Abstract
Ischemia is associated with myocardial acidosis which recovers upon reperfusion. In such conditions, alpha 1-adrenergic stimulation is arrhythmogenic. We used single cardiac myocytes loaded with the pH fluorescent dye, SNARF-1, to determine if a modulation of pH could explain the effect of alpha 1-adrenergic stimulation. Cells were exposed to acidosis (CO2 15%) for 15 min and then normocapnia restored. During acidosis, alpha 1-adrenergic stimulation caused an increase in pH which was abolished by blocking Na+/H+ exchange with ethylisopropylamiloride (EIPA). After removal of acidosis aftercontractions were manifest in 8 out of 10 and 1 out of 5 cells in the presence of an alpha 1-adrenergic agonist and in control, respectively (p <0.001). EIPA abolished the occurrence of after contractions. Thus, the arrhythmogenicity of alpha 1-adrenergic stimulation depends on activation of Na+/H+ exchanger.
Translated title of the contribution | The arrhythmogenicity of alpha 1-adrenergic stimulation following myocardial acidosis |
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Original language | Italian |
Pages (from-to) | 569-571 |
Number of pages | 3 |
Journal | Cardiologia |
Volume | 37 |
Issue number | 8 |
Publication status | Published - Aug 1992 |
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine