[Experimental study on the optimal potassium concentration in the cardioplegic solution]. 1983

M Matsuura, and J Takahashi, and T Kawakami, and T Tanabe

There is a lot of controversy about potassium cardioplegic solution in its components and its method of perfusion. Although its effect emphasized in many reports, the optimal potassium level is still in question. In order to determine the optimal level of potassium, the isolated rat hearts were preserved in relatively bad conditions; such as 37 degrees C of infusates, non-oxygenation and continuous perfusion. The hypothermic effect on its optimal level was also studied by just reducing the temperature of the infusates to 4 degrees C. Thirty isolated rat hearts were divided into six groups of 5 hearts each. Each group received a different concentration (15, 25, 40, 60, 80, 100 mEq/L) in the cardioplegic solution. Using an isolated rat heart preparation, hemodynamic indices after 30 minutes preservation were compared with the previous control values of the same hearts. And the same protocol was performed on the profound hypothermia group using another 30 rat hearts. When Basic-Modified-Krebs-Solution was used as a base for the cardioplegic solutions, we concluded from the results that the solution' with 40 mEq/L of potassium chloride might offer the best myocardial protection of all concentrations tested; and that the safe range of the potassium was from 25 mEq/L to 60 mEq/l in the profound hypothermic preservation.

UI MeSH Term Description Entries
D010477 Perfusion Treatment process involving the injection of fluid into an organ or tissue. Perfusions
D011188 Potassium An element in the alkali group of metals with an atomic symbol K, atomic number 19, and atomic weight 39.10. It is the chief cation in the intracellular fluid of muscle and other cells. Potassium ion is a strong electrolyte that plays a significant role in the regulation of fluid volume and maintenance of the WATER-ELECTROLYTE BALANCE.
D011919 Rats, Inbred Strains Genetically identical individuals developed from brother and sister matings which have been carried out for twenty or more generations or by parent x offspring matings carried out with certain restrictions. This also includes animals with a long history of closed colony breeding. August Rats,Inbred Rat Strains,Inbred Strain of Rat,Inbred Strain of Rats,Inbred Strains of Rats,Rat, Inbred Strain,August Rat,Inbred Rat Strain,Inbred Strain Rat,Inbred Strain Rats,Inbred Strains Rat,Inbred Strains Rats,Rat Inbred Strain,Rat Inbred Strains,Rat Strain, Inbred,Rat Strains, Inbred,Rat, August,Rat, Inbred Strains,Rats Inbred Strain,Rats Inbred Strains,Rats, August,Rats, Inbred Strain,Strain Rat, Inbred,Strain Rats, Inbred,Strain, Inbred Rat,Strains, Inbred Rat
D001794 Blood Pressure PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS. Systolic Pressure,Diastolic Pressure,Pulse Pressure,Pressure, Blood,Pressure, Diastolic,Pressure, Pulse,Pressure, Systolic,Pressures, Systolic
D002302 Cardiac Output The volume of BLOOD passing through the HEART per unit of time. It is usually expressed as liters (volume) per minute so as not to be confused with STROKE VOLUME (volume per beat). Cardiac Outputs,Output, Cardiac,Outputs, Cardiac
D003326 Coronary Circulation The circulation of blood through the CORONARY VESSELS of the HEART. Circulation, Coronary
D006324 Heart Arrest, Induced A procedure to stop the contraction of MYOCARDIUM during HEART SURGERY. It is usually achieved with the use of chemicals (CARDIOPLEGIC SOLUTIONS) or cold temperature (such as chilled perfusate). Cardiac Arrest, Induced,Cardioplegia,Induced Cardiac Arrest,Induced Heart Arrest,Cardioplegias
D006439 Hemodynamics The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM. Hemodynamic
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D017680 Potassium Compounds Inorganic compounds that contain potassium as an integral part of the molecule. Compounds, Potassium

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