P. Jynge et al., CONTRACTILE RESPONSES TO ELECTROLYTE CHANGES DURING CORONARY BOLUS PERFUSION - A COMPARATIVE-STUDY IN ISOLATED RAT, GUINEA-PIG, AND RABBIT HEARTS, Investigative radiology, 30(3), 1995, pp. 173-180
RATIONALE AND OBJECTIVES. The authors studied cardiac contractile resp
onses during coronary bolus perfusion, as in coronary angiography, in
three species and related the responses to the bolus content of electr
olytes and to patterns of cardiac electrolyte regulation. METHODS. Iso
lated, paced hearts from the rat, guinea pig, and rabbit were subjecte
d to coronary perfusion in the global mode with recording of left vent
ricular developed pressure during exposure (<7.5 seconds) and recovery
(30 seconds). RESULTS. In series 1 of the experiments, the perfusate
reduction to one fifth of normal Ca, Na, K, Mg, and Ca/Na/K/Mg, and th
e removal of all ions, led to the following percentage changes in left
ventricular developed pressure: rat -64, +84, -38, +7, +40, and +79;
guinea pig -43, +48, +18, +5, +28, and +37; and rabbit -32, +60, +14,
+4, +22, and +33. CONCLUSIONS. Except for K reduction, inducing negati
ve inotropy in the rat but positive inotropy in the guinea pig and the
rabbit, the three species responded similarly. Thus, changes in left
ventricular developed pressure were related to changes in direction an
d rate of the sarcomal Na-Ca exchange. In series 2 of the experiments,
iohexol (150 mg I/mL) +/- minor electrolyte additives were studied. A
dditives with Na 30 mmol/L only or with Na, Ca, K, and Mg carefully ba
lanced reduced positive and negative inotropic responses in all three
species.