Sodium alterations in isolated rat heart during cardioplegic
arrest.
Schepkin, V. D., I. O. Choy, T. F. Budinger.
Center for Functional Imaging, Lawrence Berkeley National
Laboratory, Berkeley, CA 94720.
APStracts 3:0405A, 1996.
Triple-quantum filtered (TQF) sodium NMR without chemical shift
reagent is used to investigate sodium derangement in isolated
crystalloid perfused rat hearts during St. Thomas cardioplegic arrest
(CP). The extracellular sodium contribution to the NMR TQF signal of
a rat heart is found to be 73 +/- 5%, determined by wash out
experiments at different moments of pre-ischemia and reperfusion.
Using this contribution factor the estimated intracellular sodium TQF
signal is 222 +/- 13% of pre-ischemic level after 40 min of CP arrest
and 30 min of reperfusion, the heart rate pressure product recovery
is 71 +/- 8%. These parameters are significantly better than for
stop-flow ischemia: 340 +/- 20% and 6 +/- 3% respectively. At 37 C
the initial delay of 15 min in intracellular sodium growth occurs
during CP arrest along with reduced growth later (4.0 %/min) in
comparison to stop-flow ischemia (6.7 %/min). The hypothermia (21 C,
40 min) for the stop-flow ischemia and cardoplegic arrest
dramatically decreases the intracellular sodium gain with the highest
heart recovery for CP (100%). These studies confirm the enhanced
sensitivity of TQF NMR to intracellular sodium and demonstrate the
potential of NMR without chemical shift reagent to monitor
intracellular sodium derangements.
Received 16 January 1996; accepted in final form 12 August 1996.
APS Manuscript Number A53-6.
Article publication pending Journal of Applied Physiology.
ISSN 1080-4757 Copyright 1996 The American Physiological Society.
Published in APStracts on 19 September 1996