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预处理对离体大鼠心脏再灌注诱导的室性心律失常的保护作用。

Protective effect of preconditioning on reperfusion induced ventricular arrhythmias of isolated rat hearts.

作者信息

Osada M, Sato T, Komori S, Tamura K

机构信息

Second Department of Internal Medicine, Yamanashi Medical College, Japan.

出版信息

Cardiovasc Res. 1991 Jun;25(6):441-4. doi: 10.1093/cvr/25.6.441.

Abstract

STUDY OBJECTIVE

The aim was to investigate the effect of preconditioning on reperfusion induced arrhythmias in the isolated working rat heart.

DESIGN

Rat hearts were perfused with modified Krebs-Henseleit bicarbonate buffer. A 15 min period of global ischaemia was performed followed by a reperfusion period of 5 min. This procedure was repeated three times. Hearts were divided into the control group (n = 10) and the free radical scavenger group (n = 11). Hearts in the latter were reperfused in the presence of scavengers (SOD 3.5 x 10(4) U.litre-1 and catalase 5.0 x 10(5) U.litre-1).

EXPERIMENTAL MATERIAL

Hearts were obtained from male Sprague-Dawley rats (270-350 g).

MEASUREMENTS AND MAIN RESULTS

The incidence of reperfusion induced ventricular fibrillation in the control group decreased from 100% to 70% (NS) and to 40% (p less than 0.01) during the second and the third reperfusion periods, respectively. In the scavenger group, the incidence of ventricular fibrillation was the same in each reperfusion period at 45%. The time to onset of ventricular fibrillation increased at the second reperfusion in both groups.

CONCLUSIONS

(1) The protective effect of preconditioning on reperfusion induced arrhythmia is evident in the isolated rat heart. (2) Addition of free radical scavengers reduced the incidence of reperfusion arrhythmia. However, the protective effect of preconditioning was lost.

摘要

研究目的

旨在研究预处理对离体工作大鼠心脏再灌注诱导心律失常的影响。

设计

用改良的克雷布斯-亨泽莱特碳酸氢盐缓冲液灌注大鼠心脏。进行15分钟的全心缺血,随后进行5分钟的再灌注。此过程重复三次。心脏被分为对照组(n = 10)和自由基清除剂组(n = 11)。后者的心脏在清除剂(超氧化物歧化酶3.5×10⁴ U·升⁻¹和过氧化氢酶5.0×10⁵ U·升⁻¹)存在的情况下进行再灌注。

实验材料

心脏取自雄性斯普拉格-道利大鼠(270 - 350克)。

测量与主要结果

对照组中,再灌注诱导的室颤发生率在第二次和第三次再灌注期间分别从100%降至70%(无统计学意义)和40%(p < 0.01)。在清除剂组中,每个再灌注期室颤发生率均为45%。两组在第二次再灌注时室颤发作时间均延长。

结论

(1)预处理对再灌注诱导心律失常的保护作用在离体大鼠心脏中明显。(2)添加自由基清除剂降低了再灌注心律失常的发生率。然而,预处理的保护作用丧失。

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