prevents contrast-mediated nephropathy in patients with renal dysfunction undergoing coronary angiography or intervention.

    abstract:BACKGROUND:Contrast agents can cause a reduction in renal function that may be due to the generation of reactive oxygen species. Conflicting evidence suggests that administration of the antioxidant acetylcysteine prevents this renal impairment. The action of other antioxidant agents has not been investigated. METHODS ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.CIR.0000146396.19081.73

    authors: Spargias K,Alexopoulos E,Kyrzopoulos S,Iokovis P,Greenwood DC,Manginas A,Voudris V,Pavlides G,Buller CE,Kremastinos D,Cokkinos DV

    更新日期:2004-11-02 00:00:00

  • Dissecting aneurysm of aorta complicating aortic valvular stenosis.

    abstract::Six cases of classical dissecting aneurysm of the aorta complicating aortic valvular disease in which aortic stenosis was dominant are described. In three of the cases the aortic complication occurred after the natural aortic valve had been replaced by a prosthetic valve. The longest postoperative period was four mont...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.53.1.169

    authors: Fukuda T,Tadavarthy SM,Edwards JE

    更新日期:1976-01-01 00:00:00

  • Epinephrine increases the severity of postresuscitation myocardial dysfunction.

    abstract:BACKGROUND:Epinephrine has been the mainstay for cardiac resuscitation for more than 30 years. Its vasopressor effect by which it increases coronary perfusion pressure is likely to favor initial resuscitation. Its beta-adrenergic action, however, may have detrimental effects on postresuscitation myocardial function whe...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.10.3089

    authors: Tang W,Weil MH,Sun S,Noc M,Yang L,Gazmuri RJ

    更新日期:1995-11-15 00:00:00

  • Impact of moderate functional mitral insufficiency in patients undergoing surgical revascularization.

    abstract:BACKGROUND:Mild and moderate functional ischemic mitral insufficiency present at the time of surgical revascularization present clinical uncertainty. It is unclear whether the relatively poor outcomes in this cohort are dependent on valvular function or related to left ventricular dysfunction. The purpose of this study...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.001230

    authors: Grossi EA,Crooke GA,DiGiorgi PL,Schwartz CF,Jorde U,Applebaum RM,Ribakove GH,Galloway AC,Grau JB,Colvin SB

    更新日期:2006-07-04 00:00:00

  • Functional dissociation of cellular activation as a mechanism of Mobitz type II atrioventricular block.

    abstract:BACKGROUND:Several mechanisms have been advanced to explain Mobitz type II atrioventricular block in the ischemically damaged His-Purkinje system. Only recently, however, has an animal model been developed to study this form of conduction defect in vivo and in vitro. METHODS AND RESULTS:Conduction defects were induced...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.87.4.1389

    authors: Gonzalez MD,Scherlag BJ,Mabo P,Lazzara R

    更新日期:1993-04-01 00:00:00

  • Biventricular circulatory support with two miniaturized implantable assist devices.

    abstract:BACKGROUND:Up to 30% of patients with end-stage heart failure experience biventricular failure that requires biventricular mechanical support. For these patients, only bulky extracorporeal or implantable displacement pumps or the total artificial heart have been available to date, which enables only limited quality of ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.110.011502

    authors: Krabatsch T,Potapov E,Stepanenko A,Schweiger M,Kukucka M,Huebler M,Hennig E,Hetzer R

    更新日期:2011-09-13 00:00:00

  • Role of ATP-sensitive K+ channel on ECG ST segment elevation during a bout of myocardial ischemia. A study on epicardial mapping in dogs.

    abstract:BACKGROUND:ATP-sensitive K+ channels are activated when the myocardium becomes ischemic. However, the role of the ATP-sensitive K+ current in the emergence of ECG ST changes during ischemia remained unclarified. METHODS AND RESULTS:The left anterior descending coronary artery (LAD) was cannulated and perfused with art...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.88.4.1845

    authors: Kubota I,Yamaki M,Shibata T,Ikeno E,Hosoya Y,Tomoike H

    更新日期:1993-10-01 00:00:00

  • Exaggerated endothelin release in high-altitude pulmonary edema.

    abstract:BACKGROUND:Exaggerated pulmonary hypertension is thought to play an important part in the pathogenesis of high-altitude pulmonary edema (HAPE). Endothelin-1 is a potent pulmonary vasoconstrictor peptide that also augments microvascular permeability. METHODS AND RESULTS:We measured endothelin-1 plasma levels and pulmon...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.99.20.2665

    authors: Sartori C,Vollenweider L,Löffler BM,Delabays A,Nicod P,Bärtsch P,Scherrer U

    更新日期:1999-05-25 00:00:00

  • Minoxidil in patients with chronic left heart failure: contrasting hemodynamic and clinical effects in a controlled trial.

