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  • 1
    Electronic Resource
    Electronic Resource
    [s.l.] : Nature Publishing Group
    Nature 189 (1961), S. 1018-1019 
    ISSN: 1476-4687
    Source: Nature Archives 1869 - 2009
    Topics: Biology , Chemistry and Pharmacology , Medicine , Natural Sciences in General , Physics
    Notes: [Auszug] The isolated perfused rat heart described by Bleehen and Fisher8 was used. This was modified as indicated by Morgan and Park4 to permit the use of a low circulating volume. To measure formation of carbon dioxide labelled with carbon-14 from labelled substrates, a closed system was developed which ...
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    [s.l.] : Nature Publishing Group
    Nature 227 (1970), S. 1055-1056 
    ISSN: 1476-4687
    Source: Nature Archives 1869 - 2009
    Topics: Biology , Chemistry and Pharmacology , Medicine , Natural Sciences in General , Physics
    Notes: [Auszug] But circumstantial evidence has grown up to suggest that free fatty acids can in certain circumstances be toxic to the heart. In patients with acute myocardial infarction those with the most free fatty acid in the blood are most liable to develop arrhythmias5'6. In dogs with ischaemic lesions of ...
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Cardiovascular drugs and therapy 9 (1995), S. 833-835 
    ISSN: 1573-7241
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Cardiovascular drugs and therapy 9 (1995), S. 479-487 
    ISSN: 1573-7241
    Keywords: risk factors ; endothelium ; left ventricular hypertrophy ; exercise training ; insulin resistance
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary In addition to new knowledge concerning the mechanisms whereby conventional risk factors act, other risk factors have been newly described, such as dietary antioxidants, lack of exercise, insulin resistance, excess iron stores, increased plasma angiotensin-converting enzyme, and left ventricular hypertrophy. An intact endothelium protects both by the formation of nitric oxide, which is a vasodilator and also an inhibitor of platelet aggregation and neutrophil adhesion, and by manufacturing tissue plasminogen activator. The acute thrombotic event occurs with a diurnal variation but may be precipitated by acute exertion, especially in untrained individuals, and reflects a balance between vasoconstrictory and vasodilatory stimuli from the vascular endothelium, as well as procoagulant versus anticoagulant effects of complex balancing systems. Increased risk of sudden cardiac death in the morning is thought to be a reflection of transient risk factors, such as a blood pressure increase, heart rate increase, and changes in coagulation factors, as well as changes in platelet aggregation. There is an apparent paradox between the acute effect of exercise in promoting sudden cardiac death and the chronic effect of exercise training in decreasing the risk of myocardial infarction. The explanation may be that chronic exercise training has an inhibitory effect on adrenergic discharge.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1435-1803
    Keywords: Key words Delta opioid receptor – kappa opioid receptor – preconditioning – regional ischemia – infarct size
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract δ-Opioid receptors are known to participate in the protection found following ischemic preconditioning (IPC), but the role of κ-receptors in IPC is currently controversial. Langendorff-perfused rat hearts received 35 min regional ischemia and 2 h reperfusion. PC (2 cycles 5 min global ischemia) substantially reduced infarct size. Pharmacological PC with the δ-agonist DADLE (10 nmol/L) had similar protective effects. However, higher dose DADLE (1 μmol/L) had a less beneficial effect, and in conjunction with the δ-antagonist naltrindole unexpectedly increased infarct size (61.5 ± 2.0%, p 〈 0.05 v 45.9 ± 2.3% in controls) sugggesting a non-δ effect. The universal κ-opioid agonist bremazocine (30 nmol/L) increased infarct size (61.3 ± 1.6%, p 〈 0.05 v controls), an effect abrogated by the selective κ1-antagonist nor-binaltorphimine (BNI). Since opiates are known to have anti-adrenergic effects, which hypothetically may help to mediate IPC, cyclic AMP levels were measured in DADLE and in bremazocine-treated hearts. Decreased levels of cyclic AMP at the start of the regional ischemic period were found in low dose DADLE hearts (0.485 ± 0/020, n = 8, vs controls, 0.654 ± 0.025 nmol/g wet weight, p 〈 0.001), but not in high dose DADLE nor in bremazocine treated hearts. Thus, in the isolated rat heart κ1-opioid receptor activation exacerbates infarct size through an as yet unknown mechanism, suggesting that there could be an “anti-preconditioned state”. In contrast, δ-activity mediates protection which may be associated with a reduction of tissue cyclic AMP levels.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Cardiovascular drugs and therapy 1 (1987), S. 411-430 
    ISSN: 1573-7241
    Keywords: calcium antagonists ; verapamil ; nifedipine ; diltiazem ; binding sites ; classification of calcium antagonists ; calcium channels
