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Am J Physiol Heart Circ Physiol 259: H1767-H1773, 1990;
0363-6135/90 $5.00
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AJP - Heart and Circulatory Physiology, Vol 259, Issue 6 1767-H1773, Copyright © 1990 by American Physiological Society


ARTICLES

23Na-NMR measurements of intracellular sodium in intact perfused ferret hearts during ischemia and reperfusion

M. M. Pike, M. Kitakaze and E. Marban
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205.

23Na nuclear magnetic resonance (NMR) spectroscopy was utilized to measure intracellular Na+ in perfused ferret hearts exposed to the shift reagent dysprosium triethylenetramine-hexa-acetic acid [Dy(TTHA)3-]. The intracellular Na+ signal was small under normal perfusion conditions; resolution was enhanced by using a Jump-Return NMR pulse protocol. During 20 min of total global ischemia at 30 degrees C, intracellular Na+ concentration ([Na+]i) increased steadily to a peak value fivefold greater than control. [Na+]i declined monotonically back to control levels within 9 min of reperfusion. In contrast, the mean contractile pressure only recovered to 54% of control levels. Thus major alterations in Na+ homeostasis occur during severe ischemia. [Na+] recovers rapidly during reperfusion and is therefore dissociated from the lingering postischemic depression of contractile function known as "stunning."


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