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Title: Limitations of tracer oxygen uptake in the canine coronary circulation

Journal Article · · Circ. Res.; (United States)

Theoretical models of oxygen transport in the myocardium have failed to account for low average tissue pO/sub 2/ relative to to coronary sinus pO/sub 2/, measured with pO/sub 2/ electrodes and myoglobin saturation, and for hypoxic contractile failure at relatively high coronary sinus pO/sub 2/ levels. These findings could be explained by either arteriovenous diffusional shunting or a limiting rate of transfer of oxygen from blood to tissue, or both. To gain new insights, the authors performed multiple indicator dilution tracer experiments across the coronary circulation in the dog, with /sup 18/O/sub 2/ as the oxygen tracer and /sup 51/Cr-labeled red cells as the reference tracer for oxygen. /sup 125/I-Albumin and /sup 22/Na+ were included to provide the relative plasma flow rate. The tracer oxygen outflow curve consisted of a large early peak related to its reference red cell curve. No tracer emerged before the labeled red cells. The downslope, which contains the returning component of the tracer curve, decreased less steeply when oxygen consumption was reduced by propranolol. Fitting the tracer oxygen outflow curve with a distributed model including irreversible sequestration behind a resistance gave a transfer rate constant which was relatively small, and a relatively large rate constant for sequestration. Relative oxygen consumption (estimated from the arteriovenous difference) correlated closely with the rate constant for sequestration. Estimated average tissue oxygen concentrations were of the order of one-third blood concentration.

Research Organization:
McGