Preconditioning reduces infarct size but accelerates time to ventricular fibrillation in ischemic pig heart
| Autor: | Joseph Loufoua, Michel Ovize, J. F. Aupetit, G. Faucon, Yves Minaire, Xavier André-Fouët, Gilles Rioufol |
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| Rok vydání: | 1995 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Pig heart Swine Physiology Myocardial Infarction Myocardial Ischemia Ischemia Action Potentials Differential Threshold Coronary Disease Heart Conduction System Physiology (medical) Internal medicine Reaction Time medicine Animals Ventricular Function business.industry Vascular disease Hemodynamics medicine.disease Infarct size Electrophysiology Coronary occlusion Anesthesia Ventricular Fibrillation Ventricular fibrillation Cardiology Action potential duration Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | American Journal of Physiology-Heart and Circulatory Physiology. 269:H72-H79 |
| ISSN: | 1522-1539 0363-6135 |
| DOI: | 10.1152/ajpheart.1995.269.1.h72 |
| Popis: | Preconditioning protects the rat heart from ventricular arrhythmias. However, the mechanism of this beneficial effect and its existence in large animal models remain unknown. We submitted 49 pigs to 40 min of left anterior descending coronary occlusion and 2 h of reperfusion and assessed the incidence of ventricular fibrillation (VF) and time to VF. Monophasic action potential duration (MAPD) and ventricular fibrillation threshold (VFT) were measured throughout the experiment. Preconditioning significantly reduced infarct size but failed to reduce the incidence of VF either during the 40-min ischemic insult or the following reperfusion. Moreover, preconditioning accelerated the onset of VF during the prolonged ischemia; time to VF averaged 8 +/- 2 min in the preconditioned group vs. 18 +/- 2 min in the control group (P < 0.05). This premature peak of VF in preconditioned hearts was associated with a significant decrease of VFT and shortening of MAPD. This suggests that preconditioning does not limit the incidence of VF in the pig model. Rather, preconditioning decreases the time to VF in this species, likely through lowering of the VFT and shortening of the action potential duration. |
| Databáze: | OpenAIRE |
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