Skip to main content
Log in

Effect of magnesium sulfate administration on subendocardial and subepicardial perfusion

  • Original Articles
  • Published:
Biological Trace Element Research Aims and scope Submit manuscript

Abstract

The objective of this study was to determine the effect of systemic MgSO4 infusion on subendocardial and subepicardial perfusion. Seventeen spontaneously breathing piglets were examined. Myocardial perfusion was measured using radiolabeled microspheres at baseline, 30 and 60 min after either MgSO4 (80 mg/kg) or saline infusion. Blood pressure, heart rate, and cardiac output were also measured at these time intervals. Comparison of the magnesiuminduced changes in systemic blood pressure and on subendocardial and subepicardial perfusion at 30 and 60 min with values obtained with saline solution at 30 and 60 min, yielded no statistically significant difference (Tables 1–3). The ratio of subendocardial/subepicardial blood flow and subendocardial and subepicardial coronary vascular resistance at 30 and 60 min revealed no statistically significant differences between the magnesium and the control group (Table 3). There were no statistically significant difference in cardiac output and heart rate during any of the measured periods (Table 2). Our results suggest that the administration of MgSO4 does not alter the ratio of subendocardial/subepicardial blood flow and the ratio of subendocardial/subepicardial coronary vascular resistance.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. S. R. Levine, T. J. Crowlry, and H. A. Hai, Hypomagnasemia and ventricular tachycardia,Chest 81, 244–247 (1982).

    Article  PubMed  CAS  Google Scholar 

  2. D. Tzivoni, S. Banai, C. Schuger, J. Benhorin, A. Keren, S. Gottlieb, S. Stern, Treatment of torsade de points with magnesium and sulfate,Circulation 77, 392–397 (1988).

    PubMed  CAS  Google Scholar 

  3. K. L. Woods, S. Fletcher, C. Roffe, and Y. Haider, Intravenous magnesium sulphate in suspected acute myocardial infarction: results of the second Leicester Intravenous Magnesium Intervention Trial (LIMIT-2),Lancet 339, 1553–1558 (1992).

    Article  PubMed  CAS  Google Scholar 

  4. K. L. Woods, and S. Fletcher, Long-term outcome after intravenous magnesium sulphate in suspected acute myocardial infarction: the second Leicester Intravenous Magnesium Intervention Trial (LIMIT-2),Lancet 343, 816–819 (1994).

    Article  PubMed  CAS  Google Scholar 

  5. ISIS collaborative group, ISIS-4: randomized study of intravenous magnesium in over 50,000 patients with suspected acute myocardial infarction,Lancet 345, 669–685 (1995).

    Article  Google Scholar 

  6. C. W. Christensen, M. A. Rieder, E. L. Silverstein, and N. E. Gencheff, Magnesium sulfate reduces myocardial infarct size when administered before but not after coronary reperfusion in a canine model,Circulation 92, 2617–2621 (1995).

    PubMed  CAS  Google Scholar 

  7. W. R. Herzog, M. L. Schlossberg, K. S. MacMurdy, L. R. Edenbaum, M. J. Gerber, R.A. Vogel, and V. L. Serebruany, Timing of magnesium therapy affects experimental infarct size,Circulation 92, 2622–2626 (1995).

    PubMed  CAS  Google Scholar 

  8. E. M. Antman, Magnesium in acute MI. Timing is critical,Circulation 92, 2367–2372 (1995).

    PubMed  CAS  Google Scholar 

  9. C. Vigorito, A. Giordano, P. Ferraro, D. Acanfora, L. De Caprio, C. Naddeo, and F. Rengo, Hemodynamic effects of magnesium on the normal human heart,Am. J. Cardiol. 67, 1435–1437 (1991).

    Article  PubMed  CAS  Google Scholar 

  10. J. Leor, and R. A. Kloner, An experimental model examining the role of magnesium in the therapy of acute myocardial infarction,Am. J. Cardiol. 72, 1292–1293 (1995).

    Google Scholar 

  11. M. A. Heymann, B. D. Payne, J. I. Hoffman, and A. M. Rudolph, Blood flow measurements with radionuclide-labeled particles,Prog. Cardiovasc. Dis. 20, 55–59 (1977).

    Article  PubMed  CAS  Google Scholar 

  12. G. D. Buckberg, J. C. Luck, B. Payne, J. I. E. Hoffman, J. P. Archie, and D. E. Fixier, Some sources of error in measuring regional blood flow with radioactive microspheres,J. Appl. Physiol. 31, 598–604 (1971).

    PubMed  CAS  Google Scholar 

  13. I. Kobrin, M. B. Kardon, W. Oigman, B. L. Pegram, and E. D. Frohlich. Role of site of microsphere injection and catheter position on systemic and regional hemodynamics in rat,Am. J. Physiol. 247, H35-H39 (1984).

    PubMed  CAS  Google Scholar 

  14. G. D. Schrock, R. L. Krahmer, and J. L. Ferguson, Coronary flow by left atrial and left ventricular microsphere injection in therapy,Am. J. Physiol. 259, H635–638 (1990).

    PubMed  CAS  Google Scholar 

  15. P. O. Iversen, Evidence for long-term fluctuations in regional blood flow whithin the rabbit left ventricle,Acta Physiol. Scand. 146, 329–339 (1992).

    Article  PubMed  CAS  Google Scholar 

  16. R. B. King, J. B. Bassingthwaighte, J. R. S. Hales, and L. B. Rowell, Stability of heterogeneity of myocardial blood flow in normal awake baboons,Cir. Res. 57, 285–295 (1985).

    CAS  Google Scholar 

  17. J. B. Bassingthwaighte, M. A. Malone, T. C. Moffet, R. B. King, S. E. Little, J. M. Link, and K. A. Krohn, Validity of microsphere depositions for regional myocardial flows,Am. J. Physiol. 253, H184-H193 (1987).

    PubMed  CAS  Google Scholar 

  18. R. E. Austin, G. S. Aldea, D. L. Coggins, A. E. Flynn, and J. I. E. Hoffman, Profound spatial heterogeneity of coronary reserve. Discordance between patterns of resting and maximal myocardial blood flow,Cir. Res. 67, 319–331 (1990).

    Google Scholar 

  19. D. Franzen, R. S. Conway, and H. Zhang, E. H. Sonnenblick, C. Eng, Spatial heterogeneity of local blood flow and metabolic content in dogs hearts,Am. J. Physiol. 254, H344-H353 (1988).

    PubMed  CAS  Google Scholar 

  20. J. B. Bassingthwaighte, R. B. King, and S. A. Roger, Fractal nature of regional myocardial blood flow heterogeneity,Cir. Res. 65, 578–590 (1989).

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Fantidis, P., Stiris, T.A., Blanco, D. et al. Effect of magnesium sulfate administration on subendocardial and subepicardial perfusion. Biol Trace Elem Res 60, 227–234 (1997). https://doi.org/10.1007/BF02784442

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02784442

Index Entries

Navigation