Document Detail


Does aprotinin modify the effects of ischaemia-reperfusion on the myocardial performance of a blood perfused isolated rabbit heart?
MedLine Citation:
PMID:  10583356     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Aprotinin has been reported to influence positively or negatively the process of ischaemia-reperfusion. However, it is a complex drug acting on platelets, neutrophils and coagulation, which may also have a direct effect by inhibiting intracellular proteases and free radical generation. The goal of this study was to determine the direct effects of aprotinin on the myocardial performances of an isolated blood perfused rabbit heart preparation after normothermic global ischaemia. Two groups of 10 hearts were studied. The control group (ischaemia) underwent 30 min of global normothermic ischaemia. In the aprotinin group, (aprotinin) 200 KUI mL-1 of aprotinin was added to the perfusate before ischaemia. Measurements were obtained at base-line, 10, 30 and 60 min after reperfusion. Normothermic ischaemia significantly decreased myocardial performance in both groups. After 60 min reperfusion, myocardial contractility significantly recovered in the aprotinin group compared with the ischaemia group. Aprotinin contributes significantly by limiting the consequences of ischaemia on myocardial performances. This effect may be due to a direct action of the drug because leucocytes and plasma proteins were removed in this preparation.
Authors:
D Sirieix; F Clinquart; S Delayance; S Massonnet-Castel; M Paris; J F Baron
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Publication Detail:
Type:  In Vitro; Journal Article    
Journal Detail:
Title:  European journal of anaesthesiology     Volume:  16     ISSN:  0265-0215     ISO Abbreviation:  Eur J Anaesthesiol     Publication Date:  1999 Oct 
Date Detail:
Created Date:  1999-12-22     Completed Date:  1999-12-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8411711     Medline TA:  Eur J Anaesthesiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  712-8     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Broussais Hospital, Paris, France.
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MeSH Terms
Descriptor/Qualifier:
Animals
Aprotinin / pharmacology*
Carbon Dioxide / blood
Coronary Circulation / drug effects
Hemostatics / pharmacology*
Male
Myocardial Contraction / drug effects*
Myocardial Reperfusion Injury / blood,  physiopathology*
Oxygen Consumption / drug effects
Rabbits
Serine Proteinase Inhibitors / pharmacology*
Ventricular Function, Left / drug effects
Chemical
Reg. No./Substance:
0/Hemostatics; 0/Serine Proteinase Inhibitors; 124-38-9/Carbon Dioxide; 9087-70-1/Aprotinin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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