The effects of carbon monoxide inhalation on the ultrastructure of the heart muscle of rat were investigated. Rats were exposed to 1% carbon monoxide for 10 minutes and sacrificed immediately, 10 and 30 minutes, and 1, 5 and 24 hours after the cessation of carbon monoxide inhalation, and ultrastructural changes of the hearts were observed.
The cardiac ultrastructural changes consisted of intracellular edema, swelling of mitochondria and sarcoplasmic reticulum, disruption and reduction of cristae, disappearance of mitochondria, appearance of lipofuscin pigment granules and lyso-somes, increase of glycogen granules and fat droplets. The ultrastructural reactions to carbon monoxide were evident in 10 minutes after carbon monoxide inhalation for 10 minutes, and became most prominent in 30 minutes to 1 hour. In 24 hours after the inhalation, the hearts of most rats appeared essentially normal.
These findings suggest that the effects of carbon monoxide on the heart result not only from hypoxemia but also from the direct toxic effects on the specific respiratory enzymes, and the duration of carbon monoxide inhalation is more important than the level of blood CO-Hb concentration in producing these changes.
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