1. Hyperbaric oxygen limits infarct size in ischemic rabbit myocardium in vivo
- Author
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S. P. Bishop, J. D. Thornton, S. F. Gottlieb, D. L. Sterling, A. W. H. Stanley, James M. Downey, and Albert N. Swafford
- Subjects
Male ,Time Factors ,Necrosis ,Myocardial Infarction ,Ischemia ,Hemodynamics ,Infarction ,chemistry.chemical_element ,Myocardial Reperfusion ,Myocardial Reperfusion Injury ,Oxygen ,Left coronary artery ,In vivo ,Physiology (medical) ,medicine.artery ,medicine ,Animals ,Hyperbaric Oxygenation ,Lagomorpha ,biology ,business.industry ,Myocardium ,medicine.disease ,biology.organism_classification ,chemistry ,Anesthesia ,Female ,Rabbits ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business - Abstract
BACKGROUND We explored the ability of increased oxygen pressure to modify necrosis in an open-chest rabbit model of myocardial ischemia and reperfusion. METHODS AND RESULTS A branch of the left coronary artery was occluded for 30 minutes followed by 3 hours of reperfusion. Infarction was measured by triphenyl tetrazolium staining and expressed as a percentage of the ischemic zone. Untreated rabbits were ventilated with 100% oxygen at 1 atm absolute. Treatment animals were exposed to hyperbaric oxygen at 2.5 atm absolute. The 1.0-atm control hearts developed 41.5 +/- 4.6% infarction of the ischemic zone. Animals exposed to hyperbaric oxygen during ischemia only, reperfusion only, or ischemia and reperfusion had significantly smaller infarcts with respect to control animals (16.2 +/- 2.9%, 14.5 +/- 3.7%, and 9.8 +/- 2.7%, respectively; P < or = .01), indicating that they had been protected by the procedure. When hyperbaric oxygen was begun 30 minutes after the onset of reperfusion, no protection was seen (35.8 +/- 3.8%). CONCLUSIONS We conclude that hyperbaric oxygen limits infarct size in the reperfused rabbit heart and that the effect can be achieved when hyperbaric oxygen is begun at reperfusion.
- Published
- 1993
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