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Early and late use of dopamine after myocardial ischemia

OBJECTIVE: To evaluate the effect on the left ventricular function of the early and late use of dopamine in an experimental model of an isolated heart. METHOD: Were used 60 rabbits in an isolated heart model sustained by animal support. An intraventricular balloon was placed in the left ventricle. Three groups were constituted: a control group (CG); a group that received dopamine precociously (Dopa P) and a group that received dopamine after 20 minutes (Dopa T). Direct and indirect hemodynamic readings were taken. RESULTS: Coronary artery flow: CG (7.196 ± 1.275 mL/min); Dopa P (9.477 ± 1.160 mL/min); Dopa T (14.316 ± 2.308 mL/min), with CG = Dopa P, CG ¹ Dopa T and Dopa P ¹ Dopa T. First intraventricular positive derivative of the pressure (dp/dt+): CG (719.61 ± 127.53 mmHg/s); Dopa P (719.61 ± 127.53 mmHg/s); Dopa T (1431.60 ± 230.87 mmHg/s), p<0.05, Dopa P¹Dopa T, CG=Dopa P and CG ¹ Dopa T. First intraventricular negative derivative of the pressure (dp/dt -): CG (469.85 ± 107.16 mmHg/s); Dopa P (716.07 ± 215.66 mmHg/s); Dopa T (931.24 ± 181.46 mmHg/s), p<0.05, Dopa P¹Dopa T¹CG. Delta V: CG (1.355 ± 0.2432 mL); Dopa P (0.97 ± 0.3199 mL); Dopa T (1.27 ± 0.2983 mL), p>0.05, Dopa P = Dopa T = CG. Developed systolic stress: CG (27.273 ± 10.276 g/cm²); Dopa P (55.219 ± 24.625 g/cm²); Dopa T (79.152 ± 12.166 g/cm²), Dopa P=Dopa T, Dopa P = CG and CG ¹ Dopa T. Malonic Dialdehyde (MDA): CG (4.5 ± 0.527 mmol/L); Dopa P (4.7 ± 1.16 mmol/L); Dopa T (4.1 ± 0.7379 mmol/L), p>0.05, Dopa P=Dopa T=CG. CONCLUSION: We concluded that, in the delineated experimental model, the early use of the dopamine was deleterious as shown by some hemodynamic variables.

Dopamine; Ventricular function; Myocardial ischemia; Models, animal


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