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[β受体阻滞剂普萘洛尔(奥必他)对实验性急性冠状动脉闭塞时心肌中高能磷酸化合物含量及坏死区域大小发展的影响]

[Effect of the beta-blocker propranolol (obzidan) on the content of macroergic phosphates and the development of the size of necrotic areas in the myocardium in experimental acute coronary occlusion].

作者信息

Irgashev Sh B, Mavridi D I, Iuldashev N M

出版信息

Kardiologiia. 1988 Aug;28(8):86-90.

PMID:3199662
Abstract

Coronary arterial occlusion, maintained for 7 days in rabbits was accompanied by a marked and fairly stable drop in macroergic phosphates (ATP, creatine phosphate), seen in the perinecrotic and distant left and right ventricular myocardium. The administration of 0.5 mg/kg propranolol twice daily within 30-40 min after coronary arterial ligation resulted in a significant increase in ATP and the adenine nucleotides pool at a distance from the necrotic focus in the right and left ventricular myocardium on treatment days 3 and 7 and did not affect the recovery of normal creatine phosphate in the same myocardial areas. Propranolol treatment limited progressive death of myocardial cell population, reducing by 37% myocardial infarction size by day 7 of the experimental study, as compared to the situation in the untreated animals.

摘要

兔冠状动脉闭塞7天,伴随着宏观高能磷酸盐(ATP、磷酸肌酸)显著且相当稳定的下降,这种下降在坏死周边以及左、右心室心肌远处均可见。在冠状动脉结扎后30 - 40分钟内,每日两次给予0.5mg/kg普萘洛尔,在治疗第3天和第7天,可使左、右心室心肌坏死灶远处的ATP和腺嘌呤核苷酸池显著增加,且不影响同一心肌区域正常磷酸肌酸的恢复。与未治疗动物相比,普萘洛尔治疗限制了心肌细胞群的进行性死亡,在实验研究第7天时心肌梗死面积减少了37%。

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