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September 1, 1981Cardiovascular Research

Depletion of myocardial creatine kinase, lactate dehydrogenase, myoglobin and K+ after coronary artery ligation in dogs

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Key result

Canine myocardial K+ and K+/Na+ ratios reliably mark early ischemia before plateauing at 12 hours.

  • n=24

Population

24 dogs (4 groups of 6 dogs each)

Design

Preclinical

Follow-up

Up to 24 hours

Authors

RJR N JohnsonEmory UniversityNSNeville SammelSt. Vincent's BirminghamRNR M NorrisCross-Cutting Cardiology

Discussion

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Implication

K+ and K+/Na+ ratios may mark early ischemia in canine models; leaves open human validation before any clinical use.

Structured PICO

P
Population
24 dogs undergoing left anterior descending coronary artery ligation for 3, 6, 12, and 24 hours to assess myocardial ischaemia markers.
I
Intervention
Left anterior descending coronary artery ligation for 3, 6, 12, and 24 hours
O
Outcome
Time-course of disappearance of creatine kinase, lactate dehydrogenase, myoglobin, K+, and Na+ from ischaemic myocardiumsurrogate

In a canine model of myocardial ischemia, K+ and K+/Na+ ratios are the most reliable markers for early ischemia (3-6 hours).

Cite This Study

Johnson et al. (1981) studied Myocardial ischaemia (n=24). Left anterior descending coronary artery ligation was evaluated on Time-course of disappearance of macromolecules and electrolytes (creatine kinase, lactate dehydrogenase, myoglobin, K+, Na+) from ischaemic myocardium. In dogs with coronary artery ligation, K+ and K+/Na+ ratios reached a steady state of depletion at 12 hours, making them reliable markers for shorter periods of ischaemia (3-6 hours).

synapsesocial.com/papers/6aa4fd9cc19a1092ac8125cehttps://doi.org/10.1093/cvr/15.9.529
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Changes in myocardial composition after coronary artery ligation1961 · 74 citations
  2. 2Changes in creatine kinase M localization in acute ischemic myocardial cells. Immunoelectron microscopic studies.1993 · 7 citations
  3. 3Evaluation of Increased Serum Creatine Kinase as an Indicator of Irreversible Myocardial Damage in Dogs1987 · 8 citations
  4. 4Early Changes in Energy Metabolism in the Myocardium Following Acute Coronary Artery Occlusion in Anesthetized Dogs1968 · 241 citations
  5. 5Reversible myocardial ischemic injury is not associated with increased creatine kinase activity in plasma1997 · 77 citations