Protective effect of remifentanil precondition on myocardium against ischemia/reperfusion injury in rats
- VernacularTitle:瑞芬太尼预处理对大鼠心肌缺血再灌注损伤的影响
- Author:
Ye ZHANG
;
Zhiwu CHEN
- Publication Type:Journal Article
- Keywords:
Piperidines;
Ischemic preconditioning, myocardial;
Myocardial reperfusion injury
- From:
Chinese Journal of Anesthesiology
1994;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of remifentanil precondition on myocardium against ischemia/ reperfusion (I/R) injury. Methods Fifty male SD rats weighing 300-350 g were anesthetized with intraperitoneal 5% pentobarbital 40 mg?kg-1, tracheostomized and mechanically ventilated. Right carotid artery and jugular vein were cannulated for BP monitoring and drug administration. ECG, BP and HR were monitored continuously. The chest was opened and heart exposed via a left thoracotomy. A 6-0 prolene suture was placed around the left coronary artery and a snare was made. The coronary artery was occluded by tightening the snare. Myocardial ischemia was confirmed by the appearance of a regional cyanosis of myocardium, decrease in BP and ST-T changes on ECG. After the surgical procedure a 15-minute stabilization period was allowed. The animals were then randomly divided into 3 groups: Ⅰ control group (CON, n = 9) ; Ⅱ ischemic preconditioning group (IPC, n = 9) and Ⅲ remifentanil preconditioning group which was further divided into 5 subgroups according to the dose of remifentanil (RPC) . In control group the hearts were subjected to 30 min ischemia followed by 120 min reperfusion (I/R). In IPC group the hearts were subjected to 3 episodes of 5 min ischemia in succession at 5 min interval for reperfusion before I/R. In RPC group the animals received 3 periods of 5 min remifentanil infusion at 0.2 (RPC1 , n = 5), 0.6 (RPC2,n = 6), 2 (RPC3 ,n = 8), 6 (RPC4 ,n = 7) or 20 (RPC5 ,n = 6) ?g?kg-1?min-1 at 5 min interval before I/R. MAP, HR and RPP (SP?HR) were recorded before and after I/R. Infarct size (IS) and the area at risk (AAR) were determined by triphenyltetrazolium staining. Results MAP was significantly lower at the end of 30 min ischemia in RPC2, RPC3, RPC4 and RPC5 subgroups than in control group. There was no significant difference in MAP, HR and RPP at the end of 120 min reperfusion among the 3 groups. The infarct size was significantly smaller in IPC and RPC groups than in control group. RPC at 6 ?g?kg-1?min-1 provided best protective effect. The sigmoidal equation of the dose-effect curve was Y = 15.18 + 17.76/ [1 + 10(-2.57-X)]. ED50, was 2.689 ?g?kg-1?min-1.Conclusion Remifentanil and IPC have similar protective effect on the heart against I/R injury.
