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Updated: Aug 9, 2026

Ex Vivo Assessment of Contractility, Fatigability and Alternans in Isolated Skeletal Muscles
Published on: November 1, 2012
[Dependence of myocardial contracture on energy resources during the calcium paradox]
Insights
The calcium paradox causes severe heart damage, including ATP depletion and mitochondrial dysfunction. Phosphocreatine partially restores ATP but worsens myoglobin loss and contracture.
Area of Science:
- Cardiovascular Physiology
- Biochemistry
Context:
- The calcium paradox, a complex myocardial damage, occurs during heart perfusion with calcium-free and calcium-containing solutions.
- Rat hearts subjected to this paradox exhibit myoglobin loss, decreased ATP and phosphocreatine, mitochondrial dysfunction, and contracture.
Purpose:
- To investigate the effects of varying sodium levels and phosphocreatine on calcium paradox-induced myocardial damage.
- To analyze the relationship between myocardial contracture and cellular damage.
Summary:
- Reducing sodium levels during calcium-free perfusion exacerbated heart damage without contracture.
- Phosphocreatine supplementation partially restored ATP levels but induced contracture and worsened myoglobin loss.
- A dissociation between myocardial contracture and the extent of cellular damage was observed.
Impact:
- Provides insights into the mechanisms underlying calcium paradox-induced heart injury.
- Highlights the complex role of electrolytes and energy substrates in myocardial protection and damage.
- Suggests potential therapeutic targets for mitigating ischemia-reperfusion injury.
Abstract:
Perfusion of the rat isolated hearts with calcium-free and calcium containing solution revealed a complex and deep myocardial damage called the calcium paradox. The reperfusion of the rat heart with calcium rich media resulted in myoglobin loss from the heart, significant decreasing of ATP and phosphocreatine level, complete uncoupling of respiration and phosphorylation in mitochondria, occurrence of myocardial contracture. Decreasing of sodium level to 30 mM--80 mM in calcium free media exacerbates the heart damage due to the calcium paradox with absence of contracture. Addition of phosphocreatine (1 mM, 5 mM, 10 mM) evoked some restoration of ATP contents in the tissue with appearance of significant contracture. Phosphocreatine exacerbated the loss of myoglobin from the heart subjected to the calcium paradox. A discrepancy between myocardial contracture and degree of cellular damage has been observed during the calcium paradox.
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