Received November 15, 2006
Revised January 3, 2007
Accepted after revision February 9, 2007
Heart/Cardiac Muscle [240]
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Regional sympathetic denervation affects the relation between local canine myocardial blood flow and oxygen consumption
David JC Alders 1,
Richard N. Cornelussen 2,
Frits W Prinzen 2,
Patricia AC Specht 1,
Mark I.M. Noble 3*,
Angela J Drake-Holland 4,
Frans JJ de Kanter 1,
Johannes HGM van Beek 1
1 Free University of Amsterdam
2 University of Maastricht
3 University of Aberdeen
4 Robert Gordon University, Aberdeen
* To whom correspondence should be addressed. E-mail: mimnoble{at}mac.com.
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Abstract |
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Myocardial blood flow and oxygen consumption are heterogeneously distributed. Perfusion and myocardial oxygen consumption are closely correlated in the normal heart. It is unknown how this metabolism - perfusion relation is influenced by sympathetic denervation. We investigated this question in seven chloralose anesthetized dogs, 3 to 4 weeks after regional sympathetic denervation of left circumflex coronary artery area of supply of the left ventricle. Measurements were made of local myocardial blood flow (MBF, ml.min-1.gm dry wt-1), measured with microspheres, and myocardial oxygen consumption (MVO2, µmol.min-1.gm dry wt-1) in the same location, calculated from the 13C spectrum of tissue extracts after intra-coronary infusion of 3-13C-lactate. As both innervated and denervated regions are subject to the same arterial pressure, lower blood flow indicates higher resistance. Mean MBF was 5.56 (heterogeneity of 3.47) innervated, 7.48 (heterogeneity of 3.62) denervated (NS). Significant linear relations were found between MBF and MVO2 of individual samples within the innervated and denervated regions. The slopes of these relations were not significantly different, but the adjusted mean was significantly higher in the denervated regions (+1.92, an increase of 38% of the mean MBF at the pooled mean MVO2, p = 0.028, ANCOVAR). The ratio MBF/MVO2 (ml.µmol-1) was significantly higher, 0.296±0.167 in the denervated region compared with the innervated region, 0.216±0.126 p = 0.0182, Mann-Whitney test. These results indicate that sympathetic tone under chloralose anaesthesia imposes a moderate vasoconstrictive effect in the myocardium that is not detected by comparison of the mean blood flow or resistance.
Key Words:
Heart, Magnetic resonance, Metabolism