Although the exact mechanism(s) responsible for the phosphocreatine/AT
P overshoot have not been completely elucidated, our data demonstrate
that the overshoot does not stem from reduced myocardial work, and con
sequently, reduced utilization of phosphocreatine (PCr). Additionally,
we highlight a basic difference in the physiologic responses of skele
tal and cardial muscle to work demands. By understanding the bioenerge
tic derangements which accompany reperfusion injury, one may hope to b
etter salvage post-ischemic myocardium.