2008
DOI: 10.1016/j.cryobiol.2007.09.005
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Myocardial mechanical dysfunction and calcium overload following rewarming from experimental hypothermia in vivo

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Cited by 45 publications
(49 citation statements)
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“…Benfey, who found that the inotropic response to isoproterenol was intact during hypothermia, opposed this finding. He found sustained inotropic effects to be dependent on reduced calcium concentration in the experimental solution [1], different from the calcium overload found in hypothermic in vivo rat hearts [13,36]. In the present study, we found that Epi had negative inotropic effects at 15°C, recognized by decreased CO, despite giving a 4-fold increase of cAMP in cardiac tissue.…”
Section: Discussioncontrasting
confidence: 67%
See 1 more Smart Citation
“…Benfey, who found that the inotropic response to isoproterenol was intact during hypothermia, opposed this finding. He found sustained inotropic effects to be dependent on reduced calcium concentration in the experimental solution [1], different from the calcium overload found in hypothermic in vivo rat hearts [13,36]. In the present study, we found that Epi had negative inotropic effects at 15°C, recognized by decreased CO, despite giving a 4-fold increase of cAMP in cardiac tissue.…”
Section: Discussioncontrasting
confidence: 67%
“…The latter morphological finding is also seen after hypothermic cardioplegia in man [18], but not in spontaneously beating rat hearts exposed to prolonged hypothermia in vivo [32]. However, in rats exposed to 4 h hypothermia (15°C), cardiac calcium overload is present [13,36]. In the present study, the 4-fold increase in cardiac tissue cAMP during Epi infusion after 4 h at 15°C might therefore aggravate a hypothermia-induced calcium overload through high influx of calcium via L-type calcium channels.…”
Section: Discussionmentioning
confidence: 70%
“…Animal models have demonstrated that systolic function or cardiac muscle force generation is significantly reduced after hypothermia/rewarming (H/R) (14,16,38,40). The intracellular mechanisms underlying excitation-contraction coupling and muscle force generation appear to be disturbed following H/R, which could be explained either through a reduction in evoked transient cytoplasmic Ca 2ϩ ([Ca 2ϩ ] cyto ) responses or decreased Ca 2ϩ sensitivity of force generation.…”
Section: New and Noteworthymentioning
confidence: 98%
“…Although accidental hypothermia is associated with low incidence, claiming ϳ1,500 death certificates in the U.S. per year (4), it is accompanied with high mortality (estimates range from 50 -80%) (21). The underlying cause of rewarming shock is not clearly understood, which is essential to develop optimal rewarming strategies for accidental hypothermia victims.Animal models have demonstrated that systolic function or cardiac muscle force generation is significantly reduced after hypothermia/rewarming (H/R) (14,16,38,40). The intracellular mechanisms underlying excitation-contraction coupling and muscle force generation appear to be disturbed following H/R, which could be explained either through a reduction in evoked transient cytoplasmic Ca 2ϩ ([Ca 2ϩ ] cyto ) responses or decreased Ca 2ϩ sensitivity of force generation.…”
mentioning
confidence: 98%
“…18,19 Furthermore, myocardial calcium overload may cause myocardial Oxidative stress, calcium channels and selenium deficiency failure. 20,21 Oxidative stress leads to lipid peroxidation, and sulphydryl group oxidation seems to be among the mechanisms that may produce membrane defects, causing intracellular calcium overload and cardiac contractile dysfunction in the myocardium. 22 A change in the properties of the L-type calcium channel may be related directly to the structure of the channel or to the number of channels, both of which are regulated by Cacna1c, although this remains to be determined.…”
Section: Discussionmentioning
confidence: 99%