| Recombinant tissue-type plasminogen activator ameliorates ischemic derangements induced by thrombotic occlusion in closed chest anesthetized dogs. | |
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MedLine Citation:
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PMID: 1607528 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Effects of thrombotic coronary occlusion followed by thrombolytic reperfusion with recombinant tissue-type plasminogen activator (rt-PA) on infarct size and left ventricular function were studied in anesthetized closed chest dogs. After thrombotic occlusion of the left anterior descending coronary artery was produced by a copper coil technique, 74 dogs were randomly alloted to three groups; dogs treated with rt-PA at 90 min (n = 23) (group I) and at 180 min (n = 25) (group II) of the thrombotic occlusion, and 26 dogs treated with saline solution (permanent thrombotic occlusion, group III). The loading dose of intravenous rt-PA was 8,160 IU/kg body weight per min at the initial 60 min and the maintenance dose was 2,450 IU/kg per min continuously infused for 24 h. Thrombolytic recanalization was achieved at 15 +/- 4 and 18 +/- 6 min after rt-PA infusion in groups I and II, respectively. Infarct size and area at risk were determined by triphenyltetrazolium chloride staining and postmortem angiography; infarct size/area at risk ratio was 10 +/- 3% (n = 10), 33 +/- 7% (n = 9) and 63 +/- 3% (n = 10) in groups I, II and III, respectively (difference significant among groups). To examine whether infarct size and left ventricular function after thrombolytic reperfusion differ from those after mechanical reperfusion, 39 other dogs (group IV) underwent mechanical coronary occlusion for 106 +/- 1 min (occlusion period comparable with that of group I) and reperfusion using a balloon catheter.(ABSTRACT TRUNCATED AT 250 WORDS) |
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Authors:
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K Egashira; K Kawai; M Nagano; A Sakuma; M Nakamura; H Tomoike |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of the American College of Cardiology Volume: 20 ISSN: 0735-1097 ISO Abbreviation: J. Am. Coll. Cardiol. Publication Date: 1992 Jul |
Date Detail:
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Created Date: 1992-07-20 Completed Date: 1992-07-20 Revised Date: 2009-11-19 |
Medline Journal Info:
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Nlm Unique ID: 8301365 Medline TA: J Am Coll Cardiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 218-25 Citation Subset: AIM; IM; S |
Affiliation:
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Research Institute of Angiocardiology, Kyushu University School of Medicine, Fukuoka, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia Animals Dogs Female Fibrinogen / analysis Hemodynamics Male Myocardial Contraction / drug effects* Myocardial Infarction / blood, drug therapy*, pathology Myocardial Reperfusion Plasminogen / analysis Recombinant Proteins / blood, pharmacology Thrombolytic Therapy* Tissue Plasminogen Activator / blood, pharmacology* Ventricular Function, Left / physiology alpha-2-Antiplasmin / analysis |
| Chemical | |
Reg. No./Substance:
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0/Recombinant Proteins; 0/alpha-2-Antiplasmin; 9001-32-5/Fibrinogen; 9001-91-6/Plasminogen; EC 3.4.21.68/Tissue Plasminogen Activator |
| Comments/Corrections | |
Comment In:
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J Am Coll Cardiol. 1992 Jul;20(1):226-7
[PMID:
1607529
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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