Beneficial effect of combined glucose-insulin-potassium and mechanical support in acute myocardial ischaemia.

The influence of glucose-insulin-potassium infusion in combination with a mechanical assist device (intraaortic balloon pumping, IABP) on the levels of high energy phosphates in the canine heart after coronary artery ligation was compared with the effect of a separate application of these measures to protect the acute ischaemic myocardium. The combined method normalized the tissue content of creatine phosphate in the nonischaemic tissue contrary to the application of the mechanical or pharmacological assistance alone. In the ischaemic cardiac tissue only the combination of both methods reduced the loss of creatine phosphate, ATP and the sum of adenine nucleotides.

[Experimental studies on surgical therapy of acute infarct].

The authors examined the effects of reperfusion after temporary ischemia in 50 dogs. The morphologic alterations were documented by methods of electron microscopy, fluorescence microscopy, and histochemistry. Lactate and activity of glycogen phosphorylase were assessed.

[Enzyme-histochemical findings in the reperfused heart muscle of the dog (author's transl)].

Enzyme-histochemical changes due to temporary ischemia of canin heart muscle with subsequent reperfusion of the ischemic damaged muscle are described. In relation to findings in the rat, the first enzyme-histochemical changes were observed after two hours of coronary artery ligation. These changes were more impressive after 4 hours of ligation.