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[缺氧性心脏挛缩的发病机制与预防]

[Pathogenesis and the prevention of hypoxic heart contracture].

作者信息

Meerson F Z, Abdikaliev N A

出版信息

Kardiologiia. 1981 Apr;21(4):60-7.

PMID:7253397
Abstract

The authors studied the development of hypoxic contracture of an isolated isovolumic rat heart and the effect of a water-soluble antioxidant of the class of oxypyridines, OX YP-6, on such a contracture. It was established that a contracture manifested by a rise of diastolic pressure from 5 to 40 mm Hg develops regularly in the isolated heart of control animals after 20 minutes of hypoxia. Administration of the antioxidant OX YP-6 to animals for 3 days preceding the experiment prevented the contracture completely and caused fuller and more rapid restoration of heart contractility during reoxygenation. On the grounds of these facts it is suggested that activation of lipid peroxidation in the membranes of the heart muscle plays the key role in the origin of hypoxic and reoxygenation contracture of the heart. The possibilities of using the antioxidant in the prevention of hypoxic and reoxygenation disorders of heart activity in patients are discussed.

摘要

作者研究了离体等容大鼠心脏缺氧性挛缩的发展过程,以及氧吡啶类水溶性抗氧化剂OXY P-6对这种挛缩的影响。结果表明,在对照动物的离体心脏中,缺氧20分钟后,舒张压从5毫米汞柱升至40毫米汞柱所表现出的挛缩会有规律地出现。在实验前3天给动物施用抗氧化剂OXY P-6可完全防止挛缩,并在复氧过程中使心脏收缩力更充分、更快地恢复。基于这些事实,有人提出心肌膜中脂质过氧化的激活在心脏缺氧和复氧性挛缩的发生中起关键作用。文中还讨论了使用该抗氧化剂预防患者心脏活动缺氧和复氧障碍的可能性。

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