Document Detail


Protective effects of long-term bradycardial pacing against catecholamine-induced myocardial damage in rabbit hearts.
MedLine Citation:
PMID:  3359579     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A high intravenous dose of norepinephrine (4 micrograms/kg/min for 60 minutes) to New Zealand Red rabbits produced patchy subendocardial damage (estimated stereologically in frozen sections) of about 5% of the heart volume 2 days after application. The damaged areas showed loss of staining for alkaline phosphatase, an enzyme present in normal capillary endothelium. Heart performance (cardiac output index, cardiac work [i.e., cardiac output X mean blood pressure], and dP/dtmax) were significantly lower than in control hearts. Capillary density distribution estimated in nondamaged areas of the left ventricular free wall was inhomogeneous favoring subepicardial regions, while homogeneous transmural distribution was found in control hearts. Bradycardial pacing (reduction of heart rate to 50% of normal) performed for 3-4 weeks prior to norepinephrine administration showed a protective effect against catecholamine damage manifested in a smaller extent of necrosis, in the maintenance of homogeneous transmural capillary distribution in nondamaged areas, and, most importantly, in the maintenance of normal cardiac pump performance at rest and during maximal work in response to acutely administered norepinephrine.
Authors:
M D Brown; O Hudlická
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Circulation research     Volume:  62     ISSN:  0009-7330     ISO Abbreviation:  Circ. Res.     Publication Date:  1988 May 
Date Detail:
Created Date:  1988-06-01     Completed Date:  1988-06-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0047103     Medline TA:  Circ Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  965-74     Citation Subset:  IM    
Affiliation:
Department of Physiology, University of Birmingham Medical School, England.
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MeSH Terms
Descriptor/Qualifier:
Animals
Bradycardia / physiopathology*
Capillaries / analysis
Coronary Vessels / analysis
Dose-Response Relationship, Drug
Female
Heart / physiology
Heart Ventricles / analysis
Infusions, Intravenous
Male
Myocardium / pathology*
Norepinephrine / administration & dosage*,  pharmacology
Rabbits
Time Factors
Chemical
Reg. No./Substance:
51-41-2/Norepinephrine

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


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