Recovery of left ventricular function after graded cardiac ischemia as predicted by myocardial P-31 nuclear magnetic resonance

Glenn Whitman, R. S. Kieval, S. Seeholzer, G. McDonald, M. B. Simson, A. H. Harken

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Abstract

The purpose of this study was to determine noninvasively some critical level of high-energy phosphate stores that relates to the recovery of ventricular contractile function after graded cardiac ischemia. Rabbit hearts (n = 30) were equipped with an intraventricular balloon to monitor developed pressure and ± dp/dt and placed in a nuclear magnetic resonance magnet (Bruker, 4.7 Tesla). Each heart underwent 10, 20, 40, or 60 minutes of global ischemia followed by 1 hour of reperfusion. The pH as determinated by nuclear magnetic resonance dropped from 7.14 ± 0.04 to 7.07 ± 0.07 (p2 = 0.99). We conclude that: (1) anaerobic metabolism as evidenced by a fall in pH appears to be active for 30 minutes after normothermic ischemia and then ceases; (2) phosphocreatine buffers the fall in ATP during early ischemia; (3) there is a tight correlation between EIATP and recovery of left ventricular contractile function with a threshold content of approximately 80% below which recovery of function will not be complete.

Original languageEnglish (US)
Pages (from-to)428-435
Number of pages8
JournalSurgery
Volume97
Issue number4
Publication statusPublished - 1985
Externally publishedYes

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ASJC Scopus subject areas

  • Surgery

Cite this

Whitman, G., Kieval, R. S., Seeholzer, S., McDonald, G., Simson, M. B., & Harken, A. H. (1985). Recovery of left ventricular function after graded cardiac ischemia as predicted by myocardial P-31 nuclear magnetic resonance. Surgery, 97(4), 428-435.