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At least 955 records · Page 53Linked to original sources
PubMed1987

Loss of functional and structural integrity of the sarcolemma: an early indicator of irreversible injury of myocardium?

The purpose of this study was to explore the relationship between the extent of sarcolemmal damage observed 2 h after reperfusion of myocardium which had been ischemic for either 0.5 or 1 h and the long-term recovery of function of that same myocardium. For this purpose we studied the Ca2+ pumping ATPase activity and protein phosphorylation of sarcolemmal vesicles isolated after 2 h reperfusion. Both activities declined depending on the duration of ischemia, which suggests the development of sarcolemmal Ca2+ pump failure. Morphological examination of the sarcolemma by thin-section and freeze-fracture electronmicroscopy, in biopsies obtained after 2 h of reperfusion, showed severe clustering of intramembranous particles and formation and extrusion of lipidic liposomal structures which also depended on the duration of ischemia. Except for the occurrence of minor particle aggregation in the samples which had been ischemic for 0.5 h, sarcolemmal disruption was only seen in those myocardial segments which had been subjected to 1 h of coronary artery ligation. Recovery of regional myocardial function, assessed by 2-D-echocardiography after 2 weeks of reperfusion, was closely related to the degree to which sarcolemmal integrity was maintained after 2 h reperfusion.

Animals↗
PubMed1988

Desensitisation of human platelets against stimulation by thromboxane mimics--reduction in receptor capacity and loss of functional response.

Number and affinity of thromboxane A2/PGH2 receptors on gel-filtered human platelets was determined using the receptor antagonist 3H-SQ 29548 as a tracer compound. Preincubation of platelet rich plasma (PRP) with U 46619 reduced receptor number to 31% of control platelets without affecting the affinity (2 x 10(-9) mol/l). Pretreated platelets lost their reactivity to stimulation by U 46619 but not to thrombin within 3 h. It is concluded that preincubation of platelets leads to a homologeous platelet desensitisation and down regulation of thromboxane receptors.

15-Hydroxy-11 alpha,9 alpha-(epoxymethano)prosta-5↗
PubMedDate not supplied

Limb loss despite functioning distal bypass.

Five patients are reported who failed to heal ischemic foot wounds despite patient, functioning in situ saphenous vein grafts to infrapopliteal arteries. All were diabetic and two died before amputation could be performed. Contributing to this paradoxical failure of attempted limb salvage were: (a) extensive preexistent gangrene, (b) infection and failure of wound management, and (c) occlusive disease in runoff beds despite the distal site of anastomosis. Distal occlusive disease included one or more of the following: (a) stenosis in a named artery of the foot, (b) stenosis of collaterals from the peroneal artery, and (c) incomplete pedal arches. Distal in situ saphenous vein bypass should continue to be broadly applied for limb salvage, but careful judgement in patient selection and attention to the management of the ischemic wound itself remain critical to success.

Aged↗