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Hydrogen Inhalation is Superior to Mild Hypothermia for Improving Neurological Outcome and Survival in a Cardiac Arrest Model of Spontaneously Hypertensive Rat

Chen, Gang*; Chen, Bihua*; Dai, Chenxi*; Wang, Jianjie*; Wang, Juan; Huang, Yuanyuan; Li, Yongqin*

doi: 10.1097/SHK.0000000000001092
Basic Science Aspects
Editor's Choice

Background: Postcardiac arrest syndrome is the consequence of whole-body ischemia–reperfusion events that lead to multiple organ failure and eventually to death. Recent animal studies demonstrated that inhalation of hydrogen greatly mitigates postresuscitation myocardial dysfunction and brain injury. However, the influence of underlying heart disease on the efficacy of hydrogen is still unknown. In the present study, we investigated the effects of hydrogen inhalation on neurological outcome and survival in a cardiac arrest model of spontaneously hypertensive rat (SHR).

Methods: Cardiopulmonary resuscitation was initiated after 4 min of untreated ventricular fibrillation in 40 SHRs. Immediately after successful resuscitation, animals were randomized to be ventilated with 98% oxygen and 2% nitrogen under normothermia (Ctrl), 2% nitrogen under hypothermia (TH), 2% hydrogen under normothermia (H2), or 2% hydrogen under hypothermia (H2+TH) for 2 h. Hypothermia was maintained at 33°C for 2 h. Animals were observed up to 96 h for assessment of survival and neurologic recovery.

Results: No statistical differences in baseline measurements were observed among groups and all the animals were successfully resuscitated. Compared with Ctrl, serum cardiac troponin T measured at 5 h and myocardial damage score measured at 96 h after resuscitation were markedly reduced in H2, TH, and H2+TH groups. Compared with Ctrl and TH, astroglial protein S100 beta measured during the earlier postresuscitation period, and neurological deficit score and neuronal damage score measured at 96 h were considerably lower in both H2 and H2+TH groups. Ninety-six hours survival rates were significantly higher in the H2 (80.0%) and H2+TH (90.0%) groups than TH (30.0%) and to Ctrl (30.0%).

Conclusions: Hydrogen inhaling was superior to mild hypothermia for improving neurological outcome and survival in cardiac arrest and resuscitation model of systemic hypertension rats.

*School of Biomedical engineering, Third Military Medical University, Chongqing, China

Emergency Department, Southwest Hospital, Third Military Medical University, Chongqing, China

Neurology Department, Southwest Hospital, Third Military Medical University, Chongqing, China

Address reprint requests to Yongqin Li, MSBME, PhD, School of Biomedical Engineering, Third Military Medical University, 30 Gaotanyan Main Street, Chongqing 400038, China. E-mail: leeoken@gmail.com, leeoken@hotmail.com

Received 21 October, 2017

Revised 20 November, 2017

Accepted 18 December, 2017

This study was supported by the National Nature Science Foundation of China (NSFC31771070) and the Natural Science Foundation Project of Chongqing (cstc2017jcyjBX0053).

The authors declare that they have no competing interests.

© 2018 by the Shock Society