نتایج جستجو برای: insulin potassium gik

تعداد نتایج: 258625  

Journal: :JAMA 2012
Harry P Selker Joni R Beshansky Patricia R Sheehan Joseph M Massaro John L Griffith Ralph B D'Agostino Robin Ruthazer James M Atkins Assaad J Sayah Michael K Levy Michael E Richards Tom P Aufderheide Darren A Braude Ronald G Pirrallo Delanor D Doyle Ralph J Frascone Donald J Kosiak James M Leaming Carin M Van Gelder Gert-Paul Walter Marvin A Wayne Robert H Woolard Lionel H Opie Charles E Rackley Carl S Apstein James E Udelson

CONTEXT Laboratory studies suggest that in the setting of cardiac ischemia, immediate intravenous glucose-insulin-potassium (GIK) reduces ischemia-related arrhythmias and myocardial injury. Clinical trials have not consistently shown these benefits, possibly due to delayed administration. OBJECTIVE To test out-of hospital emergency medical service (EMS) administration of GIK in the first hour...

Journal: :Circulation 2008
Robert A Kloner Richard W Nesto

The “holy grail” in the field of cardioprotection is to develop pharmacological agents that can be administered as adjunctive treatment to reperfusion that will reduce myocardial infarct size and improve clinical outcomes. Numerous pharmacological agents and strategies have been studied over the years with variable results in both animal models and humans. Of drugs that have been studied, only ...

2007
A. Jalali Alireza Jalali M. H. Kalantar

BackgroundCABG is one of the most common surgical procedures, especially among heart surgeries. Protection of the myocardium during and after the early stages of operation has special importance. Different medical and drug techniques have been used for this purpose. One of these techniques is infusion of glucose-insulin-potassium (GIK) solution. We compared the efficacy of GIK solution and GIKm...

Journal: :Circulation 1997
F Fath-Ordoubadi K J Beatt

BACKGROUND Glucose-insulin-potassium (GIK) therapy has been advocated for the treatment of acute myocardial infarction. However, the results from the clinical trials have been inconclusive, largely because of the small number of patients recruited and discrepancies between protocols used in these studies. METHOD AND RESULTS A systematic MEDLINE search for all the randomized placebo-controlled...

Journal: :European heart journal 2005
Carl S Apstein Lionel H Opie

The negative results of glucose-insulin-potassium (GIK) in the very large CREATE-ECLA trial that studied 20,201 patients with ST-elevation acute myocardial infarction (AMI), are disappointing and warrant thorough evaluation. We attempt to put the new data into perspective and uncover the serious flaws in the trial design, otherwise the whole metabolic concept will be disparaged. The crucial iss...

Journal: :Cardiovascular research 2015
Juan José Alburquerque-Béjar Ignasi Barba Javier Inserte Elisabet Miró-Casas Marisol Ruiz-Meana Marcos Poncelas Úrsula Vilardosa Laura Valls-Lacalle Antonio Rodríguez-Sinovas David Garcia-Dorado

AIMS Remote ischaemic conditioning (RIC) has been shown to reduce myocardial infarct size in patients. Our objective was to investigate whether the combination of RIC with either exenatide or glucose-insulin-potassium (GIK) is more effective than RIC alone. METHODS AND RESULTS Pigs were submitted to 40 min of coronary occlusion followed by reperfusion, and received (i) no treatment, (ii) one ...

Journal: :Circulation research 1978
A I Obeid R L Verrier B Lown

We studied the influence of glucose (G), insulin (I) and potassium (K) on vulnerability to ventricular fibrillation (VF) of the nonischemic canine myocardium. Vulnerability was assessed by determining VF and repetitive extrasystole (RE) thresholds with a single stimulus applied to the right ventricular endocardium during the vulnerable period. Electrical testing of the heart was performed befor...

2015
Madhab Ray Robin Ruthazer Joni R. Beshansky David M. Kent Jayanta T. Mukherjee Hadeel Alkofide Harry P. Selker

BACKGROUND The IMMEDIATE Trial of emergency medical service use of intravenous glucose-insulin-potassium (GIK) very early in acute coronary syndromes (ACS) showed benefit for the composite outcome of cardiac arrest or in-hospital mortality. OBJECTIVES This analysis of IMMEDIATE Trial data sought to develop a predictive model to help clinicians identify patients at highest risk for this outcom...

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