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June 1, 1985Cardiovascular Research

Effects of verapamil on the extracellular K+rise during myocardial ischaemia in dogs

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Key result

Verapamil infusion substantially reduced the extracellular K+ rise produced by myocardial ischaemia in both the central and marginal zones in dogs.

Why the study?

Does verapamil infusion reduce the extracellular K+ rise during myocardial ischemia in dogs?

Population

26 open chest mongrel dogs with myocardial ischemia produced by intermittent occlusion of the LAD artery or…

Comparison

Verapamil infusion vs Controlled conditions (ischemia without verapamil)

Design

Preclinical

Authors

JLJavier LópezHospital Universitario Ramón y CajalRORobert C. OrchardWashington University in St. Louis

Discussion

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Implication

Hypothesis-generating for verapamil in ischemic K+ dynamics; human trials needed before any clinical consideration.

Structured PICO

Does verapamil infusion reduce the extracellular K+ rise during myocardial ischemia in dogs?

P
Population
26 open chest mongrel dogs subjected to myocardial ischaemia via LAD occlusion or flow reduction.
I
Intervention
Verapamil infusion
C
Comparator
Controlled conditions (ischemia without verapamil)
O
Outcome
Extracellular K+ ([K+]o) rise in the central zone of ischemia, margin, and nonischemic zonesurrogate

Verapamil reduces the extracellular potassium rise during myocardial ischemia in a canine model, potentially via coronary dilation or reduced cellular K+ conductance.

Cite This Study

López et al. (1985) studied myocardial ischaemia (n=26). verapamil vs. controlled conditions was evaluated on extracellular K+ rise ([K+]o). Verapamil infusion substantially reduced the extracellular K+ rise produced by myocardial ischaemia in both the central and marginal zones in dogs.

synapsesocial.com/papers/6a938e560be0ae7ae656a3cfhttps://doi.org/10.1093/cvr/19.6.363
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Also Consider

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

  1. 1The effect of verapamil on mechanical performance of acutely ischemic and reperfused myocardium in the conscious dog.1981 · 52 citations
  2. 2Effects of verapamil on infarct size following experimental coronary occlusion1975 · 132 citations
  3. 3The Effect of Verapamil on Experimental Myocardial Ischaemia with a Particular Reference to Regional Myocardial Blood Flow and Metabolism*1977 · 30 citations
  4. 4Effects of verapamil on ischemia-induced changes in extracellular K+, pH, and local activation in the pig.1986 · 39 citations
  5. 5Protection of hypoxic myocardium by intracoronary administration of verapamil in open-chest dogs.1984 · 17 citations