Myocardial oxygen consumption and coronary blood flow in hypothermia

1959 ◽  
Vol 196 (4) ◽  
pp. 719-725 ◽  
Author(s):  
A. Gerola ◽  
H. Feinberg ◽  
L. N. Katz
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Oxygen Consumption ◽  
Coronary Flow ◽  
Myocardial Oxygen Consumption ◽  
Control Period ◽  
Mechanical Efficiency ◽  
Individual Variability ◽  
Large Individual ◽  
Oxygen Requirement

Effects of hypothermia (at 32° and 27°C) were determined in the open-chest anesthetized dog prepared for measurement of total coronary flow and myocardial oxygen consumption. When hypothermia was induced at any fixed cardiac output, cardiac oxygen consumption and heart rate declined while blood pressure remained constant. Cardiac external mechanical efficiency increased at the same time. Hypothermia did not alter the relationship between the myocardial oxygen requirement and the total cardiac effort as indicated by the product of blood pressure times heart rate. Without regard to the large individual variability, the coronary venous O2 rose; thus the general trend during the induction of hypothermia was a decline in the coronary A-V oxygen difference, the percentage O2 extracted by the heart and the ratio: cardiac O2 consumption/O2 availability. The coronary venous O2 content and the coronary A-V O2 difference remained fairly constant as the cardiac effort and its oxygen requirement varied during hypothermia, just as in the control period. Thus coronary flow was the only means of adjusting to the altered cardiac oxygen need in both periods.

Role of catecholamines on energetics of the heart and its blood supply

1959 ◽  
Vol 196 (2) ◽  
pp. 394-400 ◽  
Author(s):  
A. Gerola ◽  
H. Feinberg ◽  
L. N. Katz
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Oxygen Consumption ◽  
Coronary Flow ◽  
Direct Action ◽  
Coronary Vessels ◽  
Mechanical Efficiency ◽  
Oxygen Requirement ◽  
Oxygen Difference

The effects of continuously infused intravenous l-epinephrine and l-norepinephrine (5 gamma/ kg/min.) were determined in the open-chested anesthetized dog prepared for measurement of total coronary flow and myocardial oxygen consumption. When catecholamines were infused at any fixed cardiac output, cardiac oxygen consumption rose in association with increases in blood pressure and heart rate, while cardiac external mechanical efficiency declined. The significance of the product (blood pressure times heart rate) as an index of the total cardiac effort, as indicated by the myocardial oxygen requirement, is considered in view of the alterations brought about by catecholamines in this relationship. The decline in the coronary A-V oxygen difference, the percentage of oxygen extracted by the heart and the ratio (cardiac oxygen consumption/oxygen availability) and the rise in coronary venous oxygen, are all attributed to a direct action of catecholamines on the coronary vessels. Despite their new levels, the coronary venous oxygen, content and the coronary A-V oxygen difference remain fairly constant as the cardiac effort and its oxygen requirement vary during catecholamine infusion.

Effect of Catecholamines, l-Epinephrine and l-Norepinephrine on Coronary Flow and Oxygen Metabolism of the Myocardium

1958 ◽  
Vol 193 (1) ◽  
pp. 151-156 ◽  
Author(s):  
Harold Feinberg ◽  
Louis N. Katz
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Oxygen Consumption ◽  
Coronary Flow ◽  
Myocardial Oxygen Consumption ◽  
Oxygen Metabolism ◽  
Aortic Pressure ◽  
Coronary Vasodilatation ◽  
Oxygen Difference ◽  
Mean Aortic Pressure

The effect of continuously infused intravenous l-epinephrine and l-norepinephrine (0.1–2.5 gamma/kg/min.) was determined in the open-chest, anesthetized dog prepared for measurement of total coronary flow. Coronary blood flow, myocardial oxygen availability and coronary venous oxygen content consistently increased after catecholamine administration despite wide fluctuations, above and below control values, in heart rate and mean aortic pressure at constant cardiac output. Thus, there was a significant decrease in the coronary arteriovenous oxygen difference after catecholamine administration. The increase in coronary flow and decrease in the coronary A-V oxygen difference were seen even when blood pressure and heart rate were lowered. It is concluded that the departure from the usual relationship between coronary flow and myocardial oxygen consumption is attributable to coronary vasodilatation. However, myocardial oxygen consumption is still the primary factor controlling coronary flow during catecholamine action.

Myocardial Oxygen Consumption Index in Patients with Coronary Artery Disease

2005 ◽  
Vol 13 (1) ◽  
pp. 34-37 ◽  
Author(s):  
Arash Arya ◽  
Majid Maleki ◽  
Fereydoon Noohi ◽  
Ebrahim Kassaian ◽  
Farideh Roshanali
Keyword(s):  
Blood Pressure ◽  
Coronary Artery Disease ◽  
Heart Rate ◽  
Oxygen Consumption ◽  
Coronary Artery ◽  
Myocardial Oxygen Consumption ◽  
Activity Level ◽  
Home Based ◽  
Consumption Index ◽  
Artery Disease

One hundred and thirty-six men with coronary artery disease were randomly assigned to a hospital-based or home-based exercise program of 3 sessions per week. A treadmill test was carried out with the modified Naughton protocol. After 3 months, 125 patients (92%) with a mean age of 55 ± 11 years had completed the study. Maximum workload achieved increased by 65% [(12.40 ± 1.32 vs. 7.50 ± 0.85 metabolic equivalent units (METs)] in the hospital-based group, and by 17% (8.86 ± 0.9 vs. 7.56 ± 0.78 METs) in the home-based group ( p = 0.0001). The heart rate-blood pressure product, an index of myocardial oxygen consumption, decreased at rest by 19% in the hospital-based group but was unchanged in the home-based group ( p = 0.0001). The heart rate-blood pressure product at 5 and 7 METs activity level decreased 28% and 26%, respectively, in the hospital-based group vs. 8% and 2% in the home-based group ( p = 0.0001). It was concluded that hospital-based exercise training in patients with coronary artery disease improves functional capacity and decreases the myocardial oxygen consumption index at rest and during exercise.

Fetal myocardial oxygen and carbohydrate consumption during acutely induced hypoxemia

1982 ◽  
Vol 242 (4) ◽  
pp. H657-H661 ◽  
Author(s):  
D. J. Fisher ◽  
M. A. Heymann ◽  
A. M. Rudolph
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Blood Flow ◽  
Oxygen Consumption ◽  
Myocardial Blood Flow ◽  
Myocardial Oxygen Consumption ◽  
Cardiac Work ◽  
Arterial Blood ◽  
Lactate And Pyruvate ◽  
Arteriovenous Difference

Two days after catheter placement we measured the heart rate, arterial blood pressure, myocardial blood flow, and the myocardial consumption of oxygen, glucose, lactate, and pyruvate in 11 fetal sheep in utero. We then administered 8-10% oxygen to the ewe, producing a 50% decrease in oxygen content in the fetal ascending aortic blood. After 15 min of hypoxemia we repeated the measurements. Oxygen content in the fetal coronary sinus blood decreased significantly, but the arteriovenous difference of oxygen across the left ventricle also decreased during hypoxemia. Fetal myocardial blood flow increased 160% above the control level, and the myocardial oxygen consumption did not change. The systolic arterial blood pressure increased and the heart rate decreased, but cardiac work, as estimated by the rate-pressure product, was unchanged. As both fetal myocardial oxygen consumption and cardiac work did not change, myocardial oxygenation, the relationship between oxygen consumption and cardiac work, appears to be unchanged during this degree of hypoxemia. Although arterial blood glucose, lactate, and pyruvate concentrations increased significantly during hypoxemia, only the myocardial consumption of pyruvate increased; the arteriovenous difference of glucose and lactate decreased in proportion to the increase in myocardial blood flow. During hypoxemia, glucose consumption did not change, and lactate continued to be consumed rather than produced; thus it is apparent that fetal myocardial metabolism continued to be aerobic during this degree of hypoxemia. Complete oxidative combustion of the quantities of carbohydrates that were consumed would supply all of the substrate necessary to meet fetal myocardial energy demands both at rest and during hypoxemia.

Heart Rate Signal Decomposition

2000 ◽  
Vol 39 (02) ◽  
pp. 200-203
Author(s):  
H. Mizuta ◽  
K. Yana
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Pressure Change ◽  
Normal Subjects ◽  
Signal Decomposition ◽  
Large Individual ◽  
Heart Rate Fluctuations ◽  
Type Pattern ◽  
Signal Cancellation ◽  
Pressure Changes

Abstract:This paper proposes a method for decomposing heart rate fluctuations into background, respiratory and blood pressure oriented fluctuations. A signal cancellation scheme using the adaptive RLS algorithm has been introduced for canceling respiration and blood pressure oriented changes in the heart rate fluctuations. The computer simulation confirmed the validity of the proposed method. Then, heart rate fluctuations, instantaneous lung volume and blood pressure changes are simultaneously recorded from eight normal subjects aged 20-24 years. It was shown that after signal decomposition, the power spectrum of the heart rate showed a consistent monotonic 1/fa type pattern. The proposed method enables a clear interpretation of heart rate spectrum removing uncertain large individual variations due to the respiration and blood pressure change.

Alteration in myocardial oxygen balance during exercise after beta-adrenergic blockade in dogs

1980 ◽  
Vol 49 (1) ◽  
pp. 28-33 ◽  
Author(s):  
G. R. Heyndrickx ◽  
J. L. Pannier ◽  
P. Muylaert ◽  
C. Mabilde ◽  
I. Leusen
Keyword(s):  
Heart Rate ◽  
Blood Flow ◽  
Oxygen Consumption ◽  
Myocardial Blood Flow ◽  
Coronary Blood Flow ◽  
Coronary Sinus ◽  
Myocardial Oxygen Consumption ◽  
Left Ventricular ◽  
Adrenergic Blockade ◽  
Oxygen Balance

The effects of beta-adrenergic blockade upon myocardial blood flow and oxygen balance during exercise were evaluated in eight conscious dogs, instrumented for chronic measurements of coronary blood flow, left ventricular pressure, aortic blood pressure, heart rate, and sampling of arterial and coronary sinus venous blood. The administration of propranolol (1.5 mg/kg iv) produced a decrease in heart rate, peak left ventricular (LV) dP/dt, LV (dP/dt/P, and an increase in LV end-diastolic pressure during exercise. Mean coronary blood flow and myocardial oxygen consumption were lower after propranolol than at the same exercise intensity in control conditions. The oxygen delivery-to-oxygen consumption ratio and the coronary sinus oxygen content were also significantly lower. It is concluded that the relationship between myocardial oxygen supply and demand is modified during exercise after propranolol, so that a given level of myocardial oxygen consumption is achieved with a proportionally lower myocardial blood flow and a higher oxygen extraction.

Relation of coronary flow to oxygen supply

1960 ◽  
Vol 199 (1) ◽  
pp. 179-182 ◽  
Author(s):  
Abraham Guz ◽  
George S. Kurland ◽  
A. Stone Freedberg
Keyword(s):  
Heart Rate ◽  
Oxygen Consumption ◽  
Oxygen Content ◽  
Coronary Flow ◽  
Constant Pressure ◽  
Rabbit Heart ◽  
Hemoglobin Solution ◽  
Oxygen Capacity ◽  
Locke Solution ◽  
Solution Change

Coronary flow, heart rate, myocardial oxygen consumption and Walton strain gauge tension were determined in the isolated rabbit heart perfused with hemoglobin solutions of varying oxygen content. Perfusion was carried out under constant pressure and with the hemoglobin solution in equilibrium with 3% CO2 and 97% air under atmospheric tension. Oxygen content was varied from 2 to 18 vol. % by diluting hemoglobin with Ringer-Locke solution. Change from a higher to lower oxyhemoglobin concentration resulted in increased coronary flow; the reserve led to decreased flow. Heart rate, myocardial tension and oxygen consumption were constant at oxygen capacity above 2 vol. %.

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