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1 Experimental Cardiology, Thoraxcenter, Erasmus University Rotterdam, 3000 DR Rotterdam, The Netherlands
Left ventricular (LV) dysfunction
caused by myocardial infarction (MI) is accompanied by endothelial
dysfunction, most notably a loss of nitric oxide (NO) availability. We
tested the hypothesis that endothelial dysfunction contributes to
impaired tissue perfusion during increased metabolic demands as
produced by exercise, and we determined the contribution of NO to
regulation of regional systemic, pulmonary, and coronary vasomotor tone
in exercising swine with LV dysfunction produced by a 2- to 3-wk-old
MI. LV dysfunction resulted in blunted systemic and coronary
vasodilator responses to ATP, whereas the responses to nitroprusside
were maintained. Exercise resulted in blunted systemic and pulmonary vasodilator responses in MI that resembled the vasodilator responses in
normal (N) swine following blockade of NO synthase with
N
-nitro-L-arginine
(L-NNA, 20 mg/kg iv). However, L-NNA resulted in similar decreases in systemic (43 ± 3% in N swine and 49 ± 4% in MI swine), pulmonary (45 ± 5% in N swine and 49 ± 4% in MI swine), and coronary (28 ± 4% in N and 35 ± 3% in MI) vascular conductances in N and MI swine under resting
conditions; similar effects were observed during treadmill exercise.
Selective inhibition of inducible NO synthase with aminoguanidine (20 mg/kg iv) had no effect on vascular tone in MI. These findings indicate
that while agonist-induced vasodilation is already blunted early after myocardial infarction, the contribution of endothelial NO
synthase-derived NO to regulation of vascular tone under basal
conditions and during exercise is maintained.
coronary circulation; myocardial infarction; pulmonary circulation; regional blood flows; systemic circulation
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