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1 Department of Pathophysiology, University of Essen Medical School, D-45122 Essen; 2 Institute for Physiology, Department of Medical Science Carl Gustav Carus, Dresden Technical University, D-01307 Dresden; and 3 Department of Surgery, Research Group of Experimental Surgery, Heinrich-Heine-University, D-40225 Düsseldorf, Germany
In mammalian hearts, local myocardial flow (LMF) varies between
20 and 200% of the mean. It is not clear whether oxidative metabolism
has a similar degree of heterogeneity. Therefore, we investigated the
relation between LMF and local oxidative metabolism in isolated rabbit
hearts. Buffer oxygenation with 18O2 resulted
in labeled myocardial oxidation water (H218O).
In four hearts, myocardial oxygen consumption
(M
O2) was calculated from the
H218O production and compared with that
calculated according to Fick. In eight additional hearts, LMF was
measured using microspheres. Coronary venous
H218O kinetics and local
H218O residues were determined and analyzed by
mathematical modeling. M
O2 recovery from
H218O was >93% compared with that according
to Fick. LMF ranged from 1.91 to 11.24 ml · min
1 · g
1, and local
H218O residue ranged from 0.41 to 1.04 µmol/g. Both variables correlated (r = 0.62, n = 64, P < 0.001). Measurements in
nine hearts were fitted by modeling using capillary
permeability-surface area products (PSc) from 2 to 10 ml · min
1 · g
1. With
flow-proportional PSc, a 3.33-fold difference in
LMF was associated with a 6.45-fold difference in local
M
O2. Both LMF and local oxidative
metabolism are spatially heterogeneous, and they correlate to one another.
myocardial oxidation water; oxygen-18 labeling; modeling
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