The calcium paradox and its protection by hypothermia in human myocardium. 1983

M Lomský, and R Ekroth, and O Poupa

The 'calcium paradox', i.e. irreversible loss of mechanical and electrical activity after a few minutes Ca2+-free perfusion and subsequent reperfusion with Ca2+-containing medium, was originally demonstrated in rat heart and later in other homoiotherms. It was absent in poikilotherms. The present paper describes the effect of Ca2+-free superfusion on human myocardium at normo- and hypothermia using isometrically mounted, stimulated strips from auricular tissue excised during cardiac surgery. The experiments (including equilibration period) were performed at 37 degrees C, 30 degrees or 25 degrees C. When Ca2+-free and EGTA-containing solution was introduced the force decline started immediately. After 10 min Ca2+-containing medium was reintroduced. Force recovery within 40 min was at 37 degrees C 16% and at 30 degrees C 28% of initial force value. Force recovery in 25 degrees C group was substantially better. Contracture which occurred when Ca2+-containing solution was reintroduced was very strong at 37 degrees C (+ 102%) and weaker at lower temperatures (30 degrees C +48% and 25 degrees C +17%). The extent of loss of mechanical activity and of contracture following the period of Ca2+-free superfusion give evidence that calcium paradox can be provoked in human myocardium and can be prevented by hypothermia.

UI MeSH Term Description Entries
D007035 Hypothermia Lower than normal body temperature, especially in warm-blooded animals. Hypothermia, Accidental,Accidental Hypothermia,Accidental Hypothermias,Hypothermias,Hypothermias, Accidental
D009200 Myocardial Contraction Contractile activity of the MYOCARDIUM. Heart Contractility,Inotropism, Cardiac,Cardiac Inotropism,Cardiac Inotropisms,Contractilities, Heart,Contractility, Heart,Contraction, Myocardial,Contractions, Myocardial,Heart Contractilities,Inotropisms, Cardiac,Myocardial Contractions
D002118 Calcium A basic element found in nearly all tissues. It is a member of the alkaline earth family of metals with the atomic symbol Ca, atomic number 20, and atomic weight 40. Calcium is the most abundant mineral in the body and combines with phosphorus to form calcium phosphate in the bones and teeth. It is essential for the normal functioning of nerves and muscles and plays a role in blood coagulation (as factor IV) and in many enzymatic processes. Coagulation Factor IV,Factor IV,Blood Coagulation Factor IV,Calcium-40,Calcium 40,Factor IV, Coagulation
D004533 Egtazic Acid A chelating agent relatively more specific for calcium and less toxic than EDETIC ACID. EGTA,Ethylene Glycol Tetraacetic Acid,EGATA,Egtazic Acid Disodium Salt,Egtazic Acid Potassium Salt,Egtazic Acid Sodium Salt,Ethylene Glycol Bis(2-aminoethyl ether)tetraacetic Acid,Ethylenebis(oxyethylenenitrile)tetraacetic Acid,GEDTA,Glycoletherdiamine-N,N,N',N'-tetraacetic Acid,Magnesium-EGTA,Tetrasodium EGTA,Acid, Egtazic,EGTA, Tetrasodium,Magnesium EGTA
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013696 Temperature The property of objects that determines the direction of heat flow when they are placed in direct thermal contact. The temperature is the energy of microscopic motions (vibrational and translational) of the particles of atoms. Temperatures

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