Ultrastructural changes of ischemic injury due to coronary artery occlusion in the porcine heart.

Abstract:

:Using the ultrastructural criteria established by Schaper et al. 1979 [27] for distinguishing between different degrees of ischemic change in dog myocardium, slight ischemic changes are observed in the pig suboendocardium as early as 1 min after occlusion of the LAD artery. Moderate change throughout the thickness of the myocardium is seen after 6 to 12 min of ischemia and continues to be found up until 20 min after commencement of the ischemic period. 20 to 30 min ischemia produces severe ischemic damage and more than 30 min leads to irreversible damage. The changes are uniform at all stages of ischemia and there is no evidence of a transmural gradient of ultrastructural damage. Of particular interest in the early part of the ischemic period is the observation of ultrastructural changes in the subendocardial specialized conducting tissue. In these specialized cells, although morphological features consistent with slight and moderate ischemia are found as early as 1 to 2 min after occlusion, spontaneous recovery occurs and is complete by 15 min. This biphasic time course parallels the electro-physiological changes known to occur in ischemic Purkinje fibres.

journal_name

J Mol Cell Cardiol

authors

Taylor IM,Shaikh NA,Downar E

doi

10.1016/s0022-2828(84)80716-6

subject

Has Abstract

pub_date

1984-01-01 00:00:00

pages

79-94

issue

1

eissn

0022-2828

issn

1095-8584

pii

S0022-2828(84)80716-6

journal_volume

16

pub_type

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