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Anisodamine hydrobromide ameliorates cardiac damage after resuscitation

  • Authors:
    • Gui-Juan Dong
    • Jun Yang
    • Xin Zhao
    • Shu-Bin Guo
  • View Affiliations / Copyright

    Affiliations: Emergency Medicine Clinical Research Center, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation, Beijing 100020, P.R. China
    Copyright: © Dong et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 422
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    Published online on: May 3, 2022
       https://doi.org/10.3892/etm.2022.11349
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Abstract

The microcirculation is correlated with the prognosis of patients with cardiac arrest and changes after resuscitation. In the present study, the effects of anisodamine hydrobromide (AH) on microcirculation was investigated and its potential mechanisms were explored. A total of 24 pigs were randomly grouped into three groups (n=8): Sham, Saline and AH group. After pigs were anesthetized, intubated and mechanically ventilated, ventricular fibrillation was induced by electrical stimulation. After 8 min, cardiopulmonary resuscitation was given to the restoration of spontaneous circulation (ROSC). Arteriovenous blood was collected at baseline and 0, 1, 2, 4 and 6 h after ROSC to measure blood gas and cytokines. Perfused vessel density (PVD) and microvascular flow index (MFI) were measured to reflect the microcirculation. Continuous cardiac output and global ejection fraction were measured to indicate hemodynamics. Compared with Sham group, PVD and MFI in the intestines and the sublingual regions decreased significantly after resuscitation. The microcirculation recovered faster in the AH group than the SA group. The decrease of intestinal microcirculatory blood flow was closely related to the decrease of sublingual microcirculatory blood flow. The cardiac function was impaired after resuscitation, and a decrease of IFN‑γ as well as IL‑2 and an increase of IL‑4 as well as IL‑10 suggested the immune imbalance. The microcirculation changes in sublingual regions were closely related to the changes in intestines. AH could improve the immune imbalance after resuscitation and was beneficial to the recovery of cardiac function.
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Copy and paste a formatted citation
Spandidos Publications style
Dong G, Yang J, Zhao X and Guo S: Anisodamine hydrobromide ameliorates cardiac damage after resuscitation. Exp Ther Med 23: 422, 2022.
APA
Dong, G., Yang, J., Zhao, X., & Guo, S. (2022). Anisodamine hydrobromide ameliorates cardiac damage after resuscitation. Experimental and Therapeutic Medicine, 23, 422. https://doi.org/10.3892/etm.2022.11349
MLA
Dong, G., Yang, J., Zhao, X., Guo, S."Anisodamine hydrobromide ameliorates cardiac damage after resuscitation". Experimental and Therapeutic Medicine 23.6 (2022): 422.
Chicago
Dong, G., Yang, J., Zhao, X., Guo, S."Anisodamine hydrobromide ameliorates cardiac damage after resuscitation". Experimental and Therapeutic Medicine 23, no. 6 (2022): 422. https://doi.org/10.3892/etm.2022.11349
Copy and paste a formatted citation
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Spandidos Publications style
Dong G, Yang J, Zhao X and Guo S: Anisodamine hydrobromide ameliorates cardiac damage after resuscitation. Exp Ther Med 23: 422, 2022.
APA
Dong, G., Yang, J., Zhao, X., & Guo, S. (2022). Anisodamine hydrobromide ameliorates cardiac damage after resuscitation. Experimental and Therapeutic Medicine, 23, 422. https://doi.org/10.3892/etm.2022.11349
MLA
Dong, G., Yang, J., Zhao, X., Guo, S."Anisodamine hydrobromide ameliorates cardiac damage after resuscitation". Experimental and Therapeutic Medicine 23.6 (2022): 422.
Chicago
Dong, G., Yang, J., Zhao, X., Guo, S."Anisodamine hydrobromide ameliorates cardiac damage after resuscitation". Experimental and Therapeutic Medicine 23, no. 6 (2022): 422. https://doi.org/10.3892/etm.2022.11349
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