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猪急性冠状动脉闭塞时跨边界区心肌表面氧分压。美托洛尔或异丙肾上腺素预处理的比较。

Myocardial surface oxygen pressure across the border zone in the pig during acute coronary artery occlusion. A comparison of pretreatment with metoprolol or isoprenaline.

作者信息

Walfridsson H, Lewis D H

机构信息

Department of Internal Medicine, University Hospital, Linköping, Sweden.

出版信息

Basic Res Cardiol. 1987 Sep-Oct;82(5):465-72. doi: 10.1007/BF01907094.

Abstract

Tissue oxygen pressure was measured in the pig heart during repeated coronary artery occlusions. ptO2 was measured with an array-multiwire-electrode across the border zone, i.e. the transition zone between normal and ischaemic myocardium. The LAD was occluded three times, each lasting 5 min and with 55 min of reperfusion between the occlusions. Three groups of animals were studied: Group 1 served as controls; Group 2 were given metoprolol 0.3 mg/kg i.v. after the first LAD occlusion; Group 3 were given isoprenaline in a continuous infusion, started after the first LAD occlusion and continued throughout the rest of the experiment. Heart rate differed as expected between the two treated groups. The pattern of ptO2 values across the border zone repeated itself for each animal. No change in the pattern of ptO2 values was seen in either treatment group. In conclusion, there were no indications that it was possible to change the ptO2 of the border zone in the pig heart either with metoprolol or isoprenaline in the doses used.

摘要

在猪心脏反复冠状动脉闭塞期间测量组织氧分压。通过阵列多丝电极在边界区(即正常心肌与缺血心肌之间的过渡区)测量组织氧分压(ptO2)。左前降支(LAD)闭塞三次,每次持续5分钟,闭塞之间有55分钟的再灌注时间。研究了三组动物:第1组作为对照组;第2组在第一次LAD闭塞后静脉注射美托洛尔0.3mg/kg;第3组在第一次LAD闭塞后开始持续输注异丙肾上腺素,并在实验的其余时间持续进行。两个治疗组的心率如预期的那样有所不同。每只动物边界区的ptO2值模式都重复出现。两个治疗组中ptO2值的模式均未出现变化。总之,没有迹象表明在所使用的剂量下,美托洛尔或异丙肾上腺素能够改变猪心脏边界区的ptO2。

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