Abstract
Until recently the assessment of alteration in myocardial metabolism in man early after an abrupt occlusion of a major coronary artery has not been feasible. PTCA however, now provides a unique opportunity to study the time course of these metabolic changes during the transient interruption of coronary flow by the balloon occlusion sequence in patients with single-vessel disease and without angiographically demonstrable collateral circulation (1, 2). The need to detect any persisting metabolic or mechanical dysfunction becomes of even greater concern as the number of dilated vessels and the duration of balloon inflation tend to increase, thereby enhancing both the extent and the severity of ischemia. The risk exists that the damage induced by the intervention may exceed its benefit.
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References
Serruys PW, Wijns W, van den Brand M et al. (1984) Left ventricular performance, regional blood flow, wall motion and lactate metabolism during transluminal angioplasty. Circulation 70: 25
Serruys PW, van den Brand M, Brower RW, Hugenholtz PG (1984) Left ventricular hemodynamics, regional blood flow and lactate metabolism during balloon occlusion: can we alter the sequence of ischemic events? In: Rutishauser W and Roskam MW (eds), Silent myocardial ischmia. Springer-Verlag. Berlin, Heidelberg, New York, Tokyo, p. 37
Jong JW (1979) Biochemistry of acutely ischemic myocardium. In Schaper W (ed), The pathophysiology of myocardial perfusion. Amsterdam, Elsevier/North-Holland, Biochemical Press, p. 719
Remme WJ, Jong JW, Verdouw PD (1979) Effect of pacing-induced myocardial ischemia on hypoxanthine efflux from the human heart. Am J Cardiol 40: 55
Hartwick RA, Kristulovic AM, Brown PR (1979) Identification and quantification of nucleosides, bases and other UV-absorbing compounds in serum, using reversed-phase high-performance liquid chromatography. II Evaluation of human sera. J Chromatogr 186: 659
Harmsen E, Jong JW, Serruys PW (1981) Hypoxanthine production by ischemic heart demonstrated by high pressure liquid chromatography of blood purine nucleosides and oxypurines. Clin Chim Acta 115: 73
Apstein CS, Puchner E and Brachfield N (1979) Improved automated lactate determination. Anal Biochem 38: 20
Chatterjee SK, Bhattacharya M and Barlow JJ (1979) A simple. specific radiometric assay for 5’-nucleotidase. Anal Biochem 95: 497
Scheibe B, Bernt E, Bergmeyer HU (1974) Uric acid. In: Bergmeyer HU (ed) Methods of enzymatic analysis. New York: Academic Press, pp. 1951–8
Jong JW, Keijzer E, Uitendaal MP and Harmsen E (1980) Further purification of adenosine kinase from rat heart using affinity and ion-exchange chromatography. Anal Biochem 101: 407
Edlund A, Berglund B, Van Dorne D, et al. (1985) Coronary flow regulation in patients with ischemic heart disease: release of purines and prostacyclin and the effect of inhibitors of prostaglandin formation. Circulation 71: 1113
Ontyd J, Schrader J (1984) Measurement of adenosine, inosine and hypoxanthine in human plasma. J Chromatogr 307: 404
Metha J, Pepine CJ (1978) Effect of sublingual nitroglycerin on regional flow in patients with and without coronary disease. Circulation 58: 803
Manning AS, Hearse DJ, Dennis SC et al. (1980) Myocardial ischemia: an isolated, globally perfused rat heart model for metabolic and pharmacological studies. Eur J Cardiol 11: 1
Wilson DF, Owen CS, Erecinska M (1979) Quantitative dependence of mitochondrial oxidative phosphorylation on oxygen concentration. A new mathematical model. Arch Biochem Biophys 195: 494
Danforth WH, Naegle S, Bing RJ (1960) Effects of ischemia and reoxygenation on glycolytic reactions and adenosine triphosphate in heart muscle. Cire Res 8: 965
