Real-time monitoring of spin-trapped oxygen-derived free radicals released by the isolated ischemic and reperfused rat heart has been achieved by ESR analysis of the coronary effluents using continuous flow detection and high-speed acquisition techniques. Two nitrone spin traps 5,5-dimethyl pyrroline 1-oxide (Me2PnO) and 3,3,5,5-tetramethyl pyrroline 1-oxide (Me4PnO) have been separately perfused at a concentration of 40 mM during a sequence of 50 min of low-flow ischemia (1 ml/min) followed by 30 min of global ischemia and subsequent reperfusion at the control flow rate (14 ml/min). ESR spectra were sequentially obtained in 5-min or 30-s blocks during low-flow ischemia and reperfusion, respectively. 3. Cumulative integrated values of the amount of spin adducts released during the ischemic period show a Me2PnO-OH level fourfold greater than that of Me4PnO-OH. It was 2.5 times greater during reflow, reflecting slower kinetics with the more stable Me4Pn0.4. The original ESR detection technique developed in this study allows accurate real-time quantitative monitoring of the oxygen-derived free radicals generated during myocardial injury. lt might provide a quick and reliable new means for assessing the efficacy of free-radical inhibitors.Oxygen-derived free radicals might be involved in a large number of physiological and pathological processes including myocardial post-ischemic reperfusion injury, the socalled 'oxygen paradox'. In this context, the superoxide anion Oi-, hydrogen peroxide H 2 0 2 and the hydroxyl radical OH Abbrevintions Me2Pn0, 5.5-dimethyl pyrroline 1-oxide; BuPhNO, N-lert-butyl ol-phenyl nitrone; Me4Pn0, 3,3,5,5-tetramethyl pyrroline 1-oxide; Ph,PicNH., 1,l-diphenyl 2-picrylhydrazyl free radical; Me,OPip, 2,2,6,6-tetramethyl 1 -piperidinyloxy free radical; hfsc, hyperfine splitting constants.Several biochemical and physiological studies have indirectly demonstrated the influence of the oxygen-derived free radicals in myocardial tissue damage (for review see [lo, 111 and references therein). For instance, administration of freeradical scavengers results in the reduction of both the infarct size and ventricular fibrillation, and improves functional recovery. Similarly, administration of endogenous oxygen-derived free-radical inhibitors such as superoxide dismutase catalase or both, and peroxidase [I21 in the perfusion medium or in cardioplegic solutions leads to significant protective effects. The positive results reported on the protection of the ischemic reperfused myocardium against oxygen-derived free radicals by the use of drugs such as allopurinol, an inhibitor of xanthine oxidase, deferoxamine, a potent iron chelator [12], and N-acetylcysteine, a sulphydryl donor group [5] seem to strongly support the hypothesis that oxygen-derived free radicals play a major role in the ischemia/reperfusion arrythmias and the ensuing functional and energetic metabolism damage. Conversely, there are also numerous negative reports about the efficacy of these treatments. These latter results, without necessari...