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雷米普利与BQ-123对大鼠体内心肌缺血/再灌注损伤的心脏保护作用

[Cardioprotection of ramipril and BQ-123 against myocardial ischemia/reperfusion injury in vivo in rats].

作者信息

Wang Yao, Huang Zhuo-Jun, Song Jun-Qiu, Wu Yan-Na, Liu Yan-Xia

机构信息

Pharmacology Department of Basic College, Tianjin Medical University, Tianjin 300070, China.

出版信息

Zhongguo Ying Yong Sheng Li Xue Za Zhi. 2009 Nov;25(4):478-82.

Abstract

AIM

To study the protective effects of ramipril in combination with BQ-123 on myocardial ischemia/reperfusion (I/R) injury in vivo in anesthetized rats.

METHODS

Healthy male Wistar rats were divided into 5 groups randomly and subjected to 30 min of myocardial ischemia followed by 120 min reperfusion. Ramipril, BQ-123 and their combination were given to rats respectively. To observe the protection of their combination against myocardial I/R injury. HR, MAP and the change of ST-segment were observed. Ventricular arrthymias were monitored. The activity of creatine kinase (CK) and lactate dehydrogenase (LDH) in plasma, the infarct size and morphologic change were examined.

RESULTS

Compared with I/R group, the elevation of ST-segment was decreased. Onsets of VPC and VT were delayed, durations of VPC and VT were shortened, especially their combination. Incidences of VPC, VT and VF were decreased. Activity of plasma CK and LDH was decreased, especially their combination. IS, IS/AAR and the morphology of myocardium were improved, especially their combination.

CONCLUSION

Ramipril, BQ-123 and combined using these two agents protected myocardium from I/R injury in vivo. The protective effects on delaying onset of VA, shortening duration of VA, decreasing the activities of CK and LDH, decreasing infrarct size and improving morphology of myocardium were better than using ramipril and BQ-123 alone.

摘要

目的

研究雷米普利联合BQ - 123对麻醉大鼠体内心肌缺血/再灌注(I/R)损伤的保护作用。

方法

将健康雄性Wistar大鼠随机分为5组,进行30分钟心肌缺血,随后再灌注120分钟。分别给予大鼠雷米普利、BQ - 123及其联合用药。观察其联合用药对心肌I/R损伤的保护作用。观察心率(HR)、平均动脉压(MAP)及ST段变化。监测室性心律失常。检测血浆肌酸激酶(CK)和乳酸脱氢酶(LDH)活性、梗死面积及形态学变化。

结果

与I/R组相比,ST段抬高降低。室性早搏(VPC)和室性心动过速(VT)的发作延迟,VPC和VT的持续时间缩短,尤其是联合用药组。VPC、VT和室颤(VF)的发生率降低。血浆CK和LDH活性降低,尤其是联合用药组。梗死面积(IS)、梗死面积与危险区面积比值(IS/AAR)及心肌形态得到改善,尤其是联合用药组。

结论

雷米普利、BQ - 123及二者联合用药均可保护体内心肌免受I/R损伤。在延迟室性心律失常发作、缩短室性心律失常持续时间、降低CK和LDH活性、减小梗死面积及改善心肌形态方面,联合用药的保护作用优于单独使用雷米普利和BQ - 123。

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