Reversal of Ventricular Contracture during Hypothermic Cardioplegic Arrest

التفاصيل البيبلوغرافية
العنوان: Reversal of Ventricular Contracture during Hypothermic Cardioplegic Arrest
المؤلفون: Gillian A. Geffin, Willard M. Daggett, Peter S. Hedberg, James S. Titus, Tommy R. Reynolds, David F. Torchiana
المصدر: Journal of Surgical Research. 56:439-445
بيانات النشر: Elsevier BV, 1994.
سنة النشر: 1994
مصطلحات موضوعية: Male, Phosphocreatine, Heart Ventricles, chemistry.chemical_element, Blood Pressure, In Vitro Techniques, Calcium, Creatine, Rats, Sprague-Dawley, chemistry.chemical_compound, Adenosine Triphosphate, Diastole, medicine, Extracellular, Animals, Cardioplegic Solutions, Energy depletion, business.industry, Myocardium, Myocardial Contraction, Adenosine Monophosphate, Heart Arrest, Rats, Adenosine Diphosphate, Cold Temperature, Oxygen, chemistry, Anesthesia, End-diastolic volume, Surgery, Contracture, medicine.symptom, business, Perfusion
الوصف: Ventricular contracture was produced in isolated perfused rat hearts by a novel method using repeated administration of an anoxic cold hyperkalemic cardioplegia solution. Contracture could be reversed by reperfusion with the same solution, without calcium (Group 1), oxygenated (Group 2), or oxygenated and calcium free (Group 3). Group 1 hearts underwent partial reversal of contracture; in Group 2, contracture was reversed more completely, but the effect was transient. Hearts in Group 3 had contracture reversed completely to a level lower than prearrest end diastolic pressure. Hearts in contracture were profoundly depleted of high-energy phosphates (ATP, 9% of control; creatine phosphate, 27%) and the success of contracture reversal was parallelled by the extent to which each solution repleted ATP and PCr. Ventricular contracture produced by energy depletion is rapidly reversed by restoration of oxygen to the myocardium. Reducing extracellular calcium by acalcemic perfusion is ineffective as an isolated measure but is synergistic with reoxygenation and enhances contracture reversal.
تدمد: 0022-4804
DOI: 10.1006/jsre.1994.1069
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::50ddcdb835a73d1c77bb62db61e60449
https://doi.org/10.1006/jsre.1994.1069
Rights: CLOSED
رقم الانضمام: edsair.doi.dedup.....50ddcdb835a73d1c77bb62db61e60449
قاعدة البيانات: OpenAIRE
الوصف
تدمد:00224804
DOI:10.1006/jsre.1994.1069