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Gewählte Publikation:

Kersten, JR; Toller, WG; Tessmer, JP; Pagel, PS; Warltier, DC.
Hyperglycemia reduces coronary collateral blood flow through a nitric oxide-mediated mechanism.
AMER J PHYSIOL-HEART CIRC PHY 2001 281: H2097-H2104. Doi: 10.1152/ajpheart.2001.281.5.H2097 [OPEN ACCESS]
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Co-Autor*innen der Med Uni Graz
Toller Wolfgang
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Abstract:
We tested the hypothesis that hyperglycemia alters retrograde coronary collateral blood flow by a nitric oxide-mediated mechanism in a canine Ameriod constrictor model of enhanced collateral development. Administration of 15% dextrose to increase blood glucose concentration to 400 or 600 mg/dl decreased retrograde blood flow through the left anterior descending coronary artery to 78 +/- 9 and 82 +/- 8% of baseline values, respectively. In contrast, saline or L-arginine (400 mg x kg(-1) x h(-1)) had no effect on retrograde flow. Coronary hypoperfusion and 1 h of reperfusion decreased retrograde blood flow similarly in saline- or L-arginine-treated dogs (76 +/- 11 and 89 +/- 4% of baseline, respectively), but these decreases were more pronounced in hyperglycemic dogs (47 +/- 10%). L-arginine prevented decreases in retrograde coronary collateral blood flow during hyperglycemia (100 +/- 5 and 95 +/- 6% of baseline at blood glucose concentrations of 400 and 600 mg/dl, respectively) and after coronary hypoperfusion and reperfusion (84 +/- 14%). The results suggest that hyperglycemia decreases retrograde coronary collateral blood flow by adversely affecting nitric oxide availability.
Find related publications in this database (using NLM MeSH Indexing)
Animals -
Arginine - pharmacology
Collateral Circulation - drug effects
Coronary Circulation - drug effects
Disease Models, Animal - drug effects
Dogs - drug effects
Hyperglycemia - metabolism
Microcirculation - drug effects
Myocardial Ischemia - metabolism
Myocardial Reperfusion Injury - metabolism
Nitric Oxide - metabolism
Research Support, Non-U.S. Gov't - metabolism
Research Support, U.S. Gov't, P.H.S. - metabolism

Find related publications in this database (Keywords)
collateral circulation
myocardial ischemia
reperfusion injury
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