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July 1, 1980Stroke277 citations

Deleterious effect of glucose pretreatment on recovery from diffuse cerebral ischemia in the cat. II. Regional metabolite levels.

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FWFrank A. WelshMGM. D. GinsbergWRW Rieder

Key Points

  • To determine how pre-ischemic intravenous glucose elevation influences regional cerebral metabolite accumulation and energy restitution following diffuse cerebral ischemia.
  • Infused glucose intravenously into cats prior to inducing diffuse cerebral ischemia of 15 or 30 minutes duration.
  • Measured regional brain concentrations of glucose, lactic acid, ATP, and phosphocreatine across 7 brain areas before ischemia and after 90 minutes of recirculation.
  • Glucose pretreatment caused a 2.5-fold elevation in baseline brain glucose concentrations across 7 cerebral regions compared to non-infused controls.
  • Animals receiving glucose infusions accumulated substantially higher concentrations of brain lactic acid during 15- and 30-minute ischemic episodes.
  • Post-ischemic restitution of cerebral ATP, phosphocreatine, and lactate after 90 minutes of recirculation was severely impaired in glucose-infused animals compared to untreated controls.

Abstract

Glucose was infused intravenously into cats prior to cerebral ischemia. Brain concentrations of glucose, measured in 7 regions, were elevated 2.5-fold compared to those of non-infused animals. Ischemia of 15 or 30 minutes duration caused a greater accumulation of lactic acid in the brain of glucose-infused animals. Post-ischemic restitution of cerebral ATP, phosphocreatine, and lactate during 90 minutes of recirculation was severely impaired in the brain of animals pretreated with glucose compared to untreated animals. Thus, excess lactic acidosis may be a major factor interfering with metabolic restitution following cerebral ischemia.

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Cite This Study

Welsh et al. (1980) studied this question.

synapsesocial.com/papers/6a716e60f44fa9f079df3b0bhttps://doi.org/10.1161/01.str.11.4.355
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