Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0022116 (ischemia)
 91,303 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Oxygen free radicals may contribute to skeletal muscle damage associated with ischemia and reperfusion. This study utilized rabbit right hindlimb ischemic model to investigate the biochemical metabolism and oxygen free radicals change in limbs subjected to periods of ischemia and reperfusion. The results showed that the levels of malondialdehyde (MDA) as the oxygen free radical product in the plasma from ischemic and reperfused limb was significantly higher than that from the single ischemic limb, and varied with intracellular enzymes (CPK, LDH, GOT) which reflected the injury of skeletal muscle cells after ischemia. It Suggests that increased free radical product might be one of the important causes of ischemic and reperfused injury in limbs.
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PMID:[Biochemical metabolism and oxygen free radical changes following ischemic and reperfused injured limbs. An experimental study]. 208 79

It is known that adaptation to short-term repeated stress-effects may significantly increase human resistance to many factors; it may particularly prevent lethal cardiac fibrillation in the case of acute ischemia and reperfusion of the heart and limit the area of necrotized myocardium in the case of ischemia. The present investigations have shown that the mechanism responsible for this resistance improvement is related not only to neurohormonal factors but also to heart structures as such. Isolated hearts of adapted animals display substantially increased resistance to contractural and arrhythmogenic effects of ischemia and reperfusion, cardio-toxic doses of catecholamines and toxic concentrations of calcium. In all these situations, CPK loss, which is a quantitative characterization of the damage, diminishes as a result of adaptation. Analysis of this phenomenon shows that the structures isolated from hearts of adapted animals, i.e. Ca-pump of the sarcoplasmic reticulum and mitochondria, display a markedly greater resistance to autolysis during prolonged storage. Thus during adaptation to short-term repeated stress-effects the phenomenon of adaptation stabilization of cardiac structures develops at the organ level. This phenomenon is accompanied by an increase in the thermal stability of the heart. From this point of view the role of thermal stress proteins in the phenomenon of adaptation stabilization is discussed and the genetic mechanism underlying the phenomenon is described.
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PMID:[The phenomenon of the adaptive stabilization of cardiac structure and the protection of the heart]. 219 99

In the paper are presented the results of total enzyme activity investigation: GOT, GPT, LDH and CPK, and of the CPK isoenzymes in the cerebrospinal fluid of 148 examinees and in the serum of 67 examinees with an acute stroke, who were treated at the Intensive Care Unit of the Department of Neurology and Institute of Neuropathology, Clinical Medical center "Rebro". The aim was to determine the reliability of the applied methods in the diagnosis of cerebrovascular diseases, particularly in the differential diagnosis of cerebral hemorrhage, ischemia and subarachnoidal hemorrhage. The highest frequency of pathologic findings of the tested enzymes in the whole group of patients with CVA was obtained in the determination of the CPK total activity assessment, then followed the assessments of LDH activity, isoenzyme CPK profile, GOT and finally GPT activity. A larger number of pathologic findings of all mentioned enzymes and CPK isoenzymes was found in the group of patients with ICH. In the patients with ICH and ISI, who survived stroke a higher incidence of normal findings of the total enzymic activities was found, while in those who died from ICH a higher incidence of pathologic findings could not be established. The correlations between the total CPK activity in the serum and in the cerebrospinal fluid does not exist, as well as the correlation between the CPK isoenzyme profile in the serum and CSF.
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PMID:Study of serum and cerebrospinal fluid enzymes in diagnosis and differential diagnosis of cerebrovascular diseases. 229 Apr 71

In a 2-year-old boy with untreated cystic fibrosis, an acute deterioration of his chronic respiratory insufficiency developed due to bilateral pneumonia. This condition caused acute right-sided heart failure and nontransmural myocardial infarction of the inferior wall. In concordance with this diagnosis, a marked increase of CPK-MB levels combined with transient severe ischemia on the ECG and the absence of myocardial injury at echocardiography was seen. At 3 years follow-up, he was in good clinical condition.
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PMID:Nontransmural myocardial infarction as a complication of untreated cystic fibrosis. 232 73

