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心肌肽素在复杂先心病根治术中对心肌保护作用的临床研究 被引量:2
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作者 邱立成 石海燕 +3 位作者 王奇 王立新 薛炎 周小英 《中国医药导报》 CAS 2008年第4期11-13,共3页
目的:观察心肌肽素(cardiomyopeptide)在复杂先心病根治术中对心肌的保护作用。方法:63例复杂先天性心脏病患者,其中,法乐氏四联症(TOF)43例,右室双出口(DORV)11例,完全性心内膜垫缺损(C-ECD)9例,同期行根治术。患者随机分为两组,心肌... 目的:观察心肌肽素(cardiomyopeptide)在复杂先心病根治术中对心肌的保护作用。方法:63例复杂先天性心脏病患者,其中,法乐氏四联症(TOF)43例,右室双出口(DORV)11例,完全性心内膜垫缺损(C-ECD)9例,同期行根治术。患者随机分为两组,心肌肽素治疗组术中给予3mg/kg、术后以3mg/kg连用3d,对照组给予GIK液(10%葡萄糖200ml+50%葡萄糖100ml+普通胰岛素10U),给予时间与治疗组相同。两组分别于主动脉阻断前,复灌后6,12,24,48,72h采集患者中心静脉血,测心肌酶学:磷酸肌酸激酶(CK)、磷酸肌酸激酶同工酶(CK-MB)、心肌钙蛋白I(cTn-I)含量。统计数据分析用SPSS11.5,计量资料以均数±标准差(x±s)表示,组间、组内手术前后比较用配对t检验,计数资料以百分率表示,采用行χ2检验。结果:心肌肽素治疗组心脏自动复搏率较对照组高,术后多巴胺用量较对照组少,两组术后心肌酶谱、cTn-I均较术前高,两组间术前和术后心肌酶谱无显著性差异,但cTn-I治疗组较与对照组有显著性差异。结论:心肌肽素在阻断时间较长的复杂先心病根治术中可能对心肌起到更明显的保护作用。 展开更多
关键词 心肌肽素 复杂先心病 心肌保护
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心肌肽素对急性心肌梗死大鼠心脏血流动力学及心肌细胞钙电流的作用 被引量:1
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作者 邱祥春 巴金华 赵明 《中国心血管病研究》 CAS 2010年第3期226-228,共3页
目的探讨心肌肽素(cardiomyopeptidi)对急性心肌梗死(AMI)大鼠心脏血流动力学及心肌细胞钙电流的作用。方法大鼠开胸左前降支结扎造成AMI。开胸前5min实验组大鼠舌静脉注射浓度为50μg/ml的心肌肽素溶液50μl,并设正常对照组、AM... 目的探讨心肌肽素(cardiomyopeptidi)对急性心肌梗死(AMI)大鼠心脏血流动力学及心肌细胞钙电流的作用。方法大鼠开胸左前降支结扎造成AMI。开胸前5min实验组大鼠舌静脉注射浓度为50μg/ml的心肌肽素溶液50μl,并设正常对照组、AMI组及心肌肽素实验组,行血流动力学检查;酶解分离心室肌细胞,采用全细胞膜片钳记录技术记录左前降支供血区心外膜细胞的L型Ca^2+电流(L—Ica)的作用。结果应用心肌肽素(50p,g/m1)后与AMI组比较,血流动力学指标明显改善(P〈0.05,n=7)。②应用心肌肽素(50μg/m1)后,L-型钙电流(L—ICa)由给药前的(0.15±0.34)nA增加到给药后的(0.31±0.37)nA(P〈0.01,n=7)。结论心肌肽素可以明显改善AMI大鼠心脏血流动力学,可以增加AMI大鼠心室肌细胞L-型钙电流的幅值。 展开更多
关键词 心肌肽素 心肌梗死 L-型钙电流 血流动力学
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Effects of continuous intermedin infusion on blood pressure and hemodynamic function in spontaneously hypertensive rats 被引量:9
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作者 Ying Yuan Xi Wang +3 位作者 Qiang Zeng Hong-Mei Wu Yong-Fen Qi Chao-Shu Tang 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2012年第1期17-27,共11页
Objective To examine the effects of exogenously administered intermedin (IMD,adrenomedullin-2) on arterial blood pressure,cardiac function and the cardiovascular IMD receptor system in spontaneously hypertensive ra... Objective To examine the effects of exogenously administered intermedin (IMD,adrenomedullin-2) on arterial blood pressure,cardiac function and the cardiovascular IMD receptor system in spontaneously hypertensive rats (SHRs) as well as to investigate the associated mechanisms.Methods Thirteen week-old male rats were divided in Wistar Kyoto (WKY) group (n =12),SHR group (n =12),IMD group (SHRs infused with IMD 1-47 500 ng/kg per hour,n =12),and ADM group (SHRs infused with adrenomedullin 500 ng/kg per hour,n =12).Results A two-week continuous administration of low dose IMD 1-47 via mini-osmotic pumps markedly reduced blood pressure,the maximal rates of increase and decrease of left-ventricle pressure development (LV ± dp/dtmax),left ventricular systolic pressure and heart rate in SHRs.Furthermore,IMD also inhibited protein over-expression of cardiovascular IMD receptors,myocardial Receptor Activity-Modifying Proteins (RAMP1 and RAMP2),aortic RAMP1,RAMP2,RAMP3,and calcitonin receptor-like receptor (CRLR);suppressed up-regulation of aortic RAMP1,RAMP2,RAMP3 and CRLR gene expression; and markedly elevated the mRNA abundance of myocardial atrial natriuretic peptide (ANP) and myocardial brain natriuretic peptide (BNP).Additionally,IMD 1-47 administration in SHRs increased aortic cAMP concentration and reduced myocardial cAMP concentration.Conclusion These findings support the speculation that IMD,as a cardiovascular active peptide,is involved in blood pressure reduction and cardiac function amelioration during hypertension.The mechanism underlying this effect may involve IMD binding of a receptor complex formed by RAMPs and CRLR,and consequential regulation of cAMP levels and other cardiovascular active factors,such as ANP and BNP. 展开更多
关键词 INTERMEDIN Receptor activity-modifying proteins Calcitonin receptor-like receptor Mini-osmotic pumps Hemodynamicparameters Spontaneously hypertensive rats
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