Key elements of toxic myocardiopathy pathogenesis

Goal. To identify key links in the pathogenesis of toxic myocardiopathy in conditions of endogenous intoxication in peritonitis. Materials and methods. Experimental studies were carried out on dogs (n = 24). The model of purulent fecal peritonitis. We studied the run-time content of toxic products i...

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Main Authors: N. D. Bunyatyan, T. I. Vlasova, N. A. Myshkina, A. P. Vlasov, E. I. Polozova, N. Yu. Leshchankina, A. B. Prokofiev, K. G. Gurevich
Format: Article
Language:English
Published: Siberian State Medical University (Tomsk) 2019-08-01
Series:Бюллетень сибирской медицины
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Online Access:https://bulletin.ssmu.ru/jour/article/view/2301
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author N. D. Bunyatyan
T. I. Vlasova
N. A. Myshkina
A. P. Vlasov
E. I. Polozova
N. Yu. Leshchankina
A. B. Prokofiev
K. G. Gurevich
author_facet N. D. Bunyatyan
T. I. Vlasova
N. A. Myshkina
A. P. Vlasov
E. I. Polozova
N. Yu. Leshchankina
A. B. Prokofiev
K. G. Gurevich
author_sort N. D. Bunyatyan
collection DOAJ
description Goal. To identify key links in the pathogenesis of toxic myocardiopathy in conditions of endogenous intoxication in peritonitis. Materials and methods. Experimental studies were carried out on dogs (n = 24). The model of purulent fecal peritonitis. We studied the run-time content of toxic products in blood plasma, the lipid composition, the intensity of lipid peroxidation, the activity of phospholipase A2 and superoxide dismutase, and hypoxia of myocardial tissue. We evaluated loss of water and proteins, electrogenesis of the myocardium cells and changes in the ECG parameters. We also performed histological examination of the myocardial tissue. Results. Experimental studies in dogs showed that the development of endotoxicosis of peritoneal origin is accompanied by significant metabolic disorders and cardiac malfunction leading to the development of myocardiopathy. The most important role in the development and progression of myocardial damage in endotoxicosis is played by biomembrane damage and disruption of associated processes. The main processes are quantitative and qualitative modifications of phospholipids in cardiac cell membranes. Conclusion. The obtained data demonstrate the key role of the interrelation between dyslipidemia in the investigated cellular structures and intensification of lipid peroxidation, an increase in phospholipase A 2 activity, and hypoxia; which confirms the significance of these processes in destabilization of the phospholipid matrix of biomembranes.
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institution Kabale University
issn 1682-0363
1819-3684
language English
publishDate 2019-08-01
publisher Siberian State Medical University (Tomsk)
record_format Article
series Бюллетень сибирской медицины
spelling doaj-art-e1820a97cdbf4d758a8812e1dc87c2492025-08-20T04:00:12ZengSiberian State Medical University (Tomsk)Бюллетень сибирской медицины1682-03631819-36842019-08-01182243010.20538/1682-0363-2019-2-24-301505Key elements of toxic myocardiopathy pathogenesisN. D. Bunyatyan0T. I. Vlasova1N. A. Myshkina2A. P. Vlasov3E. I. Polozova4N. Yu. Leshchankina5A. B. Prokofiev6K. G. Gurevich7I.M. Sechenov First Moscow State Medical University; Scientific Center for Expert Evaluation of Medicinal ProductsNational Research Ogarev Mordovia State UniversityNational Research Ogarev Mordovia State UniversityNational Research Ogarev Mordovia State UniversityNational Research Ogarev Mordovia State UniversityNational Research Ogarev Mordovia State UniversityI.M. Sechenov First Moscow State Medical University; Scientific Center for Expert Evaluation of Medicinal ProductsA.I. Yevdokimov Moscow State University of Medicine and DentistryGoal. To identify key links in the pathogenesis of toxic myocardiopathy in conditions of endogenous intoxication in peritonitis. Materials and methods. Experimental studies were carried out on dogs (n = 24). The model of purulent fecal peritonitis. We studied the run-time content of toxic products in blood plasma, the lipid composition, the intensity of lipid peroxidation, the activity of phospholipase A2 and superoxide dismutase, and hypoxia of myocardial tissue. We evaluated loss of water and proteins, electrogenesis of the myocardium cells and changes in the ECG parameters. We also performed histological examination of the myocardial tissue. Results. Experimental studies in dogs showed that the development of endotoxicosis of peritoneal origin is accompanied by significant metabolic disorders and cardiac malfunction leading to the development of myocardiopathy. The most important role in the development and progression of myocardial damage in endotoxicosis is played by biomembrane damage and disruption of associated processes. The main processes are quantitative and qualitative modifications of phospholipids in cardiac cell membranes. Conclusion. The obtained data demonstrate the key role of the interrelation between dyslipidemia in the investigated cellular structures and intensification of lipid peroxidation, an increase in phospholipase A 2 activity, and hypoxia; which confirms the significance of these processes in destabilization of the phospholipid matrix of biomembranes.https://bulletin.ssmu.ru/jour/article/view/2301endogenous intoxication, peritonitis, myocardiopathy
spellingShingle N. D. Bunyatyan
T. I. Vlasova
N. A. Myshkina
A. P. Vlasov
E. I. Polozova
N. Yu. Leshchankina
A. B. Prokofiev
K. G. Gurevich
Key elements of toxic myocardiopathy pathogenesis
Бюллетень сибирской медицины
endogenous intoxication, peritonitis, myocardiopathy
title Key elements of toxic myocardiopathy pathogenesis
title_full Key elements of toxic myocardiopathy pathogenesis
title_fullStr Key elements of toxic myocardiopathy pathogenesis
title_full_unstemmed Key elements of toxic myocardiopathy pathogenesis
title_short Key elements of toxic myocardiopathy pathogenesis
title_sort key elements of toxic myocardiopathy pathogenesis
topic endogenous intoxication, peritonitis, myocardiopathy
url https://bulletin.ssmu.ru/jour/article/view/2301
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AT tivlasova keyelementsoftoxicmyocardiopathypathogenesis
AT namyshkina keyelementsoftoxicmyocardiopathypathogenesis
AT apvlasov keyelementsoftoxicmyocardiopathypathogenesis
AT eipolozova keyelementsoftoxicmyocardiopathypathogenesis
AT nyuleshchankina keyelementsoftoxicmyocardiopathypathogenesis
AT abprokofiev keyelementsoftoxicmyocardiopathypathogenesis
AT kggurevich keyelementsoftoxicmyocardiopathypathogenesis