• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

Does administration of a short-acting β_1 blocker really produce the perioperative myocardial protection?

Research Project

Project/Area Number 16591545
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Anesthesiology/Resuscitation studies
Research InstitutionThe University of Tokushima

Principal Investigator

KITAHATA Hiroshi  The University of Tokushima, Institute of Health Biosciences, Associate Professor, 大学院・ヘルスバイオサイエンス研究部, 助教授 (60161486)

Co-Investigator(Kenkyū-buntansha) OSHITA Shuzo  The University of Tokushima, Institute of Health Biosciences, Professor, 大学院・ヘルスバイオサイエンス研究部, 教授 (60144945)
KAWAHITO Shinji  The University of Tokushima, University Medical and Dental Hospital, Instructor, 医学部・歯学部附属病院, 助手 (60284296)
Project Period (FY) 2004 – 2005
Project Status Completed (Fiscal Year 2005)
Budget Amount *help
¥3,500,000 (Direct Cost: ¥3,500,000)
Fiscal Year 2005: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 2004: ¥2,300,000 (Direct Cost: ¥2,300,000)
KeywordsUltra-short-acting β1 blocker / Myocardial protecion / Landiolol / Sevoflurane / Propofol / ATP sensitive potassium channel / Anesthetic preconditioning / ケタミン
Research Abstract

The influence of anesthetics for the myocardial protection by a short-actiong β_1 blocker, landiolol was studied.
[2004]Animal experiments
Rabbits (n=25) were assigned to one of four experimental groups : ketamine (K) group, ketamine+landiolol (K+L) group, sevoflurane (S) group, and sevoflurane+landiolol (S+L) group. All rabbits were subjected to a 30-min coronary artery occlusion followed by 3-h reperfusion. Landiolol (20μg/kg/min) was intravenously administered in K+L and S+L groups from 30min before occlusion through the experiment. The infarct size of the area at risk in K+L group (42±11%) was reduced as compared with K group (59±4%). In S+L group, the myocardial infarct size (23±3%) was furthermore decreased significantly as compared with K group.
In mongrel dogs anesthetized with pentobarbital, the coronary blood flow of left circumflex was reduced to 80% of baseline. Landiolol (2μg/kg/min) was intravenously administered 15min after coronary stenosis. The partial pressure of oxygen in inner layer of myocardium decreased after stenosis, however, increased significantly 15min and 30min after landiolol administration (27.6±4.4mmHg, 30.0±5.2mmHg, respectively).
[2005]Clinical study
Fourteen patients undergoing vascular surgery were anesthetized with either sevoflurane (1MAC) or propofol (3μg/ml) combined with oxygen-nitrogen oxide (50%). One patient of propofol group showed both intraoperative ischemic change in ECG and left ventricular regional wall motion abnormality. Serum levels of troponin T, troponin I, and CK-MB were increased 12hr and 24hr after surgery in this patient.
Landiolol produced myocardial protection, which seemed to be enhanced under sevoflurane anesthesia.

Report

(3 results)
  • 2005 Annual Research Report   Final Research Report Summary
  • 2004 Annual Research Report
  • Research Products

    (11 results)

All 2005 2004

All Journal Article (11 results)

  • [Journal Article] Minute distance obtained from pulmonary venous flow velocity using transesophageal pulsed Doppler echocardiography is related to cardiac output during cardiovascular surgery.2005

    • Author(s)
      Kimiko Inatsugi
    • Journal Title

      The Journal of Medical Investigation 52(3,4)

      Pages: 178-185

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Annual Research Report 2005 Final Research Report Summary
  • [Journal Article] Minute distance obtained from pulmonary venous flow velocity using transesophageal pulsed Doppler echocardiography is related to cardiac output during cardiovascular surgery.2005

    • Author(s)
      Kimiko Inatsugi, et al.
    • Journal Title

      The Journal of Medical Investigation 52(3,4)

      Pages: 178-185

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Risk factors for perioperative myocardial ischemia in carotid artery endarterectomy.2004

    • Author(s)
      Shinji Kawahito
    • Journal Title

      Journal of Cardiothoracic and Bascular Anesthesis 18(3)

      Pages: 288-292

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Molecular mechanisms of the inhibitory effects of bypivacaine, levobupivacaine, and ropivacaine on sarcolemmal adenosine triphosphate-sensitive potassium channels in the cardiovascular system.2004

    • Author(s)
      Takashi Kawano
    • Journal Title

      Anesthesiology 101(2)

      Pages: 390-398

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Anesthetic management of a patient undergoing cardioverter defibrillator implantation : usefulness of transesophageal echocardiography and near infrared spectroscopy.2004

    • Author(s)
      Yuka Jinnnouchi
    • Journal Title

      Journal of Anesthesia 18(3)

      Pages: 220-223

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Risk factors for perioperative myocardial ischemia in carotid artery endarterectomy.2004

    • Author(s)
      Shinji Kawahito, et al.
    • Journal Title

      Journal of Cardiothoracic and Vascular Anesthesia 18(3)

      Pages: 288-292

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Molecular mechanisms of the inhibitory effects of bupivacaine, levobupivacaine, and ropivacaine on sarcolemmal adenosine triphosphate-sensitive potassium channels in the cardiovascular system.2004

    • Author(s)
      Takashi Kawano, et al.
    • Journal Title

      Anesthesiology 101(2)

      Pages: 390-398

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Anesthetic management of a patient undergoing cardioverter defibrillator implantation : usefulness of transesophageal echocardiography and near infrared spectroscopy.2004

    • Author(s)
      Yuka Jinnnouchi, et al.
    • Journal Title

      Journal of Anesthesia 18(3)

      Pages: 220-223

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Risk factors for perioperative myocardial ischemia in carotid artery endarterectomy.2004

    • Author(s)
      Shinji Kawahito
    • Journal Title

      Journal of Cardiothoracic and Vascular Anesthesia 18(3)

      Pages: 288-292

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Molecular mechanisms of the inhibitory effects of bupivacaine, levobupivacaine, and ropivacaine on sarcolemmal adenosine triphosphate-sensitive potassium channels in the cardiovascular system.2004

    • Author(s)
      Takashi Kawano
    • Journal Title

      Anesthesiology 101(2)

      Pages: 390-398

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Anesthetic management of a patient undergoing cardioverter defibrillator implantation : usefulness of transesophageal echocardiography and near infrared spectroscopy.2004

    • Author(s)
      Yka Jinnnouchi
    • Journal Title

      Journal of Anesthesia 18(3)

      Pages: 220-223

    • Related Report
      2004 Annual Research Report

URL: 

Published: 2004-04-01   Modified: 2016-04-21  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi