Preserved hearts may have cardiac dysfunction associated with inadequa
te myocardial high-energy phosphates. To resuscitate preserved hearts,
hearts from male Wistar adult rats were preserved in 4.0 degrees C co
ld-modified Krebs-Henseleit buffer (pH 7.40) for 8 h, subjected to 30
min of reperfusion at 36.5 degrees C with the administration of concan
avalin A (Con A; 40 mg/L), ribose (0.1 mM), and adenine (0.1 mM). In c
omparison with the normal control, the preserved group had a decrease
in cardiac output (CO; p < 0.001), myocardial adenosine triphosphate (
ATP; p < 0.001), and creatine phosphate (CP; p < 0.001), associated wi
th an increase in myocardial Ca2+ (p < 0.01) and release of myocardial
adenine nucleosides (ANs; p < 0.001). In comparison with the preserve
d group, the group reperfused with ribose and adenine had no improveme
nt of these parameters (p > 0.05). The group reperfused with Con A had
an increase in CO (p < 0.01) and myocardial CP (p < 0.01), associated
with a decrease in myocardial Ca2+ (p < 0.05) and ANs release (p < 0.
01), and no change in myocardial ATP. However, the group reperfused wi
th Con A, ribose, and adenine achieved a significant increase in CO (p
< 0.005), ATP (p < 0.005), CP (p < 0.005), and a decrease in myocardi
al Ca2+ (p < 0.01) and ANs release (p < 0.01). Data suggest that the c
ombination of Con A, ribose, and adenine may resuscitate cold-preserve
d rat hearts.