    abstract::Minoxidil, a potent predominant arterial dilator, improves hemodynamics over the short term in patients with heart failure. In random double-blind fashion 17 patients with chronic left heart failure were given minoxidil (nine patients) or placebo (eight patients) in addition to digoxin and diuretics for 3 months. Card...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.70.1.63

    authors: Franciosa JA,Jordan RA,Wilen MM,Leddy CL

    更新日期:1984-07-01 00:00:00

  • Contractile state of the left ventricle in man as evaluated from end-systolic pressure-volume relations.

    abstract::End-systolic pressure (PES), volume (VES), wall tension (TES) and circumference (CES) of the human left ventricle were studied at cardiac catheterization in 24 subjects with varying degrees of left ventricular dysfunction. Acute alterations in systolic load consistently resulted in changes in VES and CES, with a small...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.56.5.845

    authors: Grossman W,Braunwald E,Mann T,McLaurin LP,Green LH

    更新日期:1977-11-01 00:00:00

  • Clinical and Genetic Determinants of Varicose Veins.

    abstract:BACKGROUND:Varicose veins are a common problem with no approved medical therapies. Although it is believed that varicose vein pathogenesis is multifactorial, there is limited understanding of the genetic and environmental factors that contribute to their formation. Large-scale studies of risk factors for varicose veins...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.118.035584

    authors: Fukaya E,Flores AM,Lindholm D,Gustafsson S,Zanetti D,Ingelsson E,Leeper NJ

    更新日期:2018-12-18 00:00:00

  • Firing properties of single muscle vasoconstrictor neurons in the sympathoexcitation associated with congestive heart failure.

    abstract:BACKGROUND:Congestive heart failure (CHF) in humans is associated with a marked sympathoexcitation, including an augmented muscle sympathetic nerve activity (MSNA) in intraneural multiunit recordings. In the present study, single-unit recording was used to evaluate whether the firing properties of individual muscle vas...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.16.1708

    authors: Macefield VG,Rundqvist B,Sverrisdottir YB,Wallin BG,Elam M

    更新日期:1999-10-19 00:00:00

  • Right ventricular fibrosis and conduction delay in a patient with clinical signs of Brugada syndrome: a combined electrophysiological, genetic, histopathologic, and computational study.

    abstract:BACKGROUND:The mechanism of ECG changes and arrhythmogenesis in Brugada syndrome (BS) patients is unknown. METHODS AND RESULTS:A BS patient without clinically detected cardiac structural abnormalities underwent cardiac transplantation for intolerable numbers of implantable cardioverter/defibrillator discharges. The pa...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.532614

    authors: Coronel R,Casini S,Koopmann TT,Wilms-Schopman FJ,Verkerk AO,de Groot JR,Bhuiyan Z,Bezzina CR,Veldkamp MW,Linnenbank AC,van der Wal AC,Tan HL,Brugada P,Wilde AA,de Bakker JM

    更新日期:2005-11-01 00:00:00

  • Comparative effectiveness of exercise electrocardiography with or without myocardial perfusion single photon emission computed tomography in women with suspected coronary artery disease: results from the What Is the Optimal Method for Ischemia Evaluation

    abstract:BACKGROUND:There is a paucity of randomized trials regarding diagnostic testing in women with suspected coronary artery disease (CAD). It remains unclear whether the addition of myocardial perfusion imaging (MPI) to the standard ECG exercise treadmill test (ETT) provides incremental information to improve clinical deci...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.111.029660

    authors: Shaw LJ,Mieres JH,Hendel RH,Boden WE,Gulati M,Veledar E,Hachamovitch R,Arrighi JA,Merz CN,Gibbons RJ,Wenger NK,Heller GV,WOMEN Trial Investigators.

    更新日期:2011-09-13 00:00:00

  • Long-term graft patency (3 years) after coronary artery surgery. Effects of aspirin: results of a VA Cooperative study.

    abstract:BACKGROUND:The long-term success of coronary bypass surgery is dependent on graft patency after surgery. This trial was designed to determine if aspirin improved saphenous vein graft or internal mammary artery (IMA) graft patency between 1 and 3 years after coronary artery bypass grafting (CABG). METHODS AND RESULTS:A...

    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.89.3.1138

    authors: Goldman S,Copeland J,Moritz T,Henderson W,Zadina K,Ovitt T,Kern KB,Sethi G,Sharma GV,Khuri S

    更新日期:1994-03-01 00:00:00

  • Effect of High-Intensity Interval Training in De Novo Heart Transplant Recipients in Scandinavia.

    abstract:BACKGROUND:There is no consensus on how, when, or at what intensity exercise should be performed after heart transplantation (HTx). We have recently shown that high-intensity interval training (HIT) is safe, well tolerated, and efficacious in the maintenance state after HTx, but studies have not investigated HIT effect...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.118.036747

    authors: Nytrøen K,Rolid K,Andreassen AK,Yardley M,Gude E,Dahle DO,Bjørkelund E,Relbo Authen A,Grov I,Philip Wigh J,Have Dall C,Gustafsson F,Karason K,Gullestad L

