Oxygen delivery, oxygen consumption and hemoglobin-oxygen affinity in acute myocardial infarction

1989 ◽  
Vol 64 (16) ◽  
pp. 975-979 ◽  
Author(s):  
Tsutomu Sumimoto ◽  
Yasuo Takayama ◽  
Toshiji Iwasaka ◽  
Tetsuro Sugiura ◽  
Masaharu Takeuchi ◽  
...  
1975 ◽  
Vol 36 (2) ◽  
pp. 148-154 ◽  
Author(s):  
Protasio L. da Luz ◽  
Jose M. Cavanilles ◽  
Sybil Michaels ◽  
Max Harry Weil ◽  
Herbert Shubin

1979 ◽  
Vol 237 (6) ◽  
pp. H668-H675 ◽  
Author(s):  
G. Lister ◽  
T. K. Walter ◽  
H. T. Versmold ◽  
P. R. Dallman ◽  
A. M. Rudolph

After birth a decrease in hemoglobin concentration occurs while high metabolic demands are imposed on the infant by the extrauterine environment. Using the resting lamb as a model, we studied the mechanisms that are called into play during this period to maintain oxygen delivery. Measurements were made of oxygen consumption, arterial and mixed venous blood oxygen contents, cardiac output, hemoglobin concentration, percent fetal hemoglobin, 2,3-diphosphoglycerate, and hemoglobin oxygen affinity during the first two postnatal months. There was a rapid decrease in hemoglobin concentration after birth and concomitant decrease in hemoglobin oxygen affinity, changes similar to those described in humans. Cardiac output and oxygen consumption were both very high immediately after birth and declined in parallel, so that arteriovenous oxygen content difference was constant. Thus at rest cardiac output varies as a result of the changing need for oxygen. This relationship is independent of hemoglobin concentration or oxygen affinity within the normal range. If, however, oxygen demands were increased, oxygen delivery might be compromised by a limited ability to increase oxygen extraction during the immediate newborn period or when hemoglobin concentration is lowest.


1973 ◽  
Vol 31 (3) ◽  
pp. 295-299 ◽  
Author(s):  
William J Kostuk ◽  
Kunio Suwa ◽  
Eugene F Bernstein ◽  
Burton E Sobel

2016 ◽  
Vol 55 (3) ◽  
pp. 285-287
Author(s):  
Raku Son ◽  
Takakazu Higuchi ◽  
Atsushi Mizuno ◽  
Ryosuke Koyamada ◽  
Sadamu Okada ◽  
...  

1981 ◽  
Vol 51 (4) ◽  
pp. 864-870 ◽  
Author(s):  
B. K. Ross ◽  
M. P. Hlastala

The importance of hemoglobin-oxygen affinity (HOA) in affecting skeletal muscle oxygen consumption (VO2) was reevaluated using an isolated canine gracilis muscle. HOA of the blood [normal O2 half-saturation pressure of hemoglobin (P50) = 30 Torr] was increased by refrigerated storage (P50 = 22 Torr), incubation in sodium metabisulfite (P50 = 24 Torr), or in sodium cyanate (P50 = 14 Torr). Stored blood caused a significant fall in VO2 to 80% of control, with no change in venous O2 partial pressure (PvO2), substantiating previous studies. However, in contrast, blood incubated in sodium metabisulfite or sodium cyanate resulted in no impairment of VO2, with a fall in PvO2 in the latter case indicating that a critical PvO2 did not cause the reduction in VO2 with stored blood. To substantiate further the lack of existence of a critical PO2, fresh and increased HOA blood was perfused at constant flow rates and varying arterial oxygen saturations. Stored blood showed a marked reduction in VO2 as compared with normal blood over a wide range of saturations. However, carbamylated blood VO2 was identical to fresh blood VO2 values. The data suggest that the position of the oxygen dissociation curve may not be as important as originally thought in determining skeletal muscle oxygen delivery. The drop in VO2 caused by perfusion with stored blood is due to some other factor unrelated to HOA.


2005 ◽  
Vol 288 (4) ◽  
pp. R992-R997 ◽  
Author(s):  
T. D. Clark ◽  
T. Wang ◽  
P. J. Butler ◽  
P. B. Frappell

The majority of information concerning the cardio-metabolic performance of varanids during exercise is limited to a few species at their preferred body temperature (Tb) even though, being ectotherms, varanids naturally experience rather large changes in Tb. Although it is well established that absolute aerobic scope declines with decreasing Tb, it is not known whether changes in cardiac output (V̇b) and/or tissue oxygen extraction, (CaO2 − Cv�[Formula: see text]), are in proportion to the rate of oxygen consumption (V̇o2). To test this, we studied six Rosenberg's goannas ( Varanus rosenbergi) while at rest and while maximally exercising on a treadmill both at 25 and 36°C. During maximum exercise both at 25 and 36°C, mass-specific rate of oxygen consumption (V̇o2kg) increased with an absolute scope of 8.5 ml min−1 kg−1 and 15.7 ml min−1 kg−1, respectively. Interestingly, the factorial aerobic scope was temperature-independent and remained at 7.0 which, at each Tb, was primarily the result of an increase in V̇bkg, governed by approximate twofold increases both in heart rate ( fH) and cardiac stroke volume (VSkg). Both at 25°C and 36°C, the increase in V̇bkg alone was not sufficient to provide all of the additional oxygen required to attain maximal V̇o2kg, as indicated by a decrease in the blood convection requirement V̇bkg/V̇o2kg; hence, there was a compensatory twofold increase in (CaO2 − [Formula: see text]). Although associated with an increase in hemoglobin-oxygen affinity, a decrease in Tb did not impair unloading of oxygen at the tissues and act to reduce (CaO2 − Cv�[Formula: see text]); both CaO2 and Cv�[Formula: see text] were maintained across Tb. The change in V̇o2kg with Tb, therefore, is solely reliant on the thermal dependence of V̇bkg. Maintaining a high factorial aerobic scope across a range of Tb confers an advantage in that cooler animals can achieve higher absolute aerobic scopes and presumably improved aerobic performance than would otherwise be achievable.


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