Changes of extracellular Na+, K+, Ca2+ and H+ of the ischemic myocardium in pigs.

Abstract:

:In open-chest pigs during severe myocardial ischemia [K+]e, [Ca2+]e and [H+]e increase, [Na+]e increases transiently reaching control values after 30 min. Extracellular osmolality of the ischemic area increases due to an H2O-shift from the ECS to the ICS. The increase of [Na+]e and [Ca2+]e must b explained by the shrinkage of the ECS due to the H2O-shift. The increase of [Ca2+]e is additionally caused by the decrease of pHe. The increase of [K+]e is mainly caused by the release of K+ from the ICS. The changes of [K+]e and [K+]i cause a decrease of the membrane potential to a range in which slow response potentials and re-entry excitations can occur. The increase of [K+]e therefore seems to be a major factor to cause early post-ischemic arrhythmias.

journal_name

Basic Res Cardiol

authors

Friedrich R,Hirche H,Kebbel U,Zylka V,Bissig R

doi

10.1007/BF01908341

subject

Has Abstract

pub_date

1981-07-01 00:00:00

pages

453-6

issue

4

eissn

0300-8428

issn

1435-1803

journal_volume

76

pub_type

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