Nitric oxide–generating β-adrenergic blocker nipradilol preserves postischemic cardiac function  Hitoshi Horimoto, MD, Adam E Saltman, MD, PhD, Glenn.

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Presentation transcript:

Nitric oxide–generating β-adrenergic blocker nipradilol preserves postischemic cardiac function  Hitoshi Horimoto, MD, Adam E Saltman, MD, PhD, Glenn R Gaudette, MSc, Irvin B Krukenkamp, MD  The Annals of Thoracic Surgery  Volume 68, Issue 3, Pages 844-849 (September 1999) DOI: 10.1016/S0003-4975(99)00809-7

Fig 1 Schematic diagram of experimental protocol. Hearts were subdivided into groups receiving one of the five preconditioning stimuli shown. Control hearts did not receive any stimulus before regional ischemia. (l-NAME = NG-nitro-l-arginine methyl ester; IPC = ischemic preconditioning; LAD = left anterior descending coronary artery.) The Annals of Thoracic Surgery 1999 68, 844-849DOI: (10.1016/S0003-4975(99)00809-7)

Fig 2 Left ventricular end-diastolic pressure. Ischemic preconditioning (IPC) or drug infusion occurred before 0 on the time line. Regional ischemia occurred from 0 to 60 minutes, and reperfusion from 60 to 120 minutes. Data are shown as mean ± SEM. (l-NAME = NG-nitro-l-arginine methyl ester; LARG = l-arginine; ESM = esmolol; NIP = nipradilol.) The Annals of Thoracic Surgery 1999 68, 844-849DOI: (10.1016/S0003-4975(99)00809-7)

Fig 3 Left ventricular peak developed pressure. Peak developed pressure was defined as the difference between end-systolic pressure and end-diastolic pressure. Data are shown as mean ± SEM. ∗ = p < 0.05 versus control. See Figure 2 for abbreviations and events time table. The Annals of Thoracic Surgery 1999 68, 844-849DOI: (10.1016/S0003-4975(99)00809-7)

Fig 4 Action potential duration at 50% repolarization (APD50). Data are shown as mean ± SEM. ∗ = p < 0.05 versus control. See Figure 2 for abbreviations and events time table. The Annals of Thoracic Surgery 1999 68, 844-849DOI: (10.1016/S0003-4975(99)00809-7)

Fig 5 Infarct size for each heart is marked with an X. Bars indicate mean ± SEM for each group of hearts. Infarct sizes are based on the infarcted area as a percentage of the left ventricle at risk. ∗ = p < 0.05 versus control and l-NAME + l-arginine. See Figure 2 for abbreviations. The Annals of Thoracic Surgery 1999 68, 844-849DOI: (10.1016/S0003-4975(99)00809-7)

Fig 6 Coronary flow throughout the experiments. Data are shown as mean ± SEM. ∗ = p < 0.05 versus control and l-arginine. See Figure 2 for events time table. The Annals of Thoracic Surgery 1999 68, 844-849DOI: (10.1016/S0003-4975(99)00809-7)