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July 6, 2010Fundamental and Clinical Pharmacology

Effects of trimetazidine, a partial inhibitor of fatty acid oxidation, on ventricular function and survival after myocardial infarction and reperfusion in the rat

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Key result

Chronic administration of trimetazidine had no significant effect on long-term mortality (17% vs 16%, P=0.8) or left ventricular ejection fraction (35% vs 36%, P=0.6) in a rat model of MI.

Why the study?

Does trimetazidine improve left ventricular function and survival after myocardial infarction and reperfusion in a rat model?

Population

200 male Wistar rats subjected to myocardial infarction (MI) and reperfusion or sham surgery

Comparison

Trimetazidine diet administered chronically pre-MI vs Control diet

Design

Preclinical

Follow-up

24 weeks

Authors

FMFrédéric MouquetDRDelphine Rousseau‐RalliardVDValerie Domergue‐Dupont

Discussion

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Member takes

Overview

Trimetazidine shows no post-MI benefit in rats; leaves open any role in human ischemia-reperfusion injury.

Structured PICO

Does trimetazidine improve left ventricular function and survival after myocardial infarction and reperfusion in a rat model?

P
Population
200 male Wistar rats subjected to myocardial infarction and reperfusion or sham surgery, followed for up to 24 weeks.
I
Intervention
Trimetazidine (TMZ) diet administered chronically pre-MI
C
Comparator
Control diet
O
Outcome
Left ventricle (LV) function and remodeling assessed by serial echocardiography and quantitative histological analysis, and survivalsurrogate

Main Result

Absolute Event Rate: 17% vs 16%

p-value: p=0.8

Chronic pre-MI administration of trimetazidine did not improve post-MI left ventricular dysfunction, remodeling, or survival in a rat model of ischemia-reperfusion.

Cite This Study

Mouquet et al. (2010) studied Myocardial infarction (n=200). Trimetazidine vs. Control diet was evaluated on Long-term mortality over 24 weeks (p=0.8). Chronic administration of trimetazidine had no significant effect on long-term mortality (17% vs 16%, P=0.8) or left ventricular ejection fraction (35% vs 36%, P=0.6) in a rat model of MI.

synapsesocial.com/papers/6a7da917e5379bb2b27d86dahttps://doi.org/10.1111/j.1472-8206.2009.00802.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Changes in intracellular sodium and pH during ischaemia–reperfusion are attenuated by trimetazidine Comparison between low- and zero-flow ischaemia2000 · 98 citations
  2. 2Effects of Trimetazidine on Ischemic Contracture in Isolated Perfused Rat Hearts1994 · 71 citations
  3. 3Effects of trimetazidine on pH<sub>i</sub> regulation in the rat isolated ventricular myocyte1996 · 41 citations
  4. 4Beneficial Effects of Trimetazidine in Ex Vivo Working Ischemic Hearts Are Due to a Stimulation of Glucose Oxidation Secondary to Inhibition of Long-Chain 3-Ketoacyl Coenzyme A Thiolase2003 · 211 citations
  5. 5The Antianginal Drug Trimetazidine Shifts Cardiac Energy Metabolism From Fatty Acid Oxidation to Glucose Oxidation by Inhibiting Mitochondrial Long-Chain 3-Ketoacyl Coenzyme A Thiolase2000 · 819 citations