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001-es BibID:BIBFORM046643
035-os BibID:PMID:2674453
Első szerző:Szekeres László
Cím:7-oxo-PgI2 induced late appearing and long-lasting electrophysiological changes in the heart in situ of the rabbit, guinea-pig, dog and cat / L. Szekeres, Z. Szilvassy, Éva Udvary, Ágnes Végh
Dátum:1989
ISSN:0022-2828
Megjegyzések:We have previously observed a long-lasting antiischemic and anti-arrhythmic effect induced by prostacyclin (PgI2) or its stable analogue, 7-oxo-PgI2-ephedrine salt in dogs subject to local myocardial ischemia. This protection appeared when the vasodilating and platelet aggregation inhibiting effect of PgI2 or its analogue was over and persisted even 72 h after treatment. We have also found that short incubation with 7-oxo-PgI2 may induce a long-lasting prolongation of the action potential duration and of the effective refractory period in the isolated rabbit papillary muscle preparation without affecting the membrane potential or the rate of rise of the action potential.Our present experiments have shown a 7-oxo-PgI2 induced, dose-dependent prolongation of the ventricular functional refractory period in conscious rabbits and anesthetized dogs, as well as an increase of the QT interval in the ECG in both species and also in conscious guinea-pigs. In all three species 50 ?g/kg i.m. dose proved to be optimal, evoking maximal effect 48 h after treatment. In conscious rabbits this pre-treatment prevented the train of non-stimulated extra beats induced by premature stimuli. Furthermore it also prevented widening of the QRS complex appearing in non-treated controls after programmed stimulation. Pre-treatment significantly increased electrical fibrillo-flutter thresholds in the auricles and ventricles of anesthetized cats. These electrophysiological changes seem to be closely related to the 7-oxo-PgI2 induced, late appearing and long-lasting protection from ischemic and reperfusion arrhythmias.
Tárgyszavak:Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
7-oxo-PgI2
Action potential duration
Functional refractory period
Fibrillo-flutter threshold
Megjelenés:Journal of Molecular and Cellular Cardiology. - 21 : 6 (1989), p. 545-554. -
További szerzők:Szilvássy Zoltán (1957-) (belgyógyász, farmakológus, klinikai farmakológus) Udvary Éva Végh Ágnes
Internet cím:Szerző által megadott URL
DOI
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001-es BibID:BIBFORM046573
035-os BibID:PMID:832479
Első szerző:Szekeres László
Cím:Moderate stress by cardiac pacing may induce both short term and long term cardioprotection / László Szekeres, Julius Gy. Papp, Zoltán Szilvassy, Éva Udvary, Ágnes Vegh
Dátum:1993
ISSN:0008-6363
Megjegyzések:Objective: The aim was to investigate whether moderate ischaemic stress induced by brief periods of cardiac pacing to twice the normal heart rate protects the heart from the electrophysiological and haemodynamic consequences of subsequent periods of rapid pacing. Methods: Conscious rabbits with implanted right ventricular electrodes and a permanent catheter in the left ventricular cavity were studied. Hearts were paced at a rate of 500?min?1 for 5 min. The resulting transient ST segment elevation in the intracavital electrogram, the ventricular effective refractory period, and the left ventricular end diastolic pressure were measured. Results: After discontinuation of pacing, a shortlasting ST segment elevation appeared in the endocardial electrogram, together with a transient rise in left ventricular end diastolic pressure. These changes were significantly reduced after a second pacing, provided that this was applied not later than 30 min after the first pacing; maximum protection occurred when there was a 5 min interval between these pacing periods. Serial stimulation (10 pacing periods with a 5 min interval between each) gave a similar protection to that resulting from a single pacing period. The protection was lost after 1 h; however, 24 h and 48 h (but not 72 h) after the end of serial stimulation there was again a reduction in postpacing ST segment and left ventricular end diastolic pressure elevation. At these times the ventricular effective refractory period was prolonged. The cyclo-oxygenase inhibitor sodium meclofenamate (1-2 mg?kg?1) prevented the early protection. Conclusions: The results suggest that brief periods of rapid pacing induce both short term and long term cardioprotection, as shown by reduced electrophysiological and haemodynamic consequences of subsequent pacing periods. Endogenous prostanoids might play a role in the short term cardioprotection.
Tárgyszavak:Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
ventricular overpacing
ischemia
short term cardioprotection
long term cardioprotection
Megjelenés:Cardiovascular Research. - 27 : 4 (1993), p. 593-596. -
További szerzők:Papp Gy. Julius (Szeged) Szilvássy Zoltán (1957-) (belgyógyász, farmakológus, klinikai farmakológus) Udvary Éva Végh Ágnes
Internet cím:Szerző által megadott URL
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