Ischaemic Heart Diseases
Conditions
Keywords
Ischaemia reperfusion, Platelet activation, Endothelial function, Remote ischaemic preconditioning, Bradykinin
Brief summary
Heart attacks are usually caused by a blood clot blocking an artery supplying blood to the heart. Current treatments are designed at relieving this blockage as quickly as possible to minimize damage to the heart muscle. However in restoring the supply of blood local damage known as ischaemia-reperfusion injury may occur. The aim of this study is to assess how clot forming and clot dissolving pathways are affected during this process, and examine the role of a natural inflammatory hormone, bradykinin. This will help the investigators to understand the mechanism by which ischaemia-reperfusion injury may occur and to devise new treatments for heart attacks.
Interventions
Forearm blood flow measured by venous occlusion plethysmography during interarterial infusion of vasodilators (Ach). Venous blood sampling via cannula in antecubital fossa.
Systemic infusion of placebo (saline)
Systemic infusion of bradykinin receptor antagonist (HOE-140)
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy males between 18-65 years of ages. * Non-smokers.
Exclusion criteria
* Any concurrent illness or chronic medical condition. * Concurrent use of vasoactive medication. * Smoking history.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in forearm blood flow in response to vasodilators (ACh(, ischaemia reperfusion and ischaemic preconditioning | 20 fixed timepoints during each study visit (3hrs) |
Secondary
| Measure | Time frame |
|---|---|
| Change in platelet-monocyte-binding after ischaemia reperfusion and ischaemic preconditioning | 4 fixed timepoints during each study visit (3hrs) |
Countries
United Kingdom