Developmental differences in adrenergic responsiveness may cause agerelated
changes in the cellular response to ischemia. Standard microelectrode
techniques were used in isolated young and adult canine Purkinje
fibers to determine the effect of simulated ischemia ([K+]0 = 10 mM, pH
6.7, pO(2) <25 mm Hg) alone or with adrenergic stimulation on the rhythmic
activity in spontaneously beating Purkinje fibers and on transmembrane
potentials and delayed afterdepolarizations in paced Purkinje fibers
(basic cycle length = 800-300 ms). The adrenergic agonists used were phenylephrine
(5 X 10“8 M) and isoproterenol (1 x 10-6 M). For all automatic
fibers studied, the control maximum diastolic potential in adults
(-96 ± 1 mV, n = 37) and in the young (-98 ± 1 mV, n = 36) went to -62
± 1 mV during ischemia in both groups and returned to -96 ± 2 mV with
rcperfusion. The incidence of rhythmic activity (expressed as percent) during
ischemia alone was similar at both ages: adults, 22%; young, 25%. The
incidence of ectopic activity with phenylephrine superfusion during ischemia
for adults was 63%, an effect blocked by prazosin (1 x 10~6 M) but
not by propranolol (2 x 10-7 M); the incidence for the young was 25%.
Isoproterenol caused ectopic rhythms in 86% of young fibers and 17% of
adult fibers (p <0.05 young vs. adult). During reperfusion the return to
control rhythm was slower in adults after ischemia alone or ischemia +
a-adrenergic stimulation with phenylephrine. There were no age-related
differences in the transmembrane potential response of paced fibers to
ischemia or reperfusion, and there were no delayed afterdepolarizations
with interruption of pacing at 800, 500, or 300 ms in either group. These
data suggest that age-related differences in adrenergic responses alter the
cellular response to an ischemic insult. To the extent that an ectopic beat
may initiate an abnormal rhythm, these differences in sensitivity to adrenergic
agonists may lead to developmental differences in arrhythmogenic
potential during ischemia.