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November 12, 1994Fundamental and Clinical Pharmacology

Intracoronary infusion of bradykinin: effects on noradrenaline overflow following reperfusion of ischemic myocardium in the anesthetized dog

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Key result

Intracoronary bradykinin cuts reperfusion noradrenaline release ~86% and reduces sustained VT in dogs.

  • n=14

Why the study?

The effects of intracoronary bradykinin infusion on noradrenaline release and ventricular arrhythmias following coronary occlusion and reperfusion were investigated.

Does intracoronary bradykinin infusion reduce noradrenaline release and ventricular arrhythmias following reperfusion of ischemic myocardium in anesthetized dogs?

Population

14 anesthetized adult mongrel dogs undergoing 60 min LAD occlusion and 30 min reperfusion

Comparison

Intracoronary bradykinin infusion vs vehicle (Lactate Ringer) infusion

Design

Preclinical experimental study

Follow-up

30 min reperfusion period

Authors

CRChristophe RibuotInsermNYN. YamaguchiUniversity of ToyamaLJL. Jetté

Discussion

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Implication

Hypothesis-generating for bradykinin in reperfusion; leaves open translation to human practice.

Structured PICO

Does intracoronary bradykinin infusion reduce noradrenaline release and ventricular arrhythmias following reperfusion of ischemic myocardium in anesthetized dogs?

P
Population
14 anesthetized adult mongrel dogs subjected to 60 minutes of coronary occlusion followed by 30 minutes of reperfusion.
I
Intervention
Intracoronary bradykinin (1 ng.kg-1.min-1) infusion starting 15 min before LAD occlusion and maintained throughout the experimental period
C
Comparator
Vehicle (Lactate Ringer) infusion
O
Outcome
Cardiac noradrenaline release and ventricular arrhythmias at reperfusionsurrogate

Main Result

Absolute Event Rate: 11.9% vs 82.1%

Intracoronary bradykinin reduces cardiac noradrenaline release and protects against reperfusion-induced sustained ventricular tachycardia in a canine model of ischemia-reperfusion.

Cite This Study

Ribuot et al. (1994) studied Ischemia-reperfusion injury (n=14). Intracoronary bradykinin vs. Lactate Ringer vehicle was evaluated on Amount of noradrenaline released at reperfusion. Intracoronary bradykinin infusion significantly reduced noradrenaline release at reperfusion (11.9 vs 82.1 ng/min) and the incidence of sustained ventricular tachycardia in dogs.

synapsesocial.com/papers/6aacefba4c36fe95a4b6851dhttps://doi.org/10.1111/j.1472-8206.1994.tb00834.x

Topics

Ventricular arrhythmias
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Also Consider

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

  1. 1Occlusion time dependency of regional noradrenaline release and cardiac arrhythmias during reperfusion of acutely ischaemic heart in the dog in vivo1990 · 10 citations
  2. 2In Vivo Effect of Bradykinin During Ischemia and Reperfusion1991 · 28 citations
  3. 3Catecholamine release and ventricular arrhythmias during coronary occlusion and reperfusion in the dog1985 · 20 citations
  4. 4Autonomic nervous system and cellular injury from circumflex ligation in dogs1981 · 13 citations
  5. 5Role of Endothelium-Derived Bradykinin in the Control of Vascular Tone1992 · 40 citations