ABSTRACT
The hepatic blood flow and monooxygenase system activity were studied in 68 ischemic [correction of coronary] heart disease patients aged 37-68 [correction of 40-80] years who had functional class III-IV effort angina and 12 healthy volunteers matched by age. An analysis of the finding indicated that in patients with angina pectoris, the hepatic blood flow index decreased, the pharmacokinetic parameters of antipyrin impaired, the degree of these impairments depended on the severity of the clinical course of angina pectoris.
Subject(s)
Liver Circulation , Liver/enzymology , Myocardial Ischemia/physiopathology , Oxygenases/blood , Adult , Aged , Angina Pectoris/enzymology , Angina Pectoris/physiopathology , Antipyrine/blood , Humans , Male , Middle Aged , Myocardial Ischemia/enzymology , Physical ExertionABSTRACT
The authors performed a comprehensive study of the recovery processes in the myocardium after occlusion of the coronary artery in 126 white rats under the effect of a long-term treatment with propranolol (0.5 mg/kg). The drug reduced the size of necrosis by 2.6 times, significantly decreased the S-T segment rise on the ECG (up to 0.86 +/- 0.09 mV versus 1.85 +/- 0.15 mV, in untreated animals with myocardial infarction, P less than 0.001). The treated animals manifested the improvement of the morphologic status of the perinecrotic area and the myocardium of the posterior wall of the left ventricle. Cardiomyocytes preserved to a considerable degree the ultrastructure of the mitochondria, demonstrating an increase in DK and protein biosynthesis (up to 296.1%, P less than 0.001). At the same time the long-term treatment with propranolol led to an appreciable activation of intracellular reparative regeneration, acceleration of the renewal of organelles, thereby promoting a decrease in the hypertrophy of cardiomyocytes (by 22.1%, P less than 0.001) as compared with control. It is concluded that propranolol administered in a dose of 0.05 mg/kg favours rapid recovery of the functional structures of the myocardium.