Economy of contraction of cardiomyocytes as influenced by different positive inotropic interventions. P[diaeresis]opping, S., S. Mruck, Y. Fischer, D. Kulsch, I. Ionescu, H. Kammermeier, H. Rose. Institute of Physiology, Medical Faculty, RWTH Aachen, Pauwelsstr. 30,
APStracts 2:0521H, 1995.
In the present study the effects of the novel cardiotonic agent EMD 57 033 on contraction and energetic demand of isolated, electrically stimulated cardio myocytes are investigated and compared with the effects of enhancement of extracellular calcium and of the -mimetic isoproterenol. In a specially designed setup (1) parameters of contractile behaviour and metabolic demand (oxygen consumption) of isolated cardiac myocytes were measured. For a given enhancement of contractile performance (cell shortening) the increase in energetic demand (O2) after application of EMD 57 033 is markedly lower than upon treatment with elevated extracellular Ca++-concentration or with isoproterenol. This economization of positive inotropic effects is proposed to be due to two factors:1) Stimulation-related ion-cycling is only slightly enhanced with marked increase in contraction amplitude after application of EMD 57 033. 2) Calcium sensitization reflected in a leftward shift of the calcium concentration needed for half-maximum force development can be interpreted to be mediated by modulation of the crossbridge dynamics of the myofilaments, where reduction of the switch-off rate of the crossbridges and prolongation of their force-generating states are presumed to be involved. Lowered pH (7.0) decreased economy of contraction. EMD restored contraction amplitude and economy of contraction at lowered pH.

Received 2 August 1994; accepted in final form 9 November 1995.
APS Manuscript Number H691-4.
Article publication pending Am. J. Physiol. (Heart Circ. Physiology).
ISSN 1080-4757 Copyright 1995 The American Physiological Society.
Published in APStracts on 8 December 95