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1 2nd Medical Clinic, 2 Institute for Neurosurgical Pathophysiology, 3 Institute for Microbiology and Hygiene, and 4 Institute for Pathology, Johannes Gutenberg-University Mainz, 55101 Mainz, Germany
Several surgical approaches are being used to
induce myocardial ischemia in rats. The present study
investigated two different operative procedures in spontaneously
breathing and mechanically ventilated rats under sham conditions. A
snare around the left coronary artery (LCA) was achieved without
occlusion. Left lateral thoracotomy was performed in spontaneously
breathing and mechanically ventilated rats (tidal volume 8 ml/kg) with
a respiratory rate of 90 strokes/min at different levels of
O2 supplementation (room air and
30, 40, and 90% O2). All
animals were observed for 60 min after thoracotomy. Rats operated with
exteriorization of the heart through left lateral thoracotomy while
breathing spontaneously developed severe hypoxia and hypercapnia
despite an intrathoracic operation time of <1 min. Arterial
O2 content decreased from 18.7 ± 0.5 to 3.3 ± 0.9 vol%. Lactate increased from 1.2 ± 0.1 to 5.2 ± 0.3 mmol/l. Significant signs of
ischemia were seen in the electrocardiogram up to 60 min.
Mechanically ventilated animals exhibited a spectrum ranging from
hypoxia (room air) to hyperoxia (90%
O2). In order not to jeopardize
findings in experimental myocardial ischemia-reperfusion injury
models, stable physiological parameters can be achieved in mechanically
ventilated rats at an O2
application of 30-40% at 90 strokes/min.
reperfusion; hypoxia
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