TY - JOUR AB - 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. AD - 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 AU - Dong,Gui-Juan AU - Yang,Jun AU - Zhao,Xin AU - Guo,Shu-Bin DA - 2022/06/01 DO - 10.3892/etm.2022.11349 IS - 6 JO - Exp Ther Med KW - cardiopulmonary resuscitation microcirculation anisodamine hydrobromide hemodynamics PY - 2022 SN - 1792-0981 1792-1015 SP - 422 ST - Anisodamine hydrobromide ameliorates cardiac damage after resuscitation T2 - Experimental and Therapeutic Medicine TI - Anisodamine hydrobromide ameliorates cardiac damage after resuscitation UR - https://doi.org/10.3892/etm.2022.11349 VL - 23 ER -