Preconditioni ng With 15-Minute Ischemia Extends Myocardial Infarct Size After Subsequent 30-Minute Ischemia in Rabbits
スポンサーリンク
概要
- 論文の詳細を見る
Ischemic preconditioning (PC) induced by 1 cycle of 5-min coronary occlusion and 5-min reperfusion limits infarct size (IS) after 30-min sustained ischemia in rabbits. The shortest ischemic period that induces the PC effect in rabbits is 3 min. To establish the maximum ischemic period to induce a beneficial PC effect, we examined the effect of PC periods of 10 and 15 min on IS after sustained ischemia. The IS in control rabbit hearts after 30 min of sustained occlusion of the left anterolateral coronary artery and 48-h reperfusion was compared with that of hearts treated as follows before being subjected to PC: 5-min occlusion and 5-min reperfusion; 10-min occlusion and 5-min reperfusion; or 15-min occlusion and 5-min reperfusion. In addition, the IS after 15-min or 45-min occlusion and 48-h reperfusion was measured. There was no significant difference in blood pressure, heart rate, or area at risk (AAR) among the rabbits in 5 groups. The IS measured histologically was 40±4% of AAR in the control, 10±3% after 5-min PC ,and 12±2% after 10-min PC. However, in the 15-min PC group, the IS was 77±4% of AAR, which was significantly larger than that of the controls, but similar to that of hearts subjected to 45-min ischemia and reperfusion (67±3%). As 15 min of preconditioning ischemia alone caused small infarcts (18±1% of AAR), the infarcts caused by sustained ischemia per se in the 15-min PC group was estimated to be 72±5% of AAR, which was still significantly higher than in the control groups. We conclude that the maximum period of preconditioning ischemia that induces cardioprotection in rabbits is 10 min. When the ischemic period is longer than this, the IS after sustained ischemia is increased rather than restricted. However, the infarcted size in the 15-min PC group was not higher than that in the group subjected to 45-min continuous ischemia. This may be a major limitation for any clinical application of PC.
- 社団法人日本循環器学会の論文
- 1997-03-20
著者
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Fujiwara Takako
Kyoto Women's University
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Takahashi Masaaki
The Third Division Department Of Internal Medicine Kyoto University
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SASAYAMA SHIGETAKE
Third Division, Department of Internal Medicine Faculty of Medicine, Kyoto University
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Tanaka M
Osaka City Univ. Medical School
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Tanaka Masahiro
Rakuwakai Otowa Hospital
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TANAKA Masaru
Third Division, Department of Internal Medicine, Kyoto University
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Tanaka Masaru
Third Department Of Internal Medicine Kyoto University Faculty Of Medicine
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FUJIWARA Hisayoshi
Third Division ,Department of Internal Medicine,Kyoto University
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Sasayama Shigetake
The Third Division Of Medicine Kyoto University
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Sasayama Shigetake
Hamamatsu Rosai Hospital
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Fujiwara Takako
Kyoto Women's University
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Yamasaki Kenzo
The Third Division of Medicine, Kyoto University
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Yamasaki Kenzo
Third Division, Department of Internal Medicine, Faculty of Medicine, Kyoto University
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Yokota Ryoji
Third Division, Department of Internal Medicine, Faculty of Medicine, Kyoto University
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Miyamae Masami
Third Division, Department of Internal Medicine, Faculty of Medicine, Kyoto University
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Ogawa Juntatsu
Third Division, Department of Internal Medicine, Faculty of Medicine, Kyoto University
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Sawada Shigeo
Virus Center National Kyoto Hospital
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Sasayama Shigetake
Department Of Cardiovascular Medicine Graduate School Of Medicine Kyoto University
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Sasayama Shigetake
Division Of Medicine Hamamatsu Rosai Hospital Shizuoka
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Yokota Ryoji
The Third Division Of Medicine Kyoto University
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Miyamae Masami
Third Division Department Of Internal Medicine Faculty Of Medicine Kyoto University
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Ogawa Juntatsu
Third Division Department Of Internal Medicine Faculty Of Medicine Kyoto University
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Yamasaki Kenzo
The Third Division Of Medicine Kyoto University
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Sasayama Shigetake
Department Of Cardiology Doshisha University
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Sasayama Shigetake
The Third Division Department Of Internal Medicine Faculty Of Medicine Kyoto University
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Takashima Masayuki
Third Department Of Internal Medicine Kyoto University Faculty Of Medicine
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Tanaka Masaru
Department Of Cardiology Cardiovascular Center Osaka Red Cross Hospital
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Sasayama Shigetake
Third Division Department Of Internal Medicine Kyoto University
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Tanaka Makoto
Cardiovascular Center Osaka Red Cross Hospital
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Sasayama Shigetake
Second Division Internal Medicine Toyama Medical And Pharmaceutical School
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Sasayama Shigetake
Thesecond Department Of Internal Medicine Toyama Medical And Pharmaceutical University
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Tanaka Masaru
Third Division Department Of Internal Medicine Kyoto University
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Takashima Masayuki
Cardiovascular Center Osaka Red Cross Hospital
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