[Cardioplegic haemoglobin-perfusion for myocardial protection. Experiments on isolated rat-hearts (author's transl)]. 1980

U Ottermann

On isolated normothermic and constant-pressure perfused rat-hearts cardioplegic haemoglobin-perfusion was compared with conventional cardioplegic perfusion without haemoglobin. The addition of 4% haemoglobin to the cardioplegic solution guarantees oxygen demand of the pharmacologically arrested heart at physiological PO2 (about 100 mm Hg) of the perfusion-solution, while conventional cardioplegic perfusion without haemoglobin needs arterial PO2 > 600 mm Hg and guarantees oxygen demand of the arrested normotherm rat-heart only under condition of sufficient coronary flow. The coronary flow during constant-pressure cardioplegic haemoglobin-perfusion was about 58% higher than during cardioplegic perfusion without haemoglobin. Interstitial oedema after perfusion for 1 hour was more intense after perfusion with the conventional cardioplegic solution than after cardioplegic haemoglobin-perfusion. Normothermic ischaemia of 20 minutes after perfusion with cardioplegic haemoglobin-solution was connected with a smaller drop of creatinephosphate and adenosinetriphosphate than after conventional cardioplegic perfusion, electron-optical preparations showed smaller changes of the structure. The use of cardioplegic haemoglobin-solutions in heart-surgery and the advantages of cardioplegic haemoglobinperfusion are discussed.

UI MeSH Term Description Entries
D009206 Myocardium The muscle tissue of the HEART. It is composed of striated, involuntary muscle cells (MYOCYTES, CARDIAC) connected to form the contractile pump to generate blood flow. Muscle, Cardiac,Muscle, Heart,Cardiac Muscle,Myocardia,Cardiac Muscles,Heart Muscle,Heart Muscles,Muscles, Cardiac,Muscles, Heart
D010100 Oxygen An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration. Dioxygen,Oxygen-16,Oxygen 16
D010477 Perfusion Treatment process involving the injection of fluid into an organ or tissue. Perfusions
D010725 Phosphocreatine An endogenous substance found mainly in skeletal muscle of vertebrates. It has been tried in the treatment of cardiac disorders and has been added to cardioplegic solutions. (Reynolds JEF(Ed): Martindale: The Extra Pharmacopoeia (electronic version). Micromedex, Inc, Englewood, CO, 1996) Creatine Phosphate,Neoton,Phosphocreatine, Disodium Salt,Phosphorylcreatine,Disodium Salt Phosphocreatine,Phosphate, Creatine
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
D006321 Heart The hollow, muscular organ that maintains the circulation of the blood. Hearts
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
D006454 Hemoglobins The oxygen-carrying proteins of ERYTHROCYTES. They are found in all vertebrates and some invertebrates. The number of globin subunits in the hemoglobin quaternary structure differs between species. Structures range from monomeric to a variety of multimeric arrangements. Eryhem,Ferrous Hemoglobin,Hemoglobin,Hemoglobin, Ferrous
D000255 Adenosine Triphosphate An adenine nucleotide containing three phosphate groups esterified to the sugar moiety. In addition to its crucial roles in metabolism adenosine triphosphate is a neurotransmitter. ATP,Adenosine Triphosphate, Calcium Salt,Adenosine Triphosphate, Chromium Salt,Adenosine Triphosphate, Magnesium Salt,Adenosine Triphosphate, Manganese Salt,Adenylpyrophosphate,CaATP,CrATP,Manganese Adenosine Triphosphate,MgATP,MnATP,ATP-MgCl2,Adenosine Triphosphate, Chromium Ammonium Salt,Adenosine Triphosphate, Magnesium Chloride,Atriphos,Chromium Adenosine Triphosphate,Cr(H2O)4 ATP,Magnesium Adenosine Triphosphate,Striadyne,ATP MgCl2
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

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