Abstract
Differential uptake of iodine containing radiographic contrast medium (I) in myocardial infarcts compared with normal mycardium has been detected by computerized transmission tomography (CTT). In this study the histologic and cellular distribution of I in ischemically damaged canine myocardium after intravenous administration of contrast material was examined by the use of scanning electron microscopy and energy dispersive X-ray microanalysis of fresh frozen cryosections. Analysis of individual cells in 6-mu thick sections mounted on carbon substrates showed that I was detectable in the ischemically damaged but not the normal myocardial cells. A decline in the potassium-to-sodium ratio confirmed the loss of membrane integrity in the ischemically damaged cells that accumulated I. These results indicate that I enters ischemically damaged but not normal myocardial cells suggesting that CTT scans after intravenous administration of contrast material may be capable of defining the area of the myocardium in which cells have lost membrane integrity after an ischemic injury.
Full text
PDF











Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Ashraf M., Bloor C. M. X-ray microanalysis of mitochondrial deposits in ischemic myocardium. Virchows Arch B Cell Pathol. 1976 Dec 2;22(4):287–297. doi: 10.1007/BF02889222. [DOI] [PubMed] [Google Scholar]
- Buja L. M., Parkey R. W., Dees J. H., Stokely E. M., Harris R. A., Jr, Bonte F. J., Willerson J. T. Morphologic correlates of technetium-99m stannous pyrophosphate imaging of acute myocardial infarcts in dogs. Circulation. 1975 Oct;52(4):596–607. doi: 10.1161/01.cir.52.4.596. [DOI] [PubMed] [Google Scholar]
- Buja L. M., Parkey R. W., Stokely E. M., Bonte F. J., Willerson J. T. Pathophysiology of technetium-99m stannous pyrophosphate and thallium-201 scintigraphy of acute anterior myocardial infarcts in dogs. J Clin Invest. 1976 Jun;57(6):1508–1522. doi: 10.1172/JCI108421. [DOI] [PMC free article] [PubMed] [Google Scholar]
- CROUT J. R., JENNINGS R. B. An improved histochemical method for the demonstration of potassium. J Histochem Cytochem. 1957 Mar;5(2):170–177. doi: 10.1177/5.2.170. [DOI] [PubMed] [Google Scholar]
- Gupta B. L., Hall T. A., Naftalin R. J. Microprobe measurement of Na, K and Cl concentration profiles in epithelial cells and intercellular spaces of rabbit ileum. Nature. 1978 Mar 2;272(5648):70–73. doi: 10.1038/272070a0. [DOI] [PubMed] [Google Scholar]
- Hagler H. K., Sherwin L., Buja L. M. Effect of different methods of tissue preparation on mitochondrial inclusions of ischemic and infarcted canine myocardium: transmission and analytic electron microscopic study. Lab Invest. 1979 May;40(5):529–544. [PubMed] [Google Scholar]
- Hall T. A., Gupta B. L. Bean-induced loss of organic mass under electronmicroprobe conditions. J Microsc. 1974 Mar;100(2):177–188. doi: 10.1111/j.1365-2818.1974.tb03927.x. [DOI] [PubMed] [Google Scholar]
- Higgins C. B., Siemers P. T., Schmidt W., Newell J. D. Evaluation of myocardial ischemic damage of various ages by computerized transmission tomography. Time-dependent effects of contrast material. Circulation. 1979 Aug;60(2):284–291. doi: 10.1161/01.cir.60.2.284. [DOI] [PubMed] [Google Scholar]
- Higgins C. B., Sovak M., Schmidt W., Siemers P. T. Differential accumulation of radiopaque contrast material in acute myocardial infarction. Am J Cardiol. 1979 Jan;43(1):47–51. doi: 10.1016/0002-9149(79)90043-2. [DOI] [PubMed] [Google Scholar]
- Jennings R. B., Hawkins H. K., Lowe J. E., Hill M. L., Klotman S., Reimer K. A. Relation between high energy phosphate and lethal injury in myocardial ischemia in the dog. Am J Pathol. 1978 Jul;92(1):187–214. [PMC free article] [PubMed] [Google Scholar]
- McVie J. G. Postmortem detection of inapparent myocardial infarction. J Clin Pathol. 1970 Apr;23(3):203–209. doi: 10.1136/jcp.23.3.203. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Raiskina M. E., Opalyeva-Stegantseva V. A., Ratovskaya V. I., Ostapova V. N., Veber O. P. Postmortem diagnosis of ventricular fibrillation by K and Na distribution in the myocardium and skeletal muscle in out-of-hospital sudden death from acute ischemic heart disease. Am Heart J. 1977 Aug;94(2):154–162. doi: 10.1016/s0002-8703(77)80274-3. [DOI] [PubMed] [Google Scholar]
- Shen A. C., Jennings R. B. Kinetics of calcium accumulation in acute myocardial ischemic injury. Am J Pathol. 1972 Jun;67(3):441–452. [PMC free article] [PubMed] [Google Scholar]



