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短暂的肢体缺血会在体内诱导远程缺血预条件
R K Kharbanda1, U M Mortensen, P A White
1University College, London, UK. rk285@cam.ac.uk
Circulation
|December 4, 2002
概括
使用肢体缺血的远程缺血预调可以保护人类免受内皮功能障碍,并减少猪心脏病发作的大小. 这种简单的方法具有潜在的临床应用,用于减少因缺血-再输液损伤造成的组织损伤.
科学领域:
- 心血管生理学心血管生理学
- 缺血-再输液生物学 缺血-再输液生物学
背景情况:
- 缺血预先调节 (IP) 可减轻因缺血-再输液 (IR) 引起的局部组织损伤.
- 有证据表明,IP还可以保护远程组织免受IR损伤.
- 这项研究调查了肢体缺血是否诱导远程预调,影响人类内皮功能和实验性心肌梗塞.
研究的目的:
- 为了确定肢体缺血是否可以在人类中诱导远程预调.
- 评估远程预调对人体内皮内膜红外损伤的影响.
- 评估远程预约对猪体内心肌梗塞实验大小的影响.
主要方法:
- 人类前臂内皮功能通过肢体缺血-再输液后的乙胆反应来评估.
- 在人类中,远程预约涉及对侧肢短暂的缺血周期.
- 猪心肌梗塞的大小是在LAD动脉封闭后测量的,有或没有远端四肢预调.
主要成果:
- 远程预约可以防止在IR后观察到的对照组中,前臂血流对乙胆的反应减少.
- 在猪中,远端肢体缺血显著减少了心肌梗塞的大小 (26%对53%的风险区域).
结论:
- 远程缺血预调可以有效地预防人类的IR诱导的内皮功能障碍.
- 肢体缺血作为一个远程预先调节的刺激在实验模型中减少了心肌梗塞的大小.
- 过渡性四肢缺血是一种有希望的,简单的预先调节策略,具有潜在的临床效用.
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