1998
DOI: 10.1016/s0022-5223(98)70420-9
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Prevention of cellular edema directly caused by hypothermic cardioplegia: Studies in isolated human and rabbit atrial myocytes

Abstract: This study suggests that cell swelling during hypothermic cardioplegia is caused in part by the composition of the cardioplegic solution. The volume of cardiac myocytes appears to follow a Donnan equilibrium in the cold, and the perfusate KCl product determines water movement. Thus, the tonicity of hyperkalemic cardioplegic solutions can be adjusted to a physiologic value by replacing most Cl- by an impermeant anion. Following this simple principle, a reformulation of cardioplegic solutions may be able to mini… Show more

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Cited by 21 publications
(30 citation statements)
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References 25 publications
(51 reference statements)
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“…Swelling of cardiac myocytes is a common complication in various pathological conditions, including ischaemia (Vandenberg et al 1996) or during application of cardioplegic solutions (Handy et al 1996; Shaffer et al 1998). Given that in most cases osmotic stress is resolved (or at least needs to be resolved), significant t‐tubular remodelling may accompany the recovery from insult, leading to secondary complications.…”
Section: Discussionmentioning
confidence: 99%
“…Swelling of cardiac myocytes is a common complication in various pathological conditions, including ischaemia (Vandenberg et al 1996) or during application of cardioplegic solutions (Handy et al 1996; Shaffer et al 1998). Given that in most cases osmotic stress is resolved (or at least needs to be resolved), significant t‐tubular remodelling may accompany the recovery from insult, leading to secondary complications.…”
Section: Discussionmentioning
confidence: 99%
“…Isolated animal myocytes demonstrate significant swelling and reduced contractility during exposure to hypothermic hyperkalemic cardioplegia, MI, or hyposmotic stress . DZX prevents these detrimental consequences secondary to all three stresses in two animal species .…”
Section: Discussionmentioning
confidence: 99%
“…The supernatant was discarded and the pellet resuspended in cell isolation solution and centrifuged again at 100 g at 4°C for 10 minutes, three times. The supernatant was then discarded and the pellet resuspended in cell isolation solution and allowed to settle for 30 minutes …”
Section: Methodsmentioning
confidence: 99%
“…Cardiac myocytes swell in response to a variety of stressful conditions [11,46,48,49], including superfusion with hyposmotic solution [13,55]. The swelling is accompanied by alterations in myocyte electrical activity as a consequence of modified ionic concentrations and changes in the activities of membrane ion transporters and ion channels [5,17,23,61].…”
Section: Introductionmentioning
confidence: 99%