To the Pathogenesis of Heart Failure in Pancreonecrosis: Experimental Study

Objective: to evaluate the severity of a cardiac lesion in pancreonecrosis and possible mechanisms of pancreatogenic heart failure. Materials and methods. Experiments were made on albino male Wistar rats. In 32 animals anesthetized with ether, pancreonecrosis was simulated by injecting autobile (0.1...

Full description

Bibliographic Details
Main Authors: V. T. Dolgikh, A. V. Yershov, L. G. Shikunova
Format: Article
Language:English
Published: Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia 2009-06-01
Series:Общая реаниматология
Online Access:https://www.reanimatology.com/rmt/article/view/566
_version_ 1797874363366637568
author V. T. Dolgikh
A. V. Yershov
L. G. Shikunova
author_facet V. T. Dolgikh
A. V. Yershov
L. G. Shikunova
author_sort V. T. Dolgikh
collection DOAJ
description Objective: to evaluate the severity of a cardiac lesion in pancreonecrosis and possible mechanisms of pancreatogenic heart failure. Materials and methods. Experiments were made on albino male Wistar rats. In 32 animals anesthetized with ether, pancreonecrosis was simulated by injecting autobile (0.15 ml/kg) into the pancreas with later ligation of the common bile duct. In 18 animals, immunosuppression was induced by triple hydrocortisone administrations and pancreonecrosis was then simulated. Thirty intact anesthetized rats served as a control. Cardiac contractility was studied using an isolated isovolumi-cally contracting heart preparation, by recording the force and velocity indices of contractility, glucose uptake, and enzymatic leakage into the coronary stream. The severity of endotoxemia, the rate of free radical processes, and the serum levels of cardiospecific and pancreatic enzymes were estimated. Results. Pancreonecrosis induces a cardiac lesion, followed by its contractile depression and increased glucose uptake per performed function unit. There is an enhanced susceptibility of isolated hearts to hypoxia, reoxygenation, and exogenous calcium. The hearts of immunosuppressed animals are damaged to a greater extent. Conclusion. Activation of free radical oxidative processes, inadequacy of the antioxidant defense system, impaired cardiac bioenergy, endotoxemia, and depressed phagocytosis have been established to be the leading pathogenetic factors of pancreatogenic myocardial depression. Key words: pancreonecrosis, pathogenesis of heart failure.
first_indexed 2024-04-10T01:29:40Z
format Article
id doaj.art-b7dc0e77395c418aac2d61113eeb8c13
institution Directory Open Access Journal
issn 1813-9779
2411-7110
language English
last_indexed 2024-04-10T01:29:40Z
publishDate 2009-06-01
publisher Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
record_format Article
series Общая реаниматология
spelling doaj.art-b7dc0e77395c418aac2d61113eeb8c132023-03-13T09:32:49ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102009-06-015310.15360/1813-9779-2009-3-39566To the Pathogenesis of Heart Failure in Pancreonecrosis: Experimental StudyV. T. DolgikhA. V. YershovL. G. ShikunovaObjective: to evaluate the severity of a cardiac lesion in pancreonecrosis and possible mechanisms of pancreatogenic heart failure. Materials and methods. Experiments were made on albino male Wistar rats. In 32 animals anesthetized with ether, pancreonecrosis was simulated by injecting autobile (0.15 ml/kg) into the pancreas with later ligation of the common bile duct. In 18 animals, immunosuppression was induced by triple hydrocortisone administrations and pancreonecrosis was then simulated. Thirty intact anesthetized rats served as a control. Cardiac contractility was studied using an isolated isovolumi-cally contracting heart preparation, by recording the force and velocity indices of contractility, glucose uptake, and enzymatic leakage into the coronary stream. The severity of endotoxemia, the rate of free radical processes, and the serum levels of cardiospecific and pancreatic enzymes were estimated. Results. Pancreonecrosis induces a cardiac lesion, followed by its contractile depression and increased glucose uptake per performed function unit. There is an enhanced susceptibility of isolated hearts to hypoxia, reoxygenation, and exogenous calcium. The hearts of immunosuppressed animals are damaged to a greater extent. Conclusion. Activation of free radical oxidative processes, inadequacy of the antioxidant defense system, impaired cardiac bioenergy, endotoxemia, and depressed phagocytosis have been established to be the leading pathogenetic factors of pancreatogenic myocardial depression. Key words: pancreonecrosis, pathogenesis of heart failure.https://www.reanimatology.com/rmt/article/view/566
spellingShingle V. T. Dolgikh
A. V. Yershov
L. G. Shikunova
To the Pathogenesis of Heart Failure in Pancreonecrosis: Experimental Study
Общая реаниматология
title To the Pathogenesis of Heart Failure in Pancreonecrosis: Experimental Study
title_full To the Pathogenesis of Heart Failure in Pancreonecrosis: Experimental Study
title_fullStr To the Pathogenesis of Heart Failure in Pancreonecrosis: Experimental Study
title_full_unstemmed To the Pathogenesis of Heart Failure in Pancreonecrosis: Experimental Study
title_short To the Pathogenesis of Heart Failure in Pancreonecrosis: Experimental Study
title_sort to the pathogenesis of heart failure in pancreonecrosis experimental study
url https://www.reanimatology.com/rmt/article/view/566
work_keys_str_mv AT vtdolgikh tothepathogenesisofheartfailureinpancreonecrosisexperimentalstudy
AT avyershov tothepathogenesisofheartfailureinpancreonecrosisexperimentalstudy
AT lgshikunova tothepathogenesisofheartfailureinpancreonecrosisexperimentalstudy