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The Annals of Thoracic Surgery, Vol 53, 1091-1095, Copyright © 1992 by The Society of Thoracic Surgeons
M Ding, CM Dyke, AS Abd-Elfattah, JD Lehman, RJ Dignan and AS Wechsler
We tested the hypothesis that 3,4,5,-trihydroxybenzamidoxime (VF 233), a
demonstrated hydroxyl radical scavenger and an effective Fe3+ chelator,
attenuates reperfusion injury and improves isovolumic left ventricular
function. Eighteen isolated, perfused rabbit hearts with intracavitary
balloons were subjected to normothermic, global ischemia until the
initiation of ischemic contracture. Effects on the adenine nucleotide pool
metabolites were determined by high-pressure liquid chromatography from
right ventricular biopsy specimens before ischemia and at 15-minute
intervals throughout reperfusion. In the experimental group (n = 9), a 5-mL
bolus of 1 mol/L VF 233 was given immediately before reperfusion and
followed by a continuous infusion (0.125 mumol/min). The control group (n =
9) received the vehicle solution at identical times. Rabbits treated with
VF 233 had significant improvement in left ventricular function (expressed
as percent return of left ventricular peak developed pressure) within 15
minutes of reperfusion (55.0 +/- 3.0 versus 66.2 +/- 4.1; p less than 0.05
by analysis of variance) after global ischemia and remained significantly
improved throughout the reperfusion period. Myocardial adenine nucleotide
pool intermediates were not significantly different between groups. These
results demonstrate that administration of VF 233 significantly improves
ventricular function but does not affect adenine nucleotide metabolism
after ischemia and reperfusion.
ARTICLES
Efficacy of a hydroxyl radical scavenger (VF 233) in preventing reperfusion injury in the isolated rabbit heart
Department of Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298.
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