Circulation, Vol 70, 742-747, Copyright © 1984 by American Heart Association
H Mori, M Nagata, T Miyazaki, K Sakurai, S Ogawa, S Hattori, M Takahashi and Y Nakamura
Hypoxic perfusion of the regional myocardium was performed in 34 open-
chest dogs. In eight dogs in which the myocardium was perfused with
original hypoxic Krebs-Henseleit (K-H) solution for 5 min (group I) there
was a marked decrease in adenosine triphosphate content (2.03 +/- 0.44
mumol/g) and an increase in lactate content (8.65 +/- 2.26 mumol/g). In
myocardium of nine dogs (group II) perfused with verapamil- containing (1.3
mg/dl) K-H solution and in that of nine dogs (group III) receiving
Ca2+-free solution, the degrees of reduction in adenosine triphosphate
(2.99 +/- 0.73 and 3.25 +/- 0.48 mumol/g, respectively) and of lactate
accumulation (5.16 +/- 0.59 and 4.79 +/- 1.02 mumol/g, respectively) at 5
min were significantly less than in group I. Absence of statistically
significant differences in hemodynamic parameters among these three groups
indicates that the metabolic preservation in group II probably resulted
from a direct effect of verapamil on the regional myocardium related to
Ca2+ metabolism. However, metabolic data in four dogs of group I and four
dogs of group III killed at 40 sec of perfusion, in conjunction with
results of the analysis of regional contraction, revealed that the time
courses of segmental shortening in the three groups did not account for the
metabolic differences among them.
ARTICLES
Protection of hypoxic myocardium by intracoronary administration of verapamil in open-chest dogs
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