Pressure-Controlled Reperfusion Improves Postischemic Recovery of LV-Hypertrophied Rat Hearts.

Autor: Müller, Christian, Isselhard, Wolf, Sturz, Josef, Wahle, Alfred, Witmanowski, Henryk, Armas-Molina, Jose V., Saad, Stefano
Předmět:
Zdroj: Angiology; Jun1989, Vol. 40 Issue 6, p574-580, 7p
Abstrakt: The influence of pressure-controlled postischemic reperfusion (Rp) on functional and metabolic parameters in hearts of sham-operated rats and hypertrophied hearts of rats with aortic constriction were studied. Hypertrophied hearts are considered to be more susceptible to ischemia. The hearts were perfused in the Langendorff-technique for thirty minutes at 35°C with Krebs-Henseleit bicarbonate buffer at a perfusion pressure (PP) of 75 mmHg and for five minutes at 15°C with St. Thomas' Hospital cardioplegic solution at a PP of 60 mmHg. After a period of global ischemia of forty minutes' duration at 15°C, reperfusion was started either abruptly (aRp: PP 75 mmHg immediately) or gently (gRp: PP 75 mmHg within thirty minutes); it lasted for forty-five minutes. Intraventricular peak systolic pressure (ISP) was monitored and energy-rich compounds (ATP, ADP, AMP, CrP, free Cr) were analyzed. In normal hearts, metabolic recovery was not affected by the mode of reperfusion, but functional recovery (ISP) averaged 88% of the preischemic control value after gRp as compared with 73% after aRp. In hypertrophied hearts, gentle reperfusion ameliorated both metabolic and functional recovery. At forty-five minute recovery, CrP averaged 5.1µmoI/g ww after aRp and 6.6 µmol/g ww after gRp (p<0.01), and ISP amounted to 73% of the preischemic control after aRp and to 85% after gRp. [ABSTRACT FROM AUTHOR]
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