Document Detail

Real-time myocardial glucose measurement using biosensors.
MedLine Citation:
PMID:  18204327     Owner:  NLM     Status:  MEDLINE    
During ischemia, myocardial fatty acid metabolism ceases, rapidly depleting the other primary fuel, glucose. No technique has existed to continuously monitor myocardial glucose. Needle-tip enzymatic glucose biosensors have been developed for subcutaneous use in diabetic management. To study the utility of these sensors for real-time myocardial glucose monitoring in clinically relevant applications, 40 kg Yorkshire swine were cannulated for cardiopulmonary bypass. Biosensors were placed in the left anterior descending artery distribution (LAD) and posterior descending artery distribution (PD), and a third in the liver. Selective ischemia was induced by ligation of the LAD artery. Glucose levels were monitored during ischemia and reperfusion in the setting of cardioplegic arrest (n = 7) and in the normal beating heart (n = 14). In the normal beating heart, glucose levels fall to 6.5% +/- 7.4% baseline at 1 minute and 29.0% +/- 23.0% at 5 minutes of ischemia. In both arrested and beating heart scenarios, biosensors show distinct metabolic states in specific regions of the heart and liver. Biosensors can track regional glucose metabolism in the beating and arrested heart. This novel application of these sensors allows real-time determination of myocardial glucose levels to guide cardioplegia administration and monitor ischemic states for clinical and experimental use.
Daniel S Eiferman; Long Nguyen; R Anthony Perez-Tamayo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  ASAIO journal (American Society for Artificial Internal Organs : 1992)     Volume:  54     ISSN:  1538-943X     ISO Abbreviation:  ASAIO J.     Publication Date:    2008 Jan-Feb
Date Detail:
Created Date:  2008-01-21     Completed Date:  2008-06-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204109     Medline TA:  ASAIO J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  120-3     Citation Subset:  IM    
Department of Cardiovascular Surgery, Rush University Medical Center, Chicago, Illinois, USA.
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MeSH Terms
Adenosine Triphosphate / metabolism
Biosensing Techniques*
Cardiopulmonary Bypass
Coronary Vessels / pathology
Diabetes Mellitus, Experimental / therapy
Glucose / analysis*,  metabolism
Heart Arrest, Induced
Hydrogen-Ion Concentration
Lactates / metabolism
Myocardial Ischemia / pathology*
Myocardium / pathology*
Time Factors
Reg. No./Substance:
0/Lactates; 50-99-7/Glucose; 56-65-5/Adenosine Triphosphate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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