Transmural bioenergetic responses of normal myocardium to high workstates

J. Zhang, D. J. Duncker, Y. Xu, Y. Zhang, G. Path, H. Merkle, K. Hendrich, A. H.L. From, R. J. Bache, K. Ugurbil

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60 Scopus citations

Abstract

The response of myocardial high-energy and inorganic phosphates (HEP and P(i), respectively) and associated changes in myocardial blood flow, lactate uptake, and O2 consumption (MV̇O2) rates were examined in an open-chest canine model during progressively increasing workloads achieved by catecholamine infusion. HEP and P(i) levels (measured with transmurally localized 31P-nuclear magnetic resonance spectroscopy) were unaffected by moderate increases in the level of energy expenditure but were significantly altered by high workloads, especially in the subepicardium. The MV̇O2 and HEP data from three different protocols that utilized pharmacological augmentation of blood flow demonstrated that the maximal rate of myocardial energy production during inotropic stimulation was dictated by perfusion limitation. This limitation was more severe in the subepicardial layer at the high workloads despite equivalent or even higher increases in blood flow to this layer, reflecting a preferential enhancement of demand in the outer layer by catecholamines. In contrast, under basal conditions, existence of a marginal perfusion limitation was evident in the inner but not in the outer layer.

Original languageEnglish (US)
Pages (from-to)H1891-H1905
JournalAmerican Journal of Physiology - Heart and Circulatory Physiology
Volume268
Issue number5 37-5
DOIs
StatePublished - 1995

Keywords

  • dobutamine
  • hyperperfusion
  • maximal catecholamine challenge
  • oxygen consumption rate
  • phosphorus-31 nuclear magnetic resonance spectroscopy
  • vasodilation

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