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[Protection against myocardial ischemia by nisoldipine--an experimental study with valinomycin K-sensitive microelectrodes].

Abstract
It has been shown that dihydropyridines exert a cardioprotective effect during experimental ischemia. This effect is reflected in a reduced K-efflux from the ischemic tissue. Recently we have shown that ischemic K-efflux is largely mediated by ATP-dependent K-channels. Using K-selective microelectrodes we studied the effect of nisoldipine on K-efflux during simulated ischemia (guinea pig papillary muscle immersed in paraffin oil; normal Tyrode solution, HEPES buffered, 100% O2-equilibrated, 37 degrees C). While ischemic K-efflux was Ca-dependent in stimulated preparations, it was independent of extracellular Ca in resting preparations. Our results show that nisoldipine leads to an inhibition of ischemic K-efflux during simulated ischemia. In resting preparations this inhibition is not a direct Ca-antagonistic effect, since withdrawal of extracellular Ca does not inhibit ischemic K-efflux but nisoldipine does. We suggest a direct effect of nisoldipine on the KATP channel which is mainly responsible for ischemic K-loss.
AuthorsH Köppel, R Gasser, R Pokan, R Willomitzer, L Cichocki, E Pilger, W Klein
JournalActa medica Austriaca (Acta Med Austriaca) Vol. 25 Issue 3 Pg. 101-5 ( 1998) ISSN: 0303-8173 [Print] Austria
Vernacular TitleMyokardiale Ischämieprotektion durch Nisoldipin--eine experimentelle Untersuchung mit Valinomycin-K-sensitiven Mikroelektroden.
PMID9816403 (Publication Type: English Abstract, Journal Article)
Chemical References
  • Calcium Channel Blockers
  • Potassium Channels
  • Valinomycin
  • Nisoldipine
  • Potassium
Topics
  • Animals
  • Calcium Channel Blockers (pharmacology)
  • Culture Techniques
  • Electrocardiography (instrumentation)
  • Guinea Pigs
  • Microelectrodes
  • Myocardial Ischemia (physiopathology, prevention & control)
  • Nisoldipine (pharmacology)
  • Papillary Muscles (drug effects, physiopathology)
  • Potassium (metabolism)
  • Potassium Channels (drug effects, physiology)
  • Valinomycin

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