Korean J Physiol Pharmacol.  1999 Feb;3(1):47-52.

Gradual reperfusion lowers the incidence of reperfusion-induced ventricular fibrillation in a cat model of regional ischemia

• Kim YH
• Na HS
• Nam HJ
• Hur GY
• Lee SW
• Park SS
• Hong SK

Abstract

Blood flow restoration to ischemic zone of the heart is essential to salvage of ischemic tissue. However, there is a large body of evidence documenting that the reperfusion can induce reperfusion injury like reperfusion-induced malignant arrhythmias. In the present study, employing a cat model of regional cardiac ischemia, we examined if reperfusion rendered in a gradual fashion could lower the incidence of reperfusion-induced ventricular fibrillation (VF), which usually precipitated within a few to several tens of seconds after abrupt reperfusion. The experiments were conducted with male mongrel cats (n=46, 2.5-5 kg). The animals in the control and 30 MIN groups were subjected to an episode of 20- and 30-min left anterior descending coronary artery occlusion, respectively, followed by abrupt reperfusion. The animals in 5 G and 10 G groups received gradual reperfusion over a 5- and 10-min period, respectively, following a 20-min occlusion. The proportion of animals that exhibited VF during the reperfusion phase was 11/15 in the control, 7/10 in the 30 MIN, 5/10 in the 5 G and 2/11 in the 10 G groups. The incidence of VF in the 10 G group was significantly lower than that in the control or 30 MIN group subjected to abrupt reperfusion. These results suggest that the gradual reperfusion is a useful procedure against reperfusion-induced VF.

Keyword

Gradual reperfusion; Reperfusion injury; Reperfusion-induced ventricular fibrillation

MeSH Terms

Animals
Arrhythmias, Cardiac
Cats*
Coronary Vessels
Heart
Humans
Incidence*
Ischemia*
Male
Reperfusion Injury
Reperfusion*
Transcutaneous Electric Nerve Stimulation
Ventricular Fibrillation*