A large reduction of intracellular potassium activity in depolarized subendocardial Purkinje fibers 24 hours after coronary artery ligation is accompanied by a much smaller increase in intracellular sodium activity. Similar intracellular ionic changes also occur during acute ischemia in ventricular muscle and are consistent with mechanisms based on intracellular acidification, which is known to occur in acutely ischemic muscle. To determine if canine subendocardial Purkinje cells 24 hours after myocardial infarction are also acidic, their intracellular pH, surface pH, and maximum diastolic potential (MDP) were measured with double-barrel pH-sensitive microelectrodes and compared with control fibers in noninfarcted hearts. In 12 mM bicarbonate Tyrode's solution (5% CO 2 -95% Oj), the average intracellular pH was not significantly different Supported by Program Project Grant HL-30557 and Grant RO1-HL31393 from National Institutes of Health, National Heart, Lung, and Blood Institute, an Irma Hirschl Career Scientist Award to R.P.K., and Postdoctoral Training Award HL-0727-08 to K.P.D.Address for correspondence: Karl P. Dresdner Jr., Department of Pharmacology, College of Physicians and Surgeons, 630 West 168th Street, New York, NY 10032.Received August 5, 1987; accepted February 21, 1989. tion, which has been shown to induce a nearly equal change in aKj and aNa,. 3 An alternative mechanism, which is also consistent with maintenance of intracellular electroneutrality, involves intracellular acidification.4 -6 If cytoplasmic proteins are the principal intracellular H+ buffers, intracellular acidification that occurs during acute ischemia 2 -7 might neutralize these buffers. The intracellular K + loosely associated with them would then be free to associate with membrane-permeable mobile anions (e.g., lactate and phosphate) and leave the cell.-The electrophysiological properties of subendocardial Purkinje cells surviving in canine infarcts 1 day after coronary artery ligation are altered by prolonged ischemia. These cells, like acutely ischemic cells, have large reductions in maximum diastolic potential (MDP) 9 -12 and significant reduction of aKj, but only a small increase in aNa,.9 One purpose of this study, therefore, was to measure the intracellular pH (pHO in these cells to determine whether it was acidic, as in acutely ischemic muscle, and