Protection by the Calcium Antagonist Tiapamil, Against Cardiac Lymphatic Enzyme Leakage and Arrhythmias in Canine Hearts During Reperfusion

We examined the effects of tiapamil, a Ca antagonist, on infarct size, lymphatic enzyme release, and arrhythmias in reperfused, ischemic canine hearts. Three-hour reperfusion of the left anterior descending coronary artery, which had been ligated for 3 h, significantly increased cardiac lymphatic re...

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Veröffentlicht in:Journal of cardiovascular pharmacology 1986-01, Vol.8 (1), p.90-98
Hauptverfasser: Matsuura, Akihiro, Ishihara, Takafumi, Nakamura, Kazuo, Himori, Norio, Nakamura, Keiji
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container_issue 1
container_start_page 90
container_title Journal of cardiovascular pharmacology
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creator Matsuura, Akihiro
Ishihara, Takafumi
Nakamura, Kazuo
Himori, Norio
Nakamura, Keiji
description We examined the effects of tiapamil, a Ca antagonist, on infarct size, lymphatic enzyme release, and arrhythmias in reperfused, ischemic canine hearts. Three-hour reperfusion of the left anterior descending coronary artery, which had been ligated for 3 h, significantly increased cardiac lymphatic release of lactate dehydrogenase (LDH), cathepsin D and creatine phosphokinase (CPK), and the incidence of ventricular premature contractions (VPCs), the increases being markedly higher than those in ligation period. Tiapamil, at the i.v. dose of 3 mg/kg/h for 6 h during the ligation and reperfusion periods markedly reduced these increases in lymphatic levels of LDH and cathepsin D and in VPCs, and significantly decreased infarct size. Tiapamil treatment only during the ligation period had similar preserving effects, but tiapamil treatment only during reperfusion did not. These results suggest that blockade of the Ca channel must be achieved during the early phase of an ischemic episode in order to prevent myocardial deterioration during reperfusion.
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Three-hour reperfusion of the left anterior descending coronary artery, which had been ligated for 3 h, significantly increased cardiac lymphatic release of lactate dehydrogenase (LDH), cathepsin D and creatine phosphokinase (CPK), and the incidence of ventricular premature contractions (VPCs), the increases being markedly higher than those in ligation period. Tiapamil, at the i.v. dose of 3 mg/kg/h for 6 h during the ligation and reperfusion periods markedly reduced these increases in lymphatic levels of LDH and cathepsin D and in VPCs, and significantly decreased infarct size. Tiapamil treatment only during the ligation period had similar preserving effects, but tiapamil treatment only during reperfusion did not. 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These results suggest that blockade of the Ca channel must be achieved during the early phase of an ischemic episode in order to prevent myocardial deterioration during reperfusion.</description><subject>Animals</subject><subject>Antiarythmic agents</subject><subject>Arrhythmias, Cardiac - etiology</subject><subject>Arrhythmias, Cardiac - prevention &amp; control</subject><subject>Biological and medical sciences</subject><subject>Calcium Channel Blockers - pharmacology</subject><subject>Cardiovascular system</subject><subject>Cathepsin D - metabolism</subject><subject>Coronary Disease - drug therapy</subject><subject>Coronary Disease - physiopathology</subject><subject>Creatine Kinase - metabolism</subject><subject>Dogs</subject><subject>Female</subject><subject>L-Lactate Dehydrogenase - metabolism</subject><subject>Lymphatic System - drug effects</subject><subject>Lymphatic System - enzymology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Myocardial Infarction - drug therapy</subject><subject>Myocardial Infarction - pathology</subject><subject>Myocardial Infarction - physiopathology</subject><subject>Pharmacology. 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source MEDLINE; Journals@Ovid LWW Legacy Archive; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete
subjects Animals
Antiarythmic agents
Arrhythmias, Cardiac - etiology
Arrhythmias, Cardiac - prevention & control
Biological and medical sciences
Calcium Channel Blockers - pharmacology
Cardiovascular system
Cathepsin D - metabolism
Coronary Disease - drug therapy
Coronary Disease - physiopathology
Creatine Kinase - metabolism
Dogs
Female
L-Lactate Dehydrogenase - metabolism
Lymphatic System - drug effects
Lymphatic System - enzymology
Male
Medical sciences
Myocardial Infarction - drug therapy
Myocardial Infarction - pathology
Myocardial Infarction - physiopathology
Pharmacology. Drug treatments
Propylamines - administration & dosage
Propylamines - pharmacology
Tiapamil Hydrochloride
Time Factors
title Protection by the Calcium Antagonist Tiapamil, Against Cardiac Lymphatic Enzyme Leakage and Arrhythmias in Canine Hearts During Reperfusion
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