Key result
Hypoxic preconditioning more than doubles post-hypoxia cardiomyocyte viability vs control to 24%.
Why the study?
The role of endothelium-derived relaxing factor (EDRF) in parasympathetic coronary vasodilation following carotid chemoreflex activation was unclear.
Absolute Event Rate: 24% vs 10%
p-value: p=<0.001
May enhance cardiomyocyte survival in experimental hypoxia models; leaves open translation to clinical cardioprotection.
The role of endothelium-derived relaxing factor (EDRF) in parasympathetic coronary vasodilation following carotid chemoreflex activation induced by nicotine in conscious dogs and stimulation of the vagus nerve in anesthetized dogs was studied. Injection of nicotine (11 +/- 4 micrograms) into the carotid artery increased coronary blood flow (CBF) by 126 +/- 16% from 28 +/- 3 ml/min and reduced late diastolic coronary resistance (LDCR) by 43 +/- 4% from 3.58 +/- 0.52 mmHg.ml-1.min, accompanied by a significant increase in mean arterial pressure and a decrease in heart rate (all P < 0.01). Pacing and propranolol did not change the coronary vascular response to chemoreflex activation. There were still increases in CBF by 113 +/- 17% from 29 +/- 3 ml/min and decreases in LDCR by 41 +/- 5% from 3.13 +/- 0.52 mmHg.ml-1.min (all P < 0.01). After infusion of N omega-nitro-L-arginine (L-NNA) (30 mg/kg), the increase in CBF following chemoreflex activation was only 23 +/- 3% from 37 +/- 3 ml/min, and the fall in LDCR was 19 +/- 3% from 3.09 +/- 0.51 mmHg.ml-1.min. Stimulation of the vagus nerve showed a relationship between stimulation frequency and coronary vasodilation that was significantly inhibited by L-NNA. Thus EDRF plays an important role in mediating parasympathetic coronary vasodilation during chemoreflex activation and perhaps during many reflexes that cause vagal cholinergic vasodilation in the heart.
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Shen et al. (1994) studied Myocardial ischemia-reperfusion injury (n=46). Hypoxic preconditioning (HPC) vs. Time control (normoxic buffer) was evaluated on Cardiomyocyte viability after hypoxia/reoxygenation (p=<0.001). Hypoxic preconditioning significantly preserved the viability of isolated adult ventricular rat cardiomyocytes after hypoxia/reoxygenation compared to control (24% vs 10%, P < 0.001).
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