M. Samaja et al., MYOCARDIAL-METABOLISM AND FUNCTION IN ACUTELY ISCHEMIC AND HYPOXEMIC ISOLATED RAT HEARTS, Journal of Molecular and Cellular Cardiology, 27(5), 1995, pp. 1213-1218
We tested the hypothesis that residual oxygen supply during acute low-
flow ischaemia or hypoxemia is a major regulator of myocardial perform
ance, metabolism and recovery. Rat hearts were exposed for 20 min to e
ither ischemia (coronary now reduced to 10% of baseline), hypoxemia (o
xygen content reduced to 10% baseline) or a ''mixed'' condition (combi
ned ischaemia and hypoxemia). The oxygen supply (coronary now x oxygen
content) was matched in all groups (n=16 per group), Hypoxemic hearts
had the highest performance (systolic and developed pressures, +/-dP/
dt(max) and oxygen uptake) and content of IMP and AMP. Ischaemic heart
s had the highest content of ATP, phosphocreatine, adenine nucleotides
and purines, As now and/or oxygenation were restored, post-ischemic h
earts showed better functional and metabolic recovery than post-hypoxe
mic ones. ''Mixed'' hearts were more similar to hypoxemic ones during
oxygen shortage but to ischemic ones during recovery. We conclude that
as oxygenation is critically limiting, coronary now is relatively mor
e important than oxygen supply in determining myocardial function, met
abolism and recovery, most likely secondary to changes in the metaboli
sm of diffusible substances.