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The Journal of Thoracic and Cardiovascular Surgery, Vol 105, 988-994, Copyright © 1993 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
E Jimenez, P del Nido, H Feinberg and S Levitsky
Cytosolic calcium accumulation has been proposed as a mediator for the
pathologic changes that occur during myocardial ischemia. Whether the rise
in cytosolic calcium is a result of influx or redistribution from internal
stores has not been elucidated. Isolated retroperfused rabbit hearts were
subjected to ischemia at 37 degrees C. The distribution of calcium between
cytosol and internal membrane stores and the relationship between cytosolic
calcium and the onset of left ventricular contracture were investigated.
One group of hearts was loaded with the fluorescent calcium probe Fura 2-AM
to measure cytosolic calcium and a second group with chlortetracycline to
indicate changes in membrane-bound calcium. After the onset of ischemia
there is a rise in cytosolic calcium, at least in part attributable to
redistribution of calcium from intraorganellar sites to cytosol. The
release of membrane-bound calcium and rise in cytosolic calcium preceded
the onset of irreversible ischemic injury, that is, contracture.
ARTICLES
Redistribution of myocardial calcium during ischemia. Relationship to onset of contracture
Department of Surgery, New England Deaconess Hospital, Boston, Mass.
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