The time of onset and severity of acidosis in myocardial ischaemia

SM Cobbe, PA Poole-Wilson - Journal of molecular and cellular cardiology, 1980 - Elsevier
SM Cobbe, PA Poole-Wilson
Journal of molecular and cellular cardiology, 1980Elsevier
The effects of total ischaemia, subtotal ischaemia, respiratory and metabolic acidosis on the
mechanical function and tissue pH (pH t) of the isolated interventricular septum of the rabbit
heart were studied. pH t was stable in perfused tissue, and responded rapidly and
completely to changes in perfusate pH. A fall in pH t was apparent within 5 s of the onset of
total ischaemia. pH t fell continuously during ischaemia, the fall after 60 min being 1.41±0.09
units. Developed tension fell to 9±1% of control after 15 min, but the onset of acidosis …
Abstract
The effects of total ischaemia, subtotal ischaemia, respiratory and metabolic acidosis on the mechanical function and tissue pH (pHt) of the isolated interventricular septum of the rabbit heart were studied. pHt was stable in perfused tissue, and responded rapidly and completely to changes in perfusate pH. A fall in pHt was apparent within 5 s of the onset of total ischaemia. pHt fell continuously during ischaemia, the fall after 60 min being 1.41 ± 0.09 units. Developed tension fell to 9 ± 1% of control after 15 min, but the onset of acidosis preceded any decline in mechanical function. pHt and developed tension returned rapidly towards control on reperfusion. In subtotal ischaemia pHt fell more slowly and the overall change was smaller than in total ischaemia. Comparison of the relationships between developed tension and pHt in ischaemia and respiratory acidosis suggests that the fall of pH in ischaemia is sufficiently large and rapid in onset to account for most of the early decline in tension. The existence of other concurrent mechanisms has not been excluded.
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