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Plasma Glucose Level and Amino Acid Neurotransmitters following Cardiopulmonary Resuscitation in Human

Research Project

Project/Area Number 02454355
Research Category

Grant-in-Aid for General Scientific Research (B)

Allocation TypeSingle-year Grants
Research Field 麻酔学
Research InstitutionYamaguchi University

Principal Investigator

MAEKAWA Tsuyoshi  Yamaguchi University, Professor Hospital, 医学部附属病院, 教授 (60034972)

Co-Investigator(Kenkyū-buntansha) SOEJIMA Yoshiyuki  Yamaguchi University, Assistant Hospital, 医学部附属病院, 助手 (20206676)
SADAMITSU Daikai  Yamaguchi University, Assistant Prof. Hospital, 医学部附属病院, 講師 (10187164)
TATEISHI Akio  Yamaguchi University, Associate Prof. Hospital, 医学部附属病院, 助教授 (00155102)
ISHIKAWA Toshizoh  Yamaguchi University, Assistant School of Medicine, 医学部, 助手 (90034991)
Project Period (FY) 1990 – 1991
Project Status Completed (Fiscal Year 1991)
Budget Amount *help
¥7,000,000 (Direct Cost: ¥7,000,000)
Fiscal Year 1991: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 1990: ¥6,400,000 (Direct Cost: ¥6,400,000)
Keywordscardiopulmonary resuscitation / human / neurological disturbance / cerebral circulation / plasma glucse level / cerebrospinal fluid / neurotransmitter / amino acids
Research Abstract

To clarify the pathophysiology of neurological disturbance following cardiopulmonary resuscitation (CPR), cerebral circulation, electroencepharogram (EEG), brainstem auditory evoked response, brain computed tomography (CT)and excitatory or inhibitory amino acid neurotransmitters were measured in human.
Cerebral blood flow, measured by Kety-Schmidt method (n=4), decreased significantly from 46 <plus-minus>7 ml/lOOg/min (mean <plus-minus>SD, n=13) to 31 <plus-minus>8 ml/lOOg/min during 4-8 hours, and returned to 59<plus-minus> 24 ml/lOOg/min during 8-48 hours following CPR. Mean velocity and pulsatility index in the middle cerebral artery following CPR, measured by non-invasive transcranial doppler sonography following CPR, were 81.3<plus-minus>19.7 cm/sec and 0.99 <plus-minus>0.24 in the rheta-delta waves dominant EEG group, while those were 18.5<plus-minus>11.1 cm/sec and 2.2 <plus-minus>1.0 in the delta- flat EEG group. These parameters were significantly different between
Brain CT show … More ed no abnormality in two good recovered cases. While low and/or high density areas, and enhanced areas by iopamidol were apparent in basal ganglia and cerebral cortex following CPR in the vegetative or dead cases. Decreased gray-white matter differentiation, effaced sulci, and effacement or dilatation of lateral and cistern ventricles were also appeared.
Excitatory neurotransmitters, i. e. ; aspartate and glutamate which cause neurotoxicity and may trigger, delayed neuronal death, increased significantly from 0.6<plus-minus>0.5 and 1.6 <plus-minus>0.7 mu mol/l (mean <plus-minus>SD, n=16, control) to 3.4 <plus-minus>4.1 and 5.7 <plus-minus>7.1 mu mol/l following CPR (n=ll), respectively. Inhibitory neurotransmitters, i. e. ; taurine and alanine also increased significantly from 5.8<plus-minus>1.9 and 32.0<plus-minus>. 6.5mu mol/l (control) to 13.8 <plus-minus>14.8 and 97.9 <plus-minus>74.8mu mol/l following CPR, respectively. These changes were basically same, when CPR cases were divided into hyperglycemia group (n=5) and normoglycemia group (n=6), and there was no significant difference in the amino acids between these two groups. Aspartate and glutamate were extremely high in one case, who revealed seizure
In the present study, we conclude that cerebral blood flcw decreased transiently. Electroencepharogram, brainstem auditory evoked response and brain computed tomography varied depending on the grade of neurological disturbance. Neuro-excitatory amino acids, which is aspartate and glutamate were increased in cerebrospinal fluid following cardiopulmonary resuscitation with or without hyperglycemia in human. Less

Report

(3 results)
  • 1991 Annual Research Report   Final Research Report Summary
  • 1990 Annual Research Report
  • Research Products

    (16 results)

All Other

All Publications (16 results)

  • [Publications] 前川 剛志他: "Amino acid neurotransmitters in human cerebrospinal fluid following cardiopulmonary resuscitation." J Appl Physiol.

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 立石 彰男他: "Sequential changes of glutamate and aspartate in human cerebrospinal fluid following cardiopulmonary resuscitation." Neurology.

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 定光 大海他: "Correlation between cerebral blood flow velocity and EEG activity following cardiopulmonary resuscitation in human." Crit Care Med.

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 前川 剛志他: "Correlation of neurologic deficits,plasma glucose level and cerebrospinal fluid amino acid neurotransmitters following cardiopulmonary resuscitation" Anesthesiology.

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Tsuyoshi Maekawa, et al.: "Amino acid neurotransmitters in human cerebrospinal fluid following cardiopulmonary resuscitation." J Appl Physiol.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Akio Tateishi, et al.: "Sequential changes of glutamate and aspartate in human cerebrospinal fluid following cardiopulmonary resuscitation." Meurology.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Daikai Sadamitsu, et al.: "Correlation between cerebral blood flow velocity and EEG activity following cardiopulmonary resuscitation in human." Crit Care Med.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Tsuyoshi Maekawa, et al.: "Correlation of neurologic deficits, plasma glucose level and cerebrospinal fluid amino acid neurotransmitters following cardiopulmonary resuscitation." Anesthesiology.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 前川 剛志他: "Amino acid neurotransmitters in human cerebrospinal fluid following cardiopulmonary resuscitation." J Appl Physiol.

    • Related Report
      1991 Annual Research Report
  • [Publications] 立石 彰男他: "Sequential changes of glutamate and aspartate in human cerebrospinal fluid following cardiopulmonary resuscitation." Neurology.

    • Related Report
      1991 Annual Research Report
  • [Publications] 定光 大海他: "Correlation between cerebral blood flow velocity and EEG activity following cardiopulmonary resuscitation in human." Crit Care Med.

    • Related Report
      1991 Annual Research Report
  • [Publications] 前川 剛志他: "Correlation of neurologic deficits,plasma glucose level and cerebrospinal fluid amino acid neurotransmitters following cardiopulmonary resuscitation." Anesthesiology.

    • Related Report
      1991 Annual Research Report
  • [Publications] Tsuyoshi Maekawa: "Amino acid neurotransmitters in human cerebrospinal fluid." J Appl Physiol.

    • Related Report
      1990 Annual Research Report
  • [Publications] Tsuyoshi Maekawa: "Sequential changes of glutamate and aspartate in human cerebrospinal fluid following cardiopulmonary resuscitation." J Appl Physiol.

    • Related Report
      1990 Annual Research Report
  • [Publications] Daikai Sadamitsu: "Sequential changes of cerebral blood flow following cardiopulmonary resuscitation in human." Crit Care Med.

    • Related Report
      1990 Annual Research Report
  • [Publications] Akio Tateishi: "Corelation of neurologic deficits,plasma glucose level and cerebrospinal fluid amino acid neurotransmitters following cardiopulmonary resuscitation." Anesthesiology.

    • Related Report
      1990 Annual Research Report

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Published: 1990-04-01   Modified: 2016-04-21  

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