Key result
Gas perfusion sustains isolated heart contractility for hours and increases tension over substrate-free Krebs solution.
Why the study?
The contractility, metabolism, and pharmacological responses of isolated cat hearts perfused with gas mixtures compared to substrate-free and glucose-Krebs solutions were not fully characterized.
Isolated gas-perfused cat hearts can maintain contractility for several hours and react normally to pharmacological agents, though they exhibit reduced work capacity compared to glucose-perfused hearts and rapid depletion of metabolic substrates.
Caution against clinical translation from feline models; leaves open metabolic resilience mechanisms in human myocardium.
Cat hearts were perfused through the aorta with substrate-free Krebs solution for 5 min, then with 5% CO 2 -95% O 2 saturated with water vapor at 37.5°C. Heart rate decreased rapidly but contractility was maintained at pre-gas levels for 3 to 4 hours, decreasing to 25% at 10 hours. Driving the preparations at 168 beats/min did not appreciably change the time course of change in contractility. The hearts developed more tension at all resting tensions and were able to perform more work than hearts perfused with substrate-free Krebs solution, but their work capacity was less than that of hearts perfused with glucose-Krebs solution. They reacted normally to sympathomimetic amines and blocking agents. They were very sensitive to increases in perfusion pressure, developing completely reversible arrhythmias at pressures 80 to 150% above the control (60 mm Hg). Most hearts developed contractile alternans which usually was not accompanied by electrical alternation. Glycogen, lactate, pyruvate content decreased rapidly, the first to a residual level and the others to undetectable levels.
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Gabel et al. (1966) studied this question. Gas perfusion (5% CO2-95% O2) vs. Substrate-free Krebs solution and glucose-Krebs solution was evaluated on Contractility and work capacity. Gas-perfused isolated cat hearts maintained contractility for 3-4 hours and developed more tension than hearts perfused with substrate-free Krebs solution, though work capacity was lower.
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