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December 1, 1989CirculationOpen Access

Reflex responses to myocardial ischemia and reperfusion. Role of prostaglandins.

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Key result

Blockade of prostaglandin synthesis with indomethacin or sodium meclofenamate significantly decreased the reflex inhibitory responses to coronary occlusion and reperfusion in dogs.

Why the study?

Does blockade of prostaglandin synthesis reduce reflex inhibitory responses during myocardial ischemia and reperfusion in dogs?

Population

alpha-chloralose-anesthetized dogs after sinoaortic baroreceptor denervation (n=15)

Comparison

Prostaglandin synthesis blockade with… vs Vehicle prior to coronary occlusion and…

Design

Preclinical

Authors

MTM D ThamesUniversity of IowaAMAnthony J. MinisiUnited States Department of Veterans Affairs

Discussion

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Implication

Prostaglandin inhibition attenuates reflex hypotension in inferior ischemia; extends chemosensitive vagal afferent mechanism to reperfusion.

Structured PICO

Does blockade of prostaglandin synthesis reduce reflex inhibitory responses during myocardial ischemia and reperfusion in dogs?

P
Population
15 alpha-chloralose-anesthetized dogs after sinoaortic baroreceptor denervation subjected to coronary occlusion and reperfusion.
I
Intervention
Prostaglandin synthesis blockade with indomethacin (5 mg/kg i.v.) or sodium meclofenamate (4 mg/kg i.v.) prior to 5-minute circumflex coronary artery occlusion and reperfusion
C
Comparator
Vehicle prior to coronary occlusion and reperfusion
O
Outcome
Changes in arterial pressure and renal sympathetic nerve activity during coronary occlusion and reperfusionsurrogate

This preclinical study demonstrates that prostaglandins are the primary stimulus for chemosensitive ventricular sensory endings that mediate reflex inhibitory responses during myocardial ischemia and reperfusion.

Cite This Study

Thames et al. (1989) studied Myocardial ischemia and reperfusion (n=15). Indomethacin or sodium meclofenamate vs. Vehicle was evaluated on Inhibition of renal sympathetic nerve activity and arterial pressure. Blockade of prostaglandin synthesis with indomethacin or sodium meclofenamate significantly decreased the reflex inhibitory responses to coronary occlusion and reperfusion in dogs.

synapsesocial.com/papers/6a61cd19f2fc5dc74fc1f5c4https://doi.org/10.1161/01.cir.80.6.1878
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