Pharmacological postconditioning with sevoflurane after cardiopulmonary resuscitation reduces myocardial dysfunction 英文参考文献.docVIP

下载本文档

3
0
约5.42万字
约 12页
2017-05-12 发布于上海
举报
版权申诉

Pharmacological postconditioning with sevoflurane after cardiopulmonary resuscitation reduces myocardial dysfunction 英文参考文献.doc

1、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
7、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

Pharmacological postconditioning with sevoflurane after cardiopulmonary resuscitation reduces myocardial dysfunction 英文参考文献

Meybohmetal.CriticalCare2011,15:R241 /content/15/5/R241 RESEARCH OpenAccess Pharmacologicalpostconditioningwith sevofluraneaftercardiopulmonaryresuscitation reducesmyocardialdysfunction PatrickMeybohm1*,MatthiasGruenewald1,MartinAlbrecht1,ChristinaMüller1,KarinaZitta1,NikolaFoesel1, MoritzMaracke1,SabineTacke2,JürgenSchrezenmeir3,JensScholz1andBertholdBein1 Abstract Introduction:Inthisstudy,wesoughttoexaminewhetherpharmacologicalpostconditioningwithsevoflurane (SEVO)isneuro-andcardioprotectiveinapigmodelofcardiopulmonaryresuscitation. Methods:Twenty-twopigsweresubjectedtocardiacarrest.After8minutesofventricularfibrillationand2 minutesofbasiclifesupport,advancedcardiaclifesupportwasstarted.Aftersuccessfulreturnofspontaneous circulation(N=16),animalswererandomizedtoeither(1)propofol(CONTROL)anesthesiaor(2)SEVOanesthesia for4hours.Neurologicalfunctionwasassessed24hoursafterreturnofspontaneouscirculation.Theeffectson myocardialandcerebraldamage,especiallyoninflammation,apoptosisandtissueremodeling,werestudiedusing cellularandmolecularapproaches. Results:AnimalstreatedwithSEVOhadlowerpeaktroponinTlevels(median[IQR])(CONTROLvsSEVO=0.31pg/ mL[0.2to0.65]vs0.14pg/mL[0.09to0.25];P0.05)andimprovedleftventricularsystolicanddiastolicfunction comparedtotheCONTROLgroup(P0.05).SEVOwasassociatedwithareductioninmyocardialIL-1bprotein concentrations(0.16pg/μgtotalprotein[0.14to0.17]vs0.12pg/μgtotalprotein[0.11to0.14];P0.01),a reductioninapoptosis(increasedprocaspase-3proteinlevels(0.94arbitraryunits[0.86to1.04]vs1.18arbitrary units[1.03to1.28];P0.05),increasedhypoxia-induciblefactor(HIF)-1aproteinexpression(P0.05)and increasedactivityofmatrixmetalloproteinase9(P0.05).SEVOdidnot,however,affectneurologicaldeficitscore orcerebralcellularandmolecularpathways. Conclusions:SEVOreducedmyocardialdamageanddysfunctionaftercardiopulmonaryresuscitationintheearly postresuscitationperiod.Thereductionwasassociatedwithareducedrateofmyocardialproinflammatorycytokine expression,apoptosis,increasedHIF