This study was designed to analyze the electrolytes changes in myocardial cells, and to clarify the effect of diltiazem, a calcium channel blocker on myocardial ischemia during open heart surgery. Thirty patients who underwent open heart surgery using cold glucose-insulin-potassium (GIK) cardioplegic solution were divided into following three groups. C group: diltiazem was not administered. CD group: cardioplegic solution containing diltiazem 7.5 mg/L was used. DP group: diltiazem 1.5 micrograms/kg/min was given continuously by intravenous administration from the day before operation to the day after operation. Atrial wall biopsies were performed before aortic cross clamp (non-ischemic status), after 60 minutes' ischemia, and 5 minutes after releasing aortic cross clamp (reperfusion). The specimens were freshly frozen and measured for various electrolytes by means of X-ray microprobe analysis. In C group, potassium level decreased during both ischemia and reperfusion, while calcium level increased during ischemia and significantly increased during reperfusion period. In DC and DP groups, calcium accumulation during reperfusion was suppressed, and potassium level which had been lowered during ischemia recovered to the level of non-ischemic status during reperfusion. Sodium and chlorine showed an increase during ischemia in each group. However, sodium accumulation in DC and DP groups tended to recover during reperfusion. DP and DC groups were considered to be superior to C group in terms of cardiac index and left ventricular work. This may be due to afterload reduction as evidenced by low systemic vascular resistance. Intracellular electrolytes environment during reperfusion and hemodynamics during early postoperative periods were excellent in DP group. CPK-MB was significantly lower in both CD and DP groups than in C group. These data suggested that diltiazem could suppress intracellular calcium accumulation and keep homeostasis of sodium-potassium pump mechanism in membrane during reperfusion. It is concluded that diltiazem is useful to protect myocardium from ischemia during open heart surgery.
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PMID:[The protective effect of diltiazem, a calcium channel blocker on myocardial ischemia during open heart surgery--an analysis of electrolyte changes in myocardial cells]. 234 17

The effect of myocardial preservation with perfluorochemical as cardioplegic solution was studied with isolated canine hearts which was compared between intermittent coronary perfusion and continuous coronary perfusion. Intermittent perfusion group (group I) was infused every 30 minutes during 5 hours ischemia with oxygenated perfluorochemical at the amount of 10 ml/kg. Continuous perfusion group (group II) was infused continuously at the amount of 10 ml/kg/30 minutes. After 5 hours of ischemic time, total perfusion volume of both group were same 100 ml/kg. The comparison of myocardial preservation effect between group I and group II was examined with biochemical study, hemodynamic study and histological study. As a result, biochemical study such as GOT, CPK, and Lactate showed higher in group II than in group I, and value of catecholamine and adenylate levels in myocardial tissue showed higher in group I than in group II. In hemodynamic study, LVSW and LVEDP showed excellent value in group I, but never showed adequate function in group II at late working phase. On the other hand, LVmax dp/dt was recovered excellently in group I but in group II was not recovered at early working phase. In histological findings with electronic microscopy, there were some limited ischemic lesion in group II, which was suggested disturbance of micro circulation. It may be attributable to low perfusion pressure of continuous perfusion method. Finally, with regard to SOD (Super oxide dismutase) consumption, group I took higher than group II, and also oxygen consumption. It shows that in group I there is an effective activity of aerobic metabolism during ischemia, which explain not only the improved functional recovery but also generation of free radical, caused by super oxide etc. It is concluded from these results that intermittent perfusion has provided excellent preservation against myocardial ischemia, and also has possibility of danger to set up reperfusion injury.
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PMID:[Experimental study on myocardial preservation by perfluorochemical "comparison of myocardial preservation effect between continuous perfusion and intermittent perfusion"]. 239 94

