Objective To investigate the changes of ataxia-telangiectasia mutated(ATM)-Akt in the myocardium around the infarcted zones and its intervention by phenylephrine in rats.Methods Myocardial infarction(MI) and sham operation were established in Sprague Dawley male rats by Litwin's method.Three days after operation,surviving rats were divided into MI group(n=8),sham operation group(n=8),MI phenylephrine intervention group [n=8,phenylephrine 0.65 mg/(kg?d),i.p.,for 8 weeks),and sham operation phenylephrine intervention group(n=8,phenylephrine administered as above).Cardiac left ventricular posterior wall end-diastolic thickness(LVPWd),left ventricular end-diastolic diameter(LVDd),fractional shortening(FS) and ejection fraction(EF) were examined by Doppler ultrasonography.Twelve weeks after treatment,the expression of p-ATM substrate protein and p-Akt protein in the myocardium around the infarcted zones were detected by Western blot analysis and immunohistochemical assay respectively.Results In 12 weeks after treatment,LVDd(0.79?0.06) and(0.54?0.06) cm,FS(17.31?2.60)% and(38.58?2.56)%,and EF(67.75?3.54)% and(70.25?4.33)%(P0.05),and was(0.99?0.07) and(0.65?0.04) in MI phenylephrine intervention group and sham operation phenylephrine intervention group respectively(P0.05);and were(98.80?3.17) and(75.88?2.77) in MI phenylephrine intervention group and sham operation phenylephrine interventin group respectively(P

Objectlves To stuaythe relationship between plasma hemoglobin concentration and estimated glomerular filtration rate (eGFR)in elderly patients with ischemic cardiomyopathy (ICM).Methods Clinical data of patients with coronary heart disease who weredischarged from The First Affiliated Hospital,Chongqing Medicai University between 2005 and 2007 were analyzed retrospectively.Echocardiography resuIts.plasma hemoglobin and creatinine concentration were abstracted from the medical records.The study included235 Chinese Han patients with age 60 years and older with angiography confwmed coronary heart disease.silent myocardial ischemia orangina pectoris,of whom 154 had ICM defined as left ventricular end-diastolic diameter(LVDd),male≥56mm,female≥51 mm(63.51±7.70 mm)measured by M-mode echocardiography.The differences in plasma hemoglobin concentration were analyzed retrospec-were no significant changes in plasma hemoglobin concentration and eGFR;however,plasma hernoglobin concentration was related toeGFR significantly positively in elderly patients with ICM due to coronary heart disease.