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Myocardial depressant factor
Myocardial
depressant
factor
or
Myocardial
Toxic
factor
is a low-molecular-weight
peptide
released
from the
pancreas
into the
blood
in
mammals
during various
shock
states
.
MDF
is a significant
mediator
of shock
pathophysiology
,
reducing
myocardial contractility
, constricting
splanchnic
arteries
and
impairing
phagocytosis
by the
reticuloendothelial system
.
Survival
can be
improved
by
preventing
its
release
or
blocking
its
activity
, for example using
glucocorticoids
,
prostaglandins
,
aprotinin
,
captopril
,
imidazole
or
lidocaine
.