    更新日期:2019-05-07 00:00:00

  • CD137 is expressed in human atherosclerosis and promotes development of plaque inflammation in hypercholesterolemic mice.

    abstract:BACKGROUND:Atherosclerosis is a multifactorial disease in which inflammatory processes play an important role. Inflammation underlies lesion evolution at all stages, from establishment to plaque rupture and thrombosis. Costimulatory molecules of the tumor necrosis factor superfamily such as CD40/CD40L and OX40/OX40L ha...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.107.699173

    authors: Olofsson PS,Söderström LA,Wågsäter D,Sheikine Y,Ocaya P,Lang F,Rabu C,Chen L,Rudling M,Aukrust P,Hedin U,Paulsson-Berne G,Sirsjö A,Hansson GK

    更新日期:2008-03-11 00:00:00

  • Passive ventricular constraint prevents transmural shear strain progression in left ventricle remodeling.

    abstract:BACKGROUND:Passive ventricular constraint provides external cardiac support to reduce left ventricular (LV) wall stress and myocardial stretch, which are primary determinants of LV remodeling. Altered wall strain results in cytokine and reactive oxygen species production, which, in turn, stimulates apoptosis and extrac...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.001578

    authors: Cheng A,Nguyen TC,Malinowski M,Langer F,Liang D,Daughters GT,Ingels NB Jr,Miller DC

    更新日期:2006-07-04 00:00:00

  • Noninvasive quantitation of valvular regurgitation by gated equilibrium radionuclide angiography.

    abstract::R-wave synchronous equilbrium radionuclide angiography (RNA) is a noninvasive method that provides time-activity curve count information proportional to ventricular volumes and is used for relative volume comparisons within the left or right ventricle to derive the ejection fraction. Comparison of the ventricular coun...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.62.5.1089

    authors: Sorensen SG,O'Rourke RA,Chaudhuri TK

    更新日期:1980-11-01 00:00:00

  • Low-Attenuation Noncalcified Plaque on Coronary Computed Tomography Angiography Predicts Myocardial Infarction: Results From the Multicenter SCOT-HEART Trial (Scottish Computed Tomography of the HEART).

    abstract:BACKGROUND:The future risk of myocardial infarction is commonly assessed using cardiovascular risk scores, coronary artery calcium score, or coronary artery stenosis severity. We assessed whether noncalcified low-attenuation plaque burden on coronary CT angiography (CCTA) might be a better predictor of the future risk ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.119.044720

    authors: Williams MC,Kwiecinski J,Doris M,McElhinney P,D'Souza MS,Cadet S,Adamson PD,Moss AJ,Alam S,Hunter A,Shah ASV,Mills NL,Pawade T,Wang C,Weir McCall J,Bonnici-Mallia M,Murrills C,Roditi G,van Beek EJR,Shaw LJ,Nicol E

    更新日期:2020-05-05 00:00:00

  • The interaction of verapamil and norverapamil with beta-adrenergic receptors.

    abstract::To determine the effect of calcium-channel blockers on beta-adrenergic receptors, we studied the interactions of verapamil, diltiazem, and nifedipine with both human lymphocyte beta 2-adrenergic receptors and rat myocardial beta 1-adrenergic receptors by means of radioligand binding assays. We also determined the func...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.72.3.547

    authors: Feldman RD,Park GD,Lai CY

    更新日期:1985-09-01 00:00:00

  • Carotid endarterectomy based on duplex scanning without preoperative arteriography.

    abstract::Between July 1985 and September 1987, 25 patients underwent 26 carotid endarterectomies based on an abnormal duplex scan (B-mode ultrasonography and pulsed-Doppler sound spectral analysis) indicative of severe stenosis or ulceration. Arteriography was not performed because of severe unstable angina requiring coronary ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Marshall WG Jr,Kouchoukos NT,Murphy SF,Pelate C

    更新日期:1988-09-01 00:00:00

  • Index matching to improve optical coherence tomography imaging through blood.

    abstract:BACKGROUND:Most myocardial infarctions are caused by the rupture of small rather than large plaques in the arteries of the heart that are beyond the detection limit of current technologies. METHODS AND RESULTS:Recently, optical coherence tomography (OCT) has demonstrated considerable potential as a method for high-res...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.15.1999

    authors: Brezinski M,Saunders K,Jesser C,Li X,Fujimoto J

    更新日期:2001-04-17 00:00:00

  • Abnormalities of cardiac sympathetic function in pacing-induced heart failure as assessed by [123I]metaiodobenzylguanidine scintigraphy.

    abstract:BACKGROUND:Increased activity of the sympathetic nervous system contributes significantly to the pathophysiology of heart failure. However, cardiac efferent sympathetic function has not been well characterized in this disorder. In this study, we evaluated cardiac sympathetic innervation using [123I]metaiodobenzylguanid...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.89.6.2843

    authors: Simmons WW,Freeman MR,Grima EA,Hsia TW,Armstrong PW

    更新日期:1994-06-01 00:00:00