Lactate pp 197-206 | Cite as

Effects of Acidosis and Weak Acids on the Normal, Hypoxic, and Ischaemic Myocardium

  • P. A. Poole-Wilson
Conference paper


The effects of acidosis and lactate ions on the heart are physiologically important in two common conditions. The first is severe exercise, in which arterial pH may fall to 6.9 and plasma lactate increase to 20 mmol/litre (see this Symposium). The second is myocardial ischaemia presenting as either angina pectoris or acute myocardial infarction. Tennant, in 1935 (1), attributed the rapid decline of myocardial contractility during ischaemia to an intracellular accumulation of hydrogen (H+) and lactate ions, but was unable to determine their relative significance. More recent work has shown that intracellular acidosis does occur in ischaemia (see Fig. 2; 2) and is of sufficient severity to account for much of the decline in mechanical performance (3, 4). The importance of other factors, such as intracellular accumulation of lactate and phosphate ions (5), oxygen lack, cyclic AMP (6) and the functional capacity of intracellular organelles, remains unclear.


Metabolic Acidosis Weak Acid Extracellular Fluid Krebs Solution Respiratory Acidosis 
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© Springer-Verlag Berlin Heidelberg 1980

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  • P. A. Poole-Wilson

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