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Ca2+ channel antagonists are agents that interact with the voltage-dependent Ca2+ channel in a highly specific way. The prototype agents of cardiovascular importance are verapamil, nifedipine, and diltiazem, in historical order of appearance. These agents all have different molecular structures and bind separately with receptor sites located in or near the calcium channel, at molecular sites still to be fully identified. There are probably three distinct receptor sites (V, N, D) which stand in relation to the “gate” of the long-acting “L” calcium channel. There is probably overlap among the receptor sites, especially between the V and D sites to explain their common properties. All three agents inhibit the voltage-dependent calcium channel in vascular smooth muscle and also myocardial slow calcium channels. The ratio of the arterial to the myocardial effect is an index of the arterial selectivity, generally held to be a desirable property because the negative inotropic effect is usually a liability. The general clinical impression that nifedipine is the agent most active in vascular tissue in relation to the myocardial effect is supported by data on the relative potencies of these three agents on blood perfused dog preparations and by a comparison of the potency on rat vascular (portal vein) versus myocardial effects. Nonetheless all three agents are highly active in the inhibition of K+-induced vascular contractions (nifedipine 10−9 M to 10−8 M; verapamil 10−7 M to 10−6 M; and diltiazem 5×10−7 M to 10−6 M; concentrations for 50% inhibition of K+-induced vascular contractions in rat or rabbit aorta; comparative data for resistance vessels not available). The clinical impression that verapamil and diltiazem are more active on nodal tissue is also supported by a comparison of potencies on blood perfused dog nodal preparations in comparison with effects on coronary flow, with verapamil and diltiazem being approximately 10× more potent on the AV node than increasing coronary blood flow, so that the nodal effect is first detected. These basic pharmacological properties explain why all these three agents have clinical effects relevant to inhibition of vascular contraction (antihypertensive and antianginal effects) and only verapamil and diltiazem have clinically relevant inhibitory effects on the AV node (inhibition of supraventricular tachycardias). The comparative potencies of verapamil, diltiazem, and nifedipine in angina and hypertension will be examined in Parts II and III of this review.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Cardiovascular drugs and therapy 1 (1988), S. 561-562 
    ISSN: 1573-7241
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Cardiovascular drugs and therapy 2 (1988), S. 191-203 
    ISSN: 1573-7241
    Keywords: amlodipine ; felodipine ; isradipine ; nicardipine ; nimodipine ; nisoldipine ; nitrendipine ; tiapamil ; gallopamil ; anipamil ; diphenylalkylamines ; bepridil ; lidoflazine ; cinnarazine ; fendiline
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Second-generation agents include new dihydropyridines, such as amlodipine, felodipine, isradipine, nicardipine, nimodipine, nisoldipine, and nitrendipine. Verapamil-like agents include tiapamil, gallopamil, and anipamil. Among the diphenylalkylamines, bepridil is of special interest. New preparations of existing agents include slow-release formulations of nifedipine, verapamil, and diltiazem. From all these agents will be selected those that are longer-acting and provide higher vascular selectivity.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Springer
    Cardiovascular drugs and therapy 2 (1988), S. 177-189 
    ISSN: 1573-7241
    Keywords: side effects ; calcium antagonists ; drug interactions ; negative inotropic effect ; combination therapy ; digoxin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary With the correct selection of drug and patient, the calcium antagonists as a group can be remarkably effective at relatively low cost of serious side effects. Almost all side effects are dose related. Minor side effects include those caused by vasodilation (flushing and headaches), constipation (verapamil), and ankle edema. Serious side effects are rare and result from improper use of these agents, as when intravenous verapamil (or diltiazem) is given to patients with sinus or atrioventricular nodal depression from drugs or disease, or nifedipine to patients with aortic stenosis. The potential of a marked negative inotropic effect is usually offset by afterload reduction, especially in the case of nifedipine which actually has the most marked negative inotropic effect. Yet caution is required when even calcium antagonists, especially verapamil, are given to patients with myocardial failure unless caused by hypertensive heart disease. Drug interactions of calcium antagonists occur with other cardiovascular agents such as α-adrenergic blockers, β-adrenergic blockers, digoxin, quinidine, and disopyramide. The most marked interaction with digoxin is that with verapamil, which may raise digoxin levels by over 50%. Combination therapy of calcium antagonists with β-blockers is increasingly common, and is probably safest in the case of dihydropyridines. Other combinations being explored are those with angiotensinconverting enzyme inhibitors and diuretics.
    Type of Medium: Electronic Resource
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  • 10
    Electronic Resource
    Electronic Resource
    Springer
    Cardiovascular drugs and therapy 3 (1989), S. 5-5 
    ISSN: 1573-7241
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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