冠状管内复合人血管内皮生长因子对心肌输液的影响:有剂量依赖作用的证据
R C Hendel1, T D Henry, K Rocha-Singh
1Northwestern University Medical School, Chicago, IL, USA. rhendel@rush.edu
Circulation
|January 19, 2000
概括
重组人血管内皮生长因子 (rhVEGF) 在患者中改善了静止时心肌输液,较高剂量显示了剂量依赖的效果. 这表明rhVEGF可能会提高心脏中的血液流动.
科学领域:
- 心脏病学 心脏病学
- 血管生物学 血管生物学
- 再生医学是一种再生医学.
背景情况:
- 治疗性血管生成研究已经为冠状动脉再血管化提供了先进的临床选择.
- 重组人血管内皮生长因子 (rhVEGF) 对人类心肌 perfusion 的影响仍然没有报告.
研究的目的:
- 研究rhVEGF对人类心肌输液的影响.
- 评估rhVEGF的潜在剂量依赖性影响.
主要方法:
- 14名患者在rhVEGF注射前后接受了心肌 perfusion SPECT成像.
- 盲目观察者使用半定量评分方法分析了SPECT图像.
- 进行视觉和定量分析,以评估输液的变化.
主要成果:
- 在rhVEGF给药后,总结休息分数 (SRS) 显著改善 (P<0.05).
- 较高剂量的rhVEGF在休息和压力状态下对心肌输液的剂量依赖性改善.
- 量化分析支持视觉发现,但没有达到统计学意义.
结论:
- 第1期数据表明,rhVEGF可以改善心肌静止 perfusion.
- 有证据表明,rhVEGF对改善心脏血流的作用取决于剂量.
相关概念视频
Blood Flow
Blood is pumped by the heart into the aorta, the largest artery in the body, and then into increasingly smaller arteries, arterioles, and capillaries. The velocity of blood flow decreases with increased cross-sectional blood vessel area. As blood returns to the heart through venules and veins, its velocity increases. The movement of blood is encouraged by smooth muscle in the vessel walls, the movement of skeletal muscle surrounding the vessels, and one-way valves that prevent backflow.
Regulation of Angiogenesis and Blood Supply
Rapidly dividing tumors, embryos, and wounded tissues require more oxygen than usual, lowering the oxygen concentration in the blood. At low oxygen or hypoxic conditions, an oxygen-sensitive transcription factor called the hypoxia-inducible factor 1 or HIF1 is activated. HIF1 is a dimeric protein of alpha (ɑ) and beta (β) subunits. Under optimal oxygen conditions, HIF1β is present in the nucleus while HIF1ɑ remains in the cytosol. HIF1ɑ is hydroxylated by prolyl hydroxylase and factor...
Pathophysiology of Cardiac Performance
Typical heart performance is influenced by heart rate, rhythm, myocardial contraction, and metabolism or blood flow. The cardiac muscle exhibits distinct electrophysiological features, including pacemaker activity and calcium channel control, which play a vital role in the heart's response to various drugs. The autonomic nervous system, comprising the sympathetic and parasympathetic branches, regulates heart rate. Sympathetic activation increases heart rate, while parasympathetic activation...
Mitral Stenosis I: Introduction
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...


