EFFECT OF DILTIAZEM ON STUNNED MYOCARDIUM EVALUATED WITH ^<99m>Tc-PYROPHOSPHATE IMAGING IN CANINE HEART

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概要

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• The effect of diltiazem on stunned myocardium was evaluated by measuring the myocardial uptake of ^<99m>Tc-PYP (pyrophosphate) in open chest experiments with dogs. Myocardial stunning was induced by a 30 min ischemic occlusion of the anterior descending coronary artery. Regional wall motion was monitored by echocardiography of the epicardium for 2 h during reperfusion. After a 30 min occlusion of the coronary artery, it was reperfused and ^<99m>Tc-PYP was injected, followed by ^<201>T1 2 h later. The ischemic area was defined by Evans blue dye, and the infarct area by TTC staining. No dogs showed infarcts or ^<201>T1 defects in this study group. Five dogs of the control-1 group (C1, ischemic area=19.1±3.2%) showed decreased regional wall motion during occlusion (15.5 ±3.5% of control), and a slow recovery from depressed motion after 2 h of reperfusion (20.3±9.3%) with uptake ratio (compared to the non-ischemic area uptake) of ^<99m>Tc-PYP (4.96±2.28). In contrast, both groups with diltiazem infusion (20 μg/kg/min), started either 30 min before ischemia (D1 =5 dogs) or just after reperfusion (D2=5 dogs), showed significantly better recovery after 2h of reperfusion (D1:115.4±36.0%, D2:109.2±44.2%) than C1 (p<0.05), D1 and D2 groups also showed suppressed ^<99m>Tc-PYP uptake ratio (D1:1.06±0.33, D2:2.34±2.05, p< 0.05 vs C1) in spite of comparable ischemic area. Four dogs with small ischemic area (C2:5.3±5.0%) did not show in-creased ^<99m>Tc-PYP uptake (1.15±0.35), and regional wall motion after 2 h of reperfusion was 96.1±24.1% of the control value (p<0.05 vs C1). Thus. diltiazem was effective in enhancing the suppression of ^<99m>Tc-PYP uptake in the stunned myocardium, and similar results were obtained for small ischemic areas. The protective effect of diltilazem appears to be strongly related to the mechanism of ^<99>mTc-PYP uptake.

• 社団法人日本循環器学会の論文
• 1992-03-20

著者

• Takahashi N

  Department Of Cardiology Shiga Prefecture Medical Center For Adult

• Takahashi N

  Department Of Radiology Fukui Medical University

• Kambara Hirofumi

  The Kyoto And Shiga Myocardial Infarction (kysmi) Study Group:cardiovascular Center Osaka Red Cross

• Kambara Hirofumi

  大阪赤十字病院

• KAMBARA Hirofumi

  Osaka Red Cross Hospital

• KAMBARA HIROFUMI

  College of Medical Technology and Research Center for Biomedical Engineering

• NOHARA RYUJI

  3rd Division of Internal Medicine, Kyoto University Hospital

• ONO SHINJI

  3rd Division of Internal Medicine, Kyoto University Hospital

• KAMBARA HIROFUMI

  3rd Division of Internal Medicine, Kyoto University Hospital

• OKUDA KAZUMI

  3rd Division of Internal Medicine, Kyoto University Hospital

• TAMAKI NAGARA

  Division of Nuclear Medicine, Kyoto University Hospital

• KONISHI JYUNJI

  Division of Nuclear Medicine, Kyoto University Hospital

• KAWAI CHUICHI

  3rd Division of Internal Medicine, Kyoto University Hospital

• Kambara Hirofumi

  Kyoto University

• Kawai Chuichi

  The Japan Multicenter Investigation For Cardiovascular Diseases-b (jmic-b) Study Group

• Kawai Chuichi

  京都大学 第3内科

• Kawai Chuichi

  京都大学 医学研究科循環器内科学

• Ohtani Seiji

  The Third Division Of Medicine Kyoto University

• Kawai C

  The Japan Multicenter Investigation For Cardiovascular Diseases-b (jmic-b) Study Group

• Tamaki Nagara

  公立高島総合病院

• Okuda Kazumi

  Takeda Hospital

• Tamaki N

  Hokkaido Univ.

• Takahashi Norio

  Department Of Radiology Fukui Medical University

• Tamaki Nagara

  Kyoto University School Of Medicine

• Konishi Junji

  京都大学 医学研究科心臓血管外科学

• Konishi Junji

  京都大学 院循環病態学

• NAGATA Tamotsu

  Shiga University of Medical Science

• Tamaki Nagara

  The Third Division Department Of Nuclear Medicine Kyoto University Hospital

• Takahashi Norio

  Departments Of Radiology Fukui Medical University

• Kambara Hirofumi

  The 3rd Division Department Of Internal Medicine Faculty Of Medicine Kyoto University

• Nohara Ryuji

  Third Division Department Of Internal Medicine Kyoto University Faculty Of Medicine

• Tamaki Nagara

  Department Of Radiology Fukui Medical University

• Tamaki Nagara

  Faculty Of Medicine Kyoto University

• Nakamura Takuji

  Department Of Cardiology Shiga Prefecture Medical Center For Adult

• Kambara Hirofumi

  The Third Division Department Of Internal Medicine Kyoto University

• Kawai Chuichi

  3rd Div. Dept Of Intern Med. Kyoto Univ

• Kawai Chuichi

  3rd Department Of Internal Medicine Faculty Of Medicine Kyoto University

• Nakamura Takuji

  Department Of Cardiovascular Medicine Shiga Medical Center For Adults

• Tamaki Nagara

  Hokkaido Univ. Hokkaido Jpn

• Ono Shinji

  Third Division Department Of Internal Medicine Faculty Of Medicine Kyoto University

• Kamabara Hirofumi

  Osaka Red Cross Hospital

• Ono Shinji

  3rd Division Of Internal Medicine Kyoto University Hospital

• Kambara H

  Kyoto University

• Nohara Ryuji

  Kyoto Univ. Hospital

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