title: Nisoldipine Cardioplegia in the Isolated Rabbit Heart.
abstract: BACKGROUND: The metabolic and hemodynamic effects of nisoldipine supplementation in cardioplegia after ischemic injury were investigated in 13 isolated rabbit hearts. Group 1 consisted of 6 hearts, which received St. Thomas II cardioplegic solution. In group 2, nisoldipine was added to the cardioplegic solution at a concentration of 0.1 mg/kg in 7 hearts. METHODS: The explanted hearts were suspended from Langendorff apparatus and were perfused with Krebs-Henseleit solution. Left ventricular pressure, heart rate, malondialdehyde, glutathione peroxidase, glutathione reductase, reduced glutathione, oxidized glutathione, creatine kinase MB, (CK-MB), aspartate transaminase, and lactate dehydrogenase (LDH) were measured before and after 60 minutes of ischemia. Peak generated pressure after ischemia was significantly higher in group 2 versus group 1 while end-diastolic pressure was significantly lower in group 2 after ischemic arrest (P <.05). RESULTS: Malondialdehyde levels were lower in group 2 (P <.05). Glutathione peroxidase and glutathione reductase levels were significantly higher in group 2 (P <.05). The only enzymatic significant difference was observed between the preischemic and postischemic levels of aspartate transaminase in group 2 (P <.05). CONCLUSIONS: These findings show beneficial effects of nisoldipine cardioplegia, although its use as a cardioplegic additive is not yet possible. We believe, however, the effects of oral nisoldipine before cardiac surgery can be studied in a clinical setting.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Dokuz Eylül University, Inciralti, Izmir, Turkey
authors.initials: Ü
authors.lastname: Açikel
authors.initials: E
authors.lastname: Hazan
authors.initials: N
authors.lastname: Sariosmanoglu
authors.initials: &Huml;
authors.lastname: Çatalyürek
authors.initials: E
authors.lastname: Silistreli
authors.initials: G
authors.lastname: Güner
authors.initials: N
authors.lastname: Saydam
authors.initials: Y
authors.lastname: Tunçok
authors.initials: H
authors.lastname: Güven
authors.initials: Ö
authors.lastname: Karabay
authors.initials: Ö
authors.lastname: Oto