The significance of the late fall in myocardial pCO2 following acute coronary occlusion

Intraoperative Assessment of the Stunned versus Infarcted Myocardium with the Simultaneous Use of Transesophageal Echocardiography and the Measurement of Myocardial pH: Two Case Studies

“…The late rise in pH (or the late fall in myocardial pC02) following acute ischemia has been shown to be a manifestation of progressive irreversible cellular dysfunction. 1 In view of that, myocardial stunning was ruled out. No attempt was made to place an assist device because reversibility of function over time was not anticipated.…”