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- Title
Dipyridamole and Nifedipine -- Studies on Their Protective Effects for Heart Graft Arterial Stenosis.
- Authors
Ueda, Keisuke; Herskowitz, Ahvie; Pearson, Thomas A.; Dillman, John M.; Suzuki, Masako; Adachi, Hideo; Omoto, Ryozo; Baumgartner, William A.; Reitz, Bruce A.
- Abstract
The etiology of accelerated graft coronary arterial stenosis (CAS) was studied in a rat heterotopic heart transplantation model. Spontaneously hypertensive rats (SHR), Wistar rats (WR), and Lewis rats (LEW) were used. Thirty-four recipients rats fed a hypercholesterol diet (HCD) and saline for eight weeks were divided into six groups. Group 1 and 2 (5 rats each) were hypertensive isograft models (SHR to SHR), group 2 being treated with cyclosporine (CsA: 10mg/kg/day orally). The other 4 groups (6 rats each) represented the allograft models. Group 3 (LEW to WR) was the CsA-treated normotensive model, and Groups 4, 5, and 6 (LEW to SHR) were CsA-treated hypertensive models. Additionally, group 5 was treated by dipyridamole (DP; 25mg/kg/day orally) and group 6 was by nifedipine (NF; 3mg/kg/day orally). The coronary stenosis index (CSI) was calculated in each case and the proportion of arteries affected (AR, %) was estimated in each group. AR and CSI were 6.1% and 0.53±0.76 in group 1, 3.6% and 0.S0±0.71 in group 2, 23.7% and L85±0.52 in group 3, 58.2% and 2.45±0.18 in group 4, 32.3% and 2.25±0.29 in group 5, and 27.7% and 1.93±0.48 in group 6. AR and CSI were significantly increased in group 3 vs group 1 (p < 0.05) and in group 4 vs group 3 (p < 0.05). AR was reduced in groups 5 and 6 vs group 4 (p < 0.05), and CSI was also reduced in group 6 vs group 4 (p < 0.05). In conclusion, hypercholesterolemia and hypertension were recognized as risk factors for CAS aggravation in allografts but failed to affect the coronary arteries of isografts. Both antiatherogenic agents reduced the number of affected vessels, but only NF reduced the degree of CAS. However, neither controlled graft CAS completely.
- Subjects
CORONARY artery stenosis; ARTERIAL stenosis; CORONARY disease; HEART transplantation; HOMOGRAFTS; HYPERCHOLESTEREMIA; HYPERTENSION
- Publication
Vascular Surgery, 1990, Vol 24, Issue 5, p326
- ISSN
0042-2835
- Publication type
Article
- DOI
10.1177/153857449002400505