Effects of total saponins of Panax notoginseng (PNS) and purified ginsenosides Rb1 and Rg1 from PNS on myocardial injury induced by cardiac ischemia and reperfusion were studied with rat hearts in situ and in vitro. In pentobarbital-anesthetized rats, PNS pretreatment (100 and 200 mg/kg) provided significant reduction in myocardial infarct size after left descending coronary artery ligation (40 min) and reperfusion (120 min) in comparison with the control. PNS 12.5 and 25 mg/L, Rb1 10 mg/L, and Rg1 10 mg/L significantly decreased cardiac CPK release, attenuated myocardial Ca2+ accumulation, reduced malondialdehyde (MDA) production and prevented reduction of superoxide dismutase (SOD) activity in comparison with the control in perfused isolated rat hearts with global ischemia (40 min) and reperfusion (15 min). The results show that PNS, Rb1, and Rg1 prevent cardiac ischemia and the action is considered to be related to the inhibition of lipid peroxidation.
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PMID:[Protective effects of Panax notoginseng saponins on experimental myocardial injury induced by ischemia and reperfusion in rat]. 240 9

To evaluate the impact of infarct size on morbidity and mortality, blood samples were drawn for CPK-MB determination in 144 consecutive patients with first acute myocardial infarction. Enzymatically estimated infarct size was significantly higher in patients who developed in-hospital arrhythmias, congestive heart failure or mechanical complications, or died. After hospital discharge, infarct size was correlated with the extension score of resting thallium-201 perfusion defects. However, infarct size did not predict the occurrence of long-term complications. Thus, infarct size affects the short-term prognosis. The long-term follow-up is determined by the complex interaction of left ventricular dysfunction, residual ischemia, and arrhythmogenic potential.
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PMID:The role of infarct size in early and late mortality. 248 28

Sixteen out of 293 (5.4%) procedures for percutaneous transluminal coronary angioplasty, performed between 1985 and 1988, were complicated by acute closure and required emergency revascularization surgery. The injured vessel was the left anterior descending artery in 14 cases and the right coronary artery in 2 cases. All patients had persistent chest pain associated with ST-segment elevation in 14 cases and ST-segment depression in 2 cases. Two patients developed cardiogenic shock and were in cardiac arrest at the beginning of operation; one of these died immediately after the operation. Thus the overall mortality rate was 6.2%. Enzyme evidence of myocardial infarction (CPK-MB greater than 40 UI/I) occurred postoperatively in 8 patients (50%), but only the 6 patients (37.5%) with electrocardiographic evidence of myocardial necrosis (new Q-waves or loss of R-wave voltage) showed akinesis of the myocardium perfused by the occluded vessel at the echocardiographic examination performed two weeks after the operation. The occurrence of myocardial infarction was correlated with the degree of preoperative ischemia and hemodynamic deterioration. A collateral flow was present in 3 cases and none of these showed evidence of myocardial necrosis after the operation. Our results show that emergency bypass surgery for failed coronary angioplasty is less satisfactory than elective surgery, and has a higher mortality and myocardial infarction rate. Thus, the risk of emergency operation for complicated dilation must be considered when selecting of candidates for coronary angioplasty.
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PMID:[Results of emergency aortocoronary bypass in complicated coronary angioplasty]. 252 74

m-Nisoldipine 4, 8, 16 nmol/L, nisoldipine 1, 4 nmol/L and nifedipine 4, 8, 16, 50 nmol/L enhanced the recoveries of functional parameters of working rabbit hearts after ischemia-reperfusion, as well as prevented the development of contracture and the release of CPK from the reperfused hearts. m-Nisoldipine 8 nmol/L, nisoldipine 1 nmol/L and nifedipine 8 nmol/L attenuated the reduction of myocardial Na+-K+-ATPase and 5'-nucleotidase activity induced by ischemia-reperfusion. The breakdown of membrane phospholipids and elevation of the myocardial Ca2+-ATPase activity and the free fatty acids level were also prevented.
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PMID:[Protective effects of m-nisoldipine and nisoldipine on myocardial damage in working rabbit hearts after ischemia-reperfusion]. 255 66


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