Lowering of blood acetaldehyde levels-a possible approach to prevention of alcoholic cardiomyopathy.

C S Alexander, H T Nagasawa, E G Demaster, D J Goon
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Abstract

Based on the assumption that circulating acetaldehyde (AcH) is cardiotoxic, D-penicillamine was administered to dogs given alcohol orally, or given AcH intravenously. Paralleling the increase in plamsa norepinephrine (NE) and epinephrine (E) induced by AcH infusion, hemodynamic measurements showed a positive inotropic response with increase in pulse, blood pressure, left ventricular contractility, and cardiac output. Infusion of D-penicillamine abruptly lowered circulating levels of AcH and catecholamines, which was accompanied by an appropriate hemodynamic response.

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降低血液中乙醛水平——预防酒精性心肌病的一种可能方法
基于循环乙醛(AcH)具有心脏毒性的假设,我们将d -青霉胺给予口服酒精或静脉注射AcH的狗。与乙酰胆碱输注引起的血浆去甲肾上腺素(NE)和肾上腺素(E)升高同时,血流动力学测量显示正性肌力反应,脉搏、血压、左心室收缩力和心输出量增加。d -青霉胺的输注突然降低了AcH和儿茶酚胺的循环水平,并伴有适当的血流动力学反应。
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