Veksler V I
Kardiologiia. 1979 Sep;19(9):91-5.
It was found that following occlusion of the coronary artery in dogs, the rate of increase in K+ concentration in blood plasma draining directly from the focus of ischemia is greater in cases complicated by ventricular fibrillation. Fibrillation always occurs against the background of a decrease in pH and an increase in the K+ level in blood plasma draining from the focus of ischemia. It is suggested that inhibition of the development of disorders of acid-base and ion equilibrium in the myocardium would be an effective means of preventing ventricular fibrillation in the acute stage of myocardial infarction.
研究发现,在狗冠状动脉闭塞后,直接从缺血灶引流的血浆中钾离子浓度的升高速率在并发心室颤动的情况下更高。颤动总是在从缺血灶引流的血浆pH值降低和钾离子水平升高的背景下发生。有人提出,抑制心肌酸碱和离子平衡紊乱的发展将是预防心肌梗死急性期心室颤动的有效手段。