Garlick BP, Radda GK, Seeley RI (1979) Studies of acidosis in the ischemic heart by phosphorous nuclear magnetic resonance. Biochem J 184: 547
Hearse DJ (1979) Oxygen deprivation and early myocardial contractile failure. Reassessment of the possible role of adenosine triphosphate. Am J Cardiol 44: 1115
Hearse DJ, Crome R, Yellon DM, Wyse R (1983) Metabolic and flow correlates of myocardial ischemia. Cardiovasc Res 17: 452
Schouten B, de Jong JW (1987) Age-dependent increase in xanthine oxidoreductase differs in various heart cell types. Cire Res 61: 604–7
Downey JM, Chambers DE, Miura T et al. (1986) Allopurinol fails to limit infarct size in a xanthine oxidase deficient species. Circulation 74 Suppl 2: 372
Podzuweit T, Braun W, Müller A, Schaper W (1986). Arrhythmias and innfarction in the ischemic pig leart are not mediated by xanthine oxidase-derived free oxygen radicals. Circulation 74 Suppl 2: 346
Krenitsky TA, Tuttle JV, Cattau EL, Wang P (1974) A comparison of the distribution and electron acceptor specificities of xanthine and aldehyde oxidase. Comp Biochem Physiol 49B: 687
Jarasch ED, Bruder G, Held HW (1986) Significance of xanthine oxidase in capillary endothelial cells. Acta Physiol Scand 548 Suppl 1: 39
Wajner M, Harkness RA (1988) Distribution of xanthine dehydrogenase and oxidase activities in human and rabbit tissues. Biochem Soc Trans, in press
Eddy LJ, Stewart JR, Jones HP et al. (1987) Free radical-producing enzyme, xanthine oxidase, is undetectable in human hearts. Am J Physiol 253: H709
Ramboer CRH (1969) A sensitive and nonradioactive assay for serum and tissue xanthine oxidase. J Lab Clin Med 74: 828
Muxfeldt M, Schaper W (1987) The activity of xanthine oxidase in hearts of pigs, guinea pigs, rats, and humans. Basic Res Cardiol 82: 486
Watts RWE, Watts JEM, Seegmiller JE (1965) Xanthine oxidase activity in human tissues and its inhibition by allopurinol. J Lab Clin Med 66: 688
Hearse DJ, Manning AS, Downey JM, Yellon DM (1986) Xanthine oxidase: a critical mediator of myocardial injury during ischemia and reperfusion? Acta Physiol Scand 548:Suppl: 65
McCord JM (1984) Are free radicals a major culprit? In Hearse DJ, Yellon DM (eds). Therapeutic approaches to myocardial infarct size limitation. New York, Raven Press, p. 209
Chambers DE, Parks DA, Patterson G, et al. (1985) Xanthine oxidase as a source of free radical damage in myocardial ischemia. J Moll Cell Cardiol 17: 145
Vusse GJ (1985) Pharmacological intervention in acute myocardial ischemia and reperfusion. Trends Pharmacol Sci 6: 76
England MD, Cavarocchi NC, O’Brien JF, et al. (1986) Influence of antioxidants (mannitol and allopurinol) on free radical generation during and after cardiopulmonary bypass. Circulation 74 Suppl 3: 134
Peterson DA, Asinger RW, Elsperger KJ et al. (1985) Reactive oxygen species may cause myocardial reperfusion injury. Biochem Biophys Res Commum 127: 87
Zweier JL, Flaherty JT, Wcisfeldt ML (1987) Direct measurements of free radical generation following reperfusion of ischemic myocardium. Proc Natl Acad Sci (USA) 84: 140–7
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© 1989 Springer-Verlag Berlin Heidelberg
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Serruys, P.W. et al. (1989). Myocardial release of lactate, hypoxanthine, and urate during and following percutaneous transluminal coronary angioplasty. Potential mechanism for the generation of free radicals. In: Höfling, B., v. Pölnitz, A., Erdmann, E., Steinbeck, G., Strauer, B.E. (eds) Interventional Cardiology and Angiology. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-662-12114-6_4
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DOI: https://doi.org/10.1007/978-3-662-12114-6_4
Publisher Name: Steinkopff, Heidelberg
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