Em. Hoenicke et al., Donor heart preservation with the potassium channel opener pinacidil: Comparison with University of Wisconsin and St. Thomas' solution, J HEART LUN, 19(3), 2000, pp. 286-297
Background: Hyperpolarized arrest with the potassium channel opener pinacid
il has been shown to provide effective myocardial protection during short-t
erm global ischemia. This study tested the hypothesis that pinacidil may pr
ovide effective long-term protection for heart transplant preservation.
Methods: Four concentrations of pinacidil (50 mu M, 100 mu M. 0.5 mM, 1.0 m
M) mixed in Krebs-Henseleit solution were compared with University of Wisco
nsin and St. Thomas' Hospital solutions in a Krebs-Henseleit perfused rabbi
t Langendorff model (n = 6 for each group). Hearts underwent 4 hours of hyp
othermic (4 degrees C) storage, Over a wide range of volumes, left ventricu
lar systolic function, diastolic compliance, and coronary flow were measure
d prior to and following storage. Time to mechanical and electrical arrest,
and post-ischemic percent tissue water were also measured.
Results: Pinacidil 0.5 mM provided the best preservation of post-ischemic s
ystolic function and coronary flow compared with the other pinacidil concen
trations and was statistically equivalent to St. Thomas' solution in terms
of post-ischemic systolic, diastolic, and flow properties. However, hearts
protected with University of Wisconsin solution had significantly better pr
eservation of systolic function and coronary flow.
Conclusions: This investigation demonstrated that pinacidil in Krebs-Hensel
eit solution possesses efficacy in long-term donor heart preservation. Pina
cidil was equivalent to St. Thomas' solution but inferior to University of
Wisconsin solution. Hyperpolarized arrest with potassium channel openers ma
y be a novel strategy to improve donor heart preservation.