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利多卡因与手术改良可降低冠状动脉结扎诱导的大鼠心力衰竭模型的死亡率。

Lidocaine and surgical modification reduces mortality in a rat model of cardiac failure induced by coronary artery ligation.

作者信息

Kompa A R, Summers R J

机构信息

Department of Pharmacology, Monash University, Victoria 3800, Australia.

出版信息

J Pharmacol Toxicol Methods. 2000 May-Jun;43(3):199-203. doi: 10.1016/s1056-8719(00)00103-9.

DOI:10.1016/s1056-8719(00)00103-9
PMID:11257484
Abstract

Coronary artery ligation in the rat provides a useful experimental model of cardiac failure; however, this procedure carries with it a high mortality rate (50%). In this study, we used lidocaine (10 mg/kg, i.m.) before coronary artery ligation and 2 h after surgery to minimise the incidence of ventricular fibrillation (VF) that leads to sudden death in this model. We found that coronary artery ligation, using lidocaine in conjunction with a modified surgical procedure, had a mortality rate of 15%, much lower than reported in previous studies using this model. These modifications allow for the production of larger infarcts with 29% of animals having an infarct size > 50% of the epicardial surface. Infarct size in our myocardial infarction (MI) group varied between 5% and 75% of the left ventricular (LV) surface area resulting in a mean infarct size of 41.3 +/- 1.3% for the epicardial surface and 40.0 +/- 1.3% for the endocardial surface.

摘要

大鼠冠状动脉结扎术提供了一种有用的心力衰竭实验模型;然而,该手术伴随着较高的死亡率(50%)。在本研究中,我们在冠状动脉结扎前及术后2小时使用利多卡因(10mg/kg,肌肉注射),以降低该模型中导致猝死的室颤(VF)发生率。我们发现,联合使用利多卡因及改良手术方法进行冠状动脉结扎,死亡率为15%,远低于此前使用该模型的研究报告。这些改良方法能够产生更大的梗死灶,29%的动物梗死灶大小超过心外膜表面积的50%。我们心肌梗死(MI)组的梗死灶大小在左心室(LV)表面积的5%至75%之间变化,心外膜表面积的平均梗死灶大小为41.3±1.3%,心内膜表面积为40.0±1.3%。

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