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Am J Physiol Heart Circ Physiol 279: H1029-H1035, 2000;
0363-6135/00 $5.00
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Vol. 279, Issue 3, H1029-H1035, September 2000

Heterogeneity of local myocardial flow and oxidative metabolism

Uwe Schwanke1, Andreas Deussen2, Gerd Heusch1, and Jochen D. Schipke3

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 (MVO2) 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. MVO2 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 MVO2. 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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