Effect of Aspirin and Methysergide During Acute Intracoronary Thrombosis in the Dog
An occluding intracoronary thrombus was produced in two groups of dogs by placing a thrombogenic wire into the anterior descending coronary artery, by catheter technique (under x-ray control). One group of six dogs was pretreated with methysergide (100 micrograms/kg, i.v.-two hours before wire placement) and aspirin (60 mg/kg, per os.-daily for three days). The other group of seven dogs served as the control. Central aortic blood pressure (CAPB), heart rate (HR), S–T segment elevation and Q wave depression (lead V4 in the electrocardiograph) were measured before, one and three hours after angio-graphically verified occlusion. Arterial and coronary venous lactate (Lac, pyruvate (PYR), creatine phosphokinase (CPK) and serum electrolyte (Mg, Ca, K and Na). Concentrations were also measured during these times. There were no S–T or Q wave changes, at any time, in five of the six pretreated dogs over the observed time, and a fifty percent reduction of the S–T amplitude was found in the dog that did develop these signs of injury and infarction, at the third hour. All control dogs showed S–T and Q wave changes by the third hour. The mean CAPB dropped significantly (p < 0.01) in the control but not in the treated group. There were significant elevations (p < 0.05) of CV concentrations of Lac and K in the control group at the third hour. There were no significant changes in concentrations for these biochemical variables in the pretreated group. The cardiac dynamics and biochemical integrity appeared to be sustained by these pharmaceutical agents in the early stages of acute coronary thrombosis.