Madadi Firoozeh, Aghajani Marjan, Dabbagh Ali, Fani Kamal, Sehati Fardin, Imani Alireza
Anesthesiology Department, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of physiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
J Tehran Heart Cent. 2022 Jan;17(1):15-21. doi: 10.18502/jthc.v17i1.9320.
Acute myocardial infarction is an important cause of morbidity. This study aimed to investigate the effects of the administration of potassium chloride (KCl) on reperfusion-induced injuries in a rat model of myocardial ischemia/reperfusion. Thirty-six male Wistar rats, weighing 200 to 250 g, were randomly assigned to 3 experimental groups: control, K1 (10 µg/kg of KCl), and K2 (20 µg/kg of KCl). Twenty minutes before ischemia, a single dose of 10 and 20 µg/kg of KCl was intraperitoneally administered in the K1 and K2 groups, respectively. The coronary artery was occluded for 30 minutes (ischemia); thereafter, it was opened for 60 minutes (reperfusion) to measure hemodynamic parameters and ventricular arrhythmias. Blood sampling was performed after the reperfusion period to determine the serum levels of lactate dehydrogenase, troponin I, creatine kinase (CK)-MB, malondialdehyde, and pro-oxidant-antioxidant balance. Serological parameters significantly decreased in the potassium groups compared with the control group. In particular, the decline was more pronounced for the serum levels of lactate dehydrogenase (1180.25±69.48 vs 1556.67±77.02 U/L; P=0.011), troponin I (21.98±0.61 vs 28.76±1.65 ng/mL; P=0.020), and pro-oxidant-antioxidant balance (15.51±0.72 vs 20.63±1.42 HK; P=0.041) in the K2 group compared with the K1 group. Moreover, the administration of 20 µg/kg of KCl significantly decreased the incidence of ventricular tachycardias and fibrillations compared with the control group (P=0.002). Additionally, no considerable differences were observed between the control group and the groups with 10 µg/kg and 20 µg/kg of KCl regarding the number of ventricular ectopic beats. : The administration of KCl before ischemia could reduce ventricular arrhythmias and reperfusion-induced injuries by reducing oxidative stress.
急性心肌梗死是发病的重要原因。本研究旨在探讨在大鼠心肌缺血/再灌注模型中给予氯化钾(KCl)对再灌注诱导损伤的影响。将36只体重200至250克的雄性Wistar大鼠随机分为3个实验组:对照组、K1组(10微克/千克KCl)和K2组(20微克/千克KCl)。在缺血前20分钟,K1组和K2组分别腹腔注射单剂量10和20微克/千克的KCl。冠状动脉闭塞30分钟(缺血);此后,开放60分钟(再灌注)以测量血流动力学参数和室性心律失常。再灌注期后进行采血以测定血清乳酸脱氢酶、肌钙蛋白I、肌酸激酶(CK)-MB、丙二醛和促氧化剂-抗氧化剂平衡水平。与对照组相比,钾组的血清学参数显著降低。特别是,K2组血清乳酸脱氢酶水平(1180.25±69.48对1556.67±77.02 U/L;P=0.011)、肌钙蛋白I水平(21.98±0.61对28.76±1.65纳克/毫升;P=0.020)和促氧化剂-抗氧化剂平衡水平(15.51±0.72对20.63±1.42 HK;P=0.041)与K1组相比下降更为明显。此外,与对照组相比,给予20微克/千克KCl显著降低了室性心动过速和颤动的发生率(P=0.002)。此外,对照组与10微克/千克和20微克/千克KCl组在室性早搏数量方面未观察到显著差异。缺血前给予KCl可通过降低氧化应激减少室性心律失常和再灌注诱导的损伤。