Stroke, Vol 18, 599-605, Copyright © 1987 by American Heart Association
LR Ment, WB Stewart, CC Duncan and BR Pitt
Calcium antagonists may be of significant benefit in the pharmacotherapy of
cerebral ischemia, possibly by improving postischemic cerebral blood flow
(CBF). This study evaluated the effects of the calcium antagonist
nimodipine on CBF in a newborn beagle pup model of perinatal asphyxia
lasting 5 minutes. Immediately after the asphyxial episode, nimodipine (2
micrograms/kg/min) or saline was infused for 10 minutes, following which
[14C]iodoantipyrine determinations of CBF were performed. In noninsulted
pups, nimodipine caused both significant decreases in CBF to cortical and
deep gray structures as well as a decrease in mean arterial blood pressure
(MABP) (p less than 0.05). In insulted pups, nimodipine similarly decreased
MABP (p less than 0.001) and CBF to cortical and deep gray matter regions.
Nimodipine appeared to have no effect on arterial blood gases and EEG
tracings in either insulted or noninsulted pups. Although nimodipine may be
shown to improve neurologic outcome in asphyxiated newborn infants, the
limits of this study do not show the mechanism to be that of improving CBF.
ARTICLES
Beagle pup model of perinatal asphyxia: nimodipine studies
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