A critical appraisal of the rate pressure product as index of myocardial oxygen consumption for the study of metabolic coronary flow regulation

1999 ◽  
Vol 71 (2) ◽  
pp. 141-148 ◽  
Author(s):  
Jasper E. Kal ◽  
Harry B. Van Wezel ◽  
Isabelle Vergroesen
Circulation ◽  
1979 ◽  
Vol 60 (2) ◽  
pp. 170-173 ◽  
Author(s):  
P L Wilkinson ◽  
J R Moyers ◽  
T Ports ◽  
K Chatterjee ◽  
D Ullyott ◽  
...  

Author(s):  
D. D. Gutterman ◽  
A. C. Bonham ◽  
J. M. Arthur ◽  
J. E. Stuhlmuller ◽  
G. F. Gebhart ◽  
...  

1960 ◽  
Vol 199 (2) ◽  
pp. 349-354 ◽  
Author(s):  
H. Feinberg ◽  
A. Gerola ◽  
L. N. Katz

The effect of hypo- and hypercapnia—induced by changing the respiratory gas mixture—on coronary flow and myocardial oxygen consumption was observed at constant cardiac output and over a broad range of pressure-loads in open-chested, anesthetized dogs. The correlation of cardiac effort (as indexed by the product of heart rate and mean aortic blood pressure) with myocardial oxygen consumption was not altered by increasing or decreasing the arterial CO2 content. Coronary blood flow was observed to be increased relative to the cardiac effort during hypercapnia but not during hypocapnia. The coronary arteriovenous oxygen difference and the percentage of oxygen extracted decreased during hypercapnia pari passu with the increase in venous oxygen content.


1985 ◽  
Vol 248 (4) ◽  
pp. H508-H515 ◽  
Author(s):  
C. S. Apstein ◽  
R. C. Dennis ◽  
L. Briggs ◽  
W. M. Vogel ◽  
J. Frazer ◽  
...  

Storage of blood can depress erythrocyte 2,3-diphosphoglycerate (DPG) levels and thereby increase oxyhemoglobin affinity and potentially decrease capillary-to-tissue oxygen transport. We measured myocardial function and metabolism in isolated rabbit hearts with fixed coronary flow under basal conditions and during isoproterenol stress at 37 and 30 degrees C, comparing high and low oxyhemoglobin affinity (OHA) erythrocytes. The high OHA state resulted from standard storage conditions, which caused depressed values of DPG and P50 (the oxygen tension at which hemoglobin is 50% saturated). The low OHA erythrocytes were initially stored and then underwent biochemical treatment to restore the DPG and P50 values to normal. The low OHA cells released more oxygen, and myocardial oxygen consumption and contractile function were increased relative to the high OHA cells during both the basal and stress states at both 37 and 30 degrees C. These observations may be relevant for patients with limited coronary flow when such patients receive large transfusions of stored blood.


1962 ◽  
Vol 64 (6) ◽  
pp. 789-795 ◽  
Author(s):  
Armand A. Lefemine ◽  
Henry B.C. Low ◽  
Manfred L. Cohen ◽  
Steven Lunzer ◽  
Dwight E. Harken

Circulation ◽  
1978 ◽  
Vol 57 (3) ◽  
pp. 549-556 ◽  
Author(s):  
F L Gobel ◽  
L A Norstrom ◽  
R R Nelson ◽  
C R Jorgensen ◽  
Y Wang

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