J. Gurevitch et al., ROLE OF PROTEASE INHIBITION IN MYOCARDIAL PRESERVATION FOLLOWING ISCHEMIA AND REPERFUSION, Journal of Cardiovascular Surgery, 35(6), 1994, pp. 95-98
Aprotinin, a naturally occurring protease inhibitor, in concentrations
of 10(6) KIU/L was found to have no effect on myocardial performance
in normally perfused isolated rat hearts, before ischemia. Given durin
g the preischemic period, the drug had a significant protective effect
on the reperfused hearts, following cardioplegic ischemia: better con
tractility upon reperfusion (p < 0.011), faster decline of the ischemi
c contracture, higher coronary flow (p < 0,025), lower AV-difference (
p < 0.05), and lower CPK levels (p < 0.01).