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September 1, 1958Circulation Research166 citations

Oxygen Uptake of the Nonworking Left Ventricle

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WMWilliam P. McKeeverDGDonald E. GreggPCPhilip C. Canney

Key Points

  • This research investigates the oxygen uptake of the left ventricle when its work is minimized.
  • Conducted experiments on open chest dogs to assess oxygen consumption under different conditions including complete arrest and vagal stimulation.

Structured PICO

P
Population
Open chest dog model
I
Intervention
Procedures reducing external work of the left ventricle to zero (vagal stimulation, intracoronary potassium injection, fibrillation, empty but beating heart)
C
Comparator
Control state (working heart)
O
Outcome
Oxygen usage of the left myocardium per 100 Gm./min.surrogate

In an open-chest dog model, the oxygen uptake of the nonworking left ventricle varies by state, with complete arrest requiring about 27% of the oxygen used in the working control state.

Abstract

Comparisons have been made in the open chest dog of the oxygen usage of the left ventricle whose external work has been reduced to zero by 4 different procedures. The average oxygen usage of the left myocardium/100 Gm./min. is about 2.0 cc. in complete arrest with vagal stimulation or with intracoronary potassium injection; 3.8 cc. in fibrillation; and 3.4 cc. in the empty but beating heart. The oxygen value in the arrested heart approximates 27 per cent of that in the control state and the uptake during vagal stoppage varies directly with the control metabolic level. In the fibrillating ventricle the higher values are related to the intensity of fibrillatory movements, and in the empty beating heart to the control metabolic rate and to the frequency of the heart beat. The experiments with vagal arrest also permit estimation of the oxygen debt of the myocardium.

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Cite This Study

McKeever et al. (1958) studied this question.

synapsesocial.com/papers/6a11c34bb111c70e78618196https://doi.org/10.1161/01.res.6.5.612
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