We investigated the basis for the alterations in the intracellular potassium and sodium activity occurring in subendocardial Purkinje fibers surviving in 24-hour infarcts by examining ion activities in these Purkinje fibers removed from infarcting hearts at earlier times. Specifically, we examined intracellular potassium activity, sodium activity, and pH at 1 and 3 hours after ligation of the left anterior descending coronary artery, and we correlated the changes in ion activity with changes in maximum diastolic potential. We tested various mechanistic hypotheses relating to how the ion activity changes develop and how they affect membrane potential. We We also reported that intracellular Na+ activity (aNa1) was elevated in the Purkinje fibers surviving in infarcted hearts 24 hours after ligation. However, the aNal elevation was only a small portion (approximately 10%) of the aKi reduction. The aNai elevation suggests possible suppression of the Na,K-ATPase pump. However, because the reduction in aKi greatly exceeds the increase in aNai, pump suppression alone is probably not the sole mechanism of the K' loss.7 Consistent with these findings is a second possible mechanism for the loss of K', that is, that intracellular acidification leads to an increase in mobile anions that accompany the K' efflux.58-10 However, we were unable to find any evidence for acidification by measuring pHi in Purkinje fibers at 24 hours, and in fact pHi was slightly basic at that time.6These findings have caused us to consider two mechanistic questions regarding membrane depolarization of the subendocardial Purkinje fibers from 24-hour-old infarcts: 1) What factors are responsible for aKi reduction and aNai elevation? 2) What factors besides EK