摘要
采用Langendorff灌注离体大鼠心脏模型,评价镁和钾在防治再灌注心律失常(RA)中的相互关系。结果显示:再灌注后所有心脏均在1min内出现RA,其发生率随灌流液中Mg(2+)和K+浓度的升高而降低,当Mg(2+)分别为0.4、1.2或4.8mmol/L时,其再灌注心室颤动分别为12/12(100%)、4/12(33.3%,P<0.01)、2/12(16.7%,P<0.01)。再灌注后冠脉流出液中K+和丙二醛含量较再灌注前增加的百分率均随Mg(2+)升高而显著降低,其中K+分别为31%、27%和22%(均为P<0.01),丙二醛分别为447%、242%和77%(均P为<0.01)。结果提示,镁通过维持细胞内K+平衡及降低膜脂质过氧化反应,可以预防或降低RA的发生率。
The isolated Langendorff-perfused rat heart model was used to assess the interrelationship of Mg2+ and K + in preventing reperfusion arrhythmias(RA).The result showed that all forms of ventricular arrhythmias occurred within 1 min following reperfusion in all hearts studied, and the incidence of which decreased with the increasing concentration of Mg2+ and K+ .When K+ was 4.5 mmol/L and combined with increasing Mg2+(0.4,1.2,4.8 mmol/L respectively),the occurrence rate of ventricular fibrillation on reperfusion dropped coincidently,i.e,12/12(100%),4/12(33.3%),2/12(16.7%)(all P<0.01)。The percentage of the increase of K+ and MDA after reperfusion, as compared with that before reperfusion,reduced significantly,of which K+ were 31 %,27%, 22%respectively (all P<0.01) and MDA were 447%, 242%, 77%(all P<0.01). This study suggests that Mg2+ may prevent or reduce the incidence of RA by maintaining the integrity of intracellular K+ and by reducing the lipid superoxidative reaction.
出处
《同济医科大学学报》
CSCD
北大核心
1996年第1期32-34,40,共4页
Acta Universitatis Medicinae Tongji
基金
国家自然科学基金
关键词
心肌缺血
再灌注损伤
心律失常
防治
钾
镁
myocardial reperfusion injury
arrhythmia
magnesium
potassium