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August 1, 1992Circulation

Sustained protection by acadesine against ischemia- and reperfusion-induced injury. Studies in the transplanted rat heart.

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Key result

Acadesine administered during both cardioplegia and reperfusion significantly improved postischemic left ventricular developed pressure after 24 hours of reperfusion (117 vs 73 mm Hg; p<0.05).

Why the study?

Does acadesine improve contractile function and metabolite levels in a transplanted rat heart model of ischemia-reperfusion injury?

Population

Transplanted rat heart model subjected to 4 hours of global ischemia and transplanted into recipient rats.

Comparison

Acadesine administered during cardioplegia… vs Acadesine-free control (saline).

Design

Preclinical

Follow-up

Up to 24 hours of reperfusion

Authors

MGManuel GaliñanesHebron UniversityDBDavid A. BulloughFleet Science CenterKMKevin MullaneGladstone Institutes

Discussion

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Member takes

Implication

Hypothesis-generating in rat transplant IRI model; does not support clinical use of acadesine.

Structured PICO

Does acadesine improve contractile function and metabolite levels in a transplanted rat heart model of ischemia-reperfusion injury?

P
Population
64 transplanted rat hearts subjected to 4 hours of global ischemia and reperfused for 30 minutes or 24 hours to assess the effect of acadesine.
I
Intervention
Acadesine administered during cardioplegia (20 mumol/l), during reperfusion (100 mg/kg i.v.), or both.
C
Comparator
Acadesine-free control (saline).
O
Outcome
Contractile function (Left ventricular developed pressure) and metabolite analysis (ATP, tissue adenosine) after 30 minutes or 24 hours of reperfusion.surrogate

Main Result

Absolute Event Rate: 117% vs 73%

p-value: p=<0.05

Acadesine provides sustained functional protection against ischemia-reperfusion injury in a transplanted rat heart model.

Cite This Study

Galiñanes et al. (1992) studied Ischemia- and reperfusion-induced injury (n=64). Acadesine vs. Acadesine-free control (saline) was evaluated on Left ventricular developed pressure (LVDP) at 12 mm Hg of left ventricular end-diastolic pressure (LVEDP) after 24 hours of reperfusion (p=<0.05). Acadesine administered during both cardioplegia and reperfusion significantly improved postischemic left ventricular developed pressure after 24 hours of reperfusion (117 vs 73 mm Hg; p<0.05).

synapsesocial.com/papers/6a92e817984181229d925d2ahttps://doi.org/10.1161/01.cir.86.2.589

Topics

Heart transplantation
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Also Consider

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  1. 1Progressive failure of coronary flow during reperfusion of myocardial infarction: Documentation of the no reflow phenomenon with positron emission tomography1990 · 132 citations
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  3. 3Reverse Phase HPLC For Rapid, Comprehensive Measurement of Nucleotides, Nucleosides and Bases of The Myocardial Adenine Pool1984 · 32 citations