ANTIARRHYTHMIC AND MYOCARDIAL METABOLIC EFFEDTS OF VERAPAMIL DURING CORONARY ARTERY REPERFUSION
スポンサーリンク
概要
- 論文の詳細を見る
The accumulation of metabolic intermediates subsequent to impaired β-oxidation of free fatty acids has been suggested to be a cause of cellular damage and ventricular arrhythmias in the ischemic heart. The effects of verapamil on ventricular arrhythmias and free fatty acids metabolism during coronary artery reperfusion in experimental dogs were evaluated over a period of 40 minutes and followed by reperfusion for 15 minutes. One tenth mg/kg/min of verapamil was administered for 5 minutes before occlusion and followed by an infusion of 0.01 mg/kg/min to the end of the experiment. Myocardial samples were obtained from both the non-ischemic and ischemic areas after coronary artery reperfusion and then ATP, free carnitine, long chain acyl carnitine and long chain acyl CoA were measured. In the control group, 3 dogs (27%) had ventricular fibrillation and 2 dogs (18%) had ventricular tachycardia during coronary occlusion. In addition, 2 dogs (25%) developed ventricular fibrillation after reperfusion. On the other hand, all 6 dogs treated with verapamil had neither ventricular fibrillation nor tachycardia during both coronary artery occlusion and reperfusion. ATP and free carnitine levels in the ischemic area were significantly higher in the verapamil group than in the control group (ATP: p<0.01, free carnitine: p<0.01). However, there was no significant change in long chain acyl CoA levels between the control and verapamil groups. This study shows that verapamil protects against ventricular arrhythmias and has beneficial effects on the metabolization of free fatty acids. In conclusion, it is suggested that one of the antiarrhythmic mechanisms of verapamil in ventricular tachyarrhythmias may be due to the prevention of the accumulation of metabolic intermediates of free fatty acids.
- 社団法人日本循環器学会の論文
- 1985-03-20
著者
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Kamikawa Tadashi
Sleep Disorders Center Aichi Medical University School Of Medicine
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Yamazaki Noboru
The Third Department of Internal Medicine
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KOBAYASHI AKIRA
The Third Department of Internal Medicine, Hamamatsu University School of Medicine
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Ishizaka Kyoichi
The Third Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu
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Kamikawa Tadashi
The Third Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu
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Hayashi Hideharu
The Third Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu
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Yamashita Tetsuo
Food & Beverage Division Otsuka Chemical Co.
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Yamashita Tesuo
The Third Department Of Internal Medicine Hamamatsu University School Of Medicine
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ABE MASAAKI
The Third Department of Internal Medicine, Hamamatsu University School of Medicine
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Kobayashi Akira
The Department Of Medicine Iii Hamamatsu University School Of Medicine
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Nagao Bunnosuke
The Third Department Of Internal Medicine Hamamatsu University School Of Medicine
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Kobayashi Tadashi
Third Department Of Internal Medicine. Aichi Medical University
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Abe M
The 3rd Department Of Internal Medicine Hamamatsu University School Of Medicine
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Yamashita Tetsuo
The Third Department of Internal Medicine, Hamamatsu University School of Medicine
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Nishiyama Terumasa
The Third Department of Internal Medicine, Hamamatsu University School of Medicine
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Kondo Takasi
2nd Dept. Of Intern. Med. Nagoya Univ. School Of Med.
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Kobayashi Akira
The Third Department Of Internal Medicine Hamamatsu University School Of Medicine
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Yamashita T
Hiroshima Univ. Hiroshima Jpn
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Ishizaka Kyoichi
Third Department Of Internal Medicine Hamamatsu University School Of Medicine
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Kamikawa Tadashi
The Third Department Of Internal Medicine Hamamatsu University School Of Medicine
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Nishiyama Terumasa
Third Department of Internal Medicine Hamamatsu University School of Medicine
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Ishizaka Kyoichi
The Third Department Of Internal Medicine Hamamatsu University School Of Medicine
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Ishizaka Kyoichi
Department Of Cardiology Hamamatsu Medical Cente
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Ishizaka Kyouichi
Third Department Of Internal Medicine Hamamatsu University School Of Medicine
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HAYASHI Hideharu
The Third Department of Internal Medicine, Hamamatsu University School of Medicine
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