Early ischemia after complete coronary ligation in the rabbit, dog, pig, and monkey

Abstract
The character and extent of the myocardial ischemic borderzone was assessed in the rabbit, dog, pig and monkey. A fluorophotographic technique permitting high resolution (.+-. 50 .mu.m) display of myocardial ischemia was developed. Reduced intracellular NADH ischemia) fluoresces and may be photographed while oxidized NAD (perfused tissue) does not. A coronary artery was ligated for 5 min in open-chest rabbits, dogs, pigs and monkeys. A fluorescent dye was injected into the left atrium as a coronary vascular marker and the tissue was quick-frozen. The ischemic margin was well seen and was jagged in all species. The distance from anoxic to perfused tissue (borderzone) was < 50 .mu.m in all species. A narrow O2-diffusion zone of nonperfused nonanoxic tissue is visible in isolated heart perfused with blood-free solution. The width of this zone is inversely related to myocardial O2 consumption and is < 50 .mu.m in a working blood-perfused heart. The O2 diffusion zone was correlated with the clinically defined salvageable borderzone. In dogs, collateral vessels provide a heterogeneous border to the ischemic region so that the canine ischemic pattern differs from that of pigs, rabbits and monkeys.