Influence of Angiotensin II Type 1-Receptor Antagonist CV11974 on Infarct Size and Adjacent Regional Function After Ischemia-Reperfusion in Dogs

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概要

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• The presence of nonischemic regional dysfunction at the adjacent region of the ischemic myocardium was demonstrated in clinical studies. Recent studies demonstrated an angiotensin II type 1 (AT1)-receptor antagonist reduced myocardial ischemia-reperfusion injury. We investigated the role of the adjacent region after reperfusion by studying the effects of AT1-receptor antagonist on myocardial function and infarct size. We investigated 12 open-chest anesthetized dogs undergoing 90 min of left anterior descending coronary artery occlusion followed by 4 h of reperfusion. Six dogs injected with an AT1-receptor antagonist (CV11974) immediately after reperfusion were compared with 6 control dogs. Percent systolic shortening (%SS) was measured by two sets of the pair sonomicrometer crystals implanted to adjacent and remote nonischemic myocardium. After 4 h of reperfusion, infarct size was measured. There were no significant differences of the %SS at baseline between two regions. In both groups, %SS at adjacent region after reperfusion was significantly decreased as compared with remote region. There were no significant differences between the two groups. Infarct size, as a percentage of the area at risk, was smaller in the AT1 group than in control group (25.49 ± 7.53% vs 68.58 ± 26.88% P<0.01). AT1-receptor antagonist reduces infarct size. This effect is not related to the change of regional myocardial function at adjacent region after reperfusion.

• 社団法人 日本薬理学会の論文
• 2002-06-01

著者

• Iwasaka Toshiji

  The Second Department of Internal Medicine, Kansai Medical University

• Mimura Jun

  Second Department of Internal Medicine, Kansai Medical University

• Mimura J

  Cardiovascular Division Department Of Medicine 2 Kansai Medical University

• Mimura Jun

  Second Department Of Internal Medicine Kansai Medical University

• Mimura Jun

  The Second Department Ofinternal Medicine Kansai Medical University

• MIYOSHI Hironori

  The Second Department ofInternal Medicine, Kansai Medical University

• TAKAYAMA Yasuo

  The Second Department ofInternal Medicine, Kansai Medical University

• KITASHIRO Shuji

  The Second Department ofInternal Medicine, Kansai Medical University

• IZUOKA Toshio

  The Second Department ofInternal Medicine, Kansai Medical University

• SAITO Daiki

  The Second Department ofInternal Medicine, Kansai Medical University

• IMURO Yusuke

  The Second Department ofInternal Medicine, Kansai Medical University

• YAMAMOTO Satoshi

  The Second Department ofInternal Medicine, Kansai Medical University

• TOKIOKA Mari

  The Second Department ofInternal Medicine, Kansai Medical University

• Saito Daiki

  The Second Department Ofinternal Medicine Kansai Medical University

• Saito Daiki

  関西医科大学 2内

• Tokioka Mari

  The Second Department Ofinternal Medicine Kansai Medical University

• Imuro Yusuke

  神戸赤十字病院

• Ishiguro Yuka

  Cardiovascular Division Department Of Medicine Ii Kansai Medical University

• Imuro Yusuke

  The Second Department Ofinternal Medicine Kansai Medical University

• Izuoka Toshio

  The Second Department Of Internal Medicine Kansai Medical University

• Takayama Yasuo

  Department Of Cardiology Rakusai Newtown Hospital

• Mani Hiroki

  Cardiovascular Division Department Of Medicine Ii Kansai Medical University

• Kitashiro Shuji

  The Second Department Ofinternal Medicine Kansai Medical University

• TAKAYAMA YASUO

  Second Department of Internal Medicine Kansai Medical University

• Imuro Yusuke

  The Second Department Of Internal Medicine Kansai Medical University

• Miyoshi Hironori

  The Second Department Ofinternal Medicine Kansai Medical University

• Takayama Yasuo

  Department Of Cardiology Kansai Medical University Rakusai Newtown Hospital

• Takayama Yasuo

  Second Department Of Internal Medicine・cardiovascular Center Kansai Medical University

• Iwasaka Toshiji

  The Second Department Of Internal Medicine Kansai Medical University

• Maeda Jun

  Cardiovascular Center Kansai Medical University

• Miyoshi Hironori

  Cardiovascular Division Department Of Medicine Ii Kansai Medical University

• Yamamoto Satoshi

  The Second Department Of Internal Medicine Kansai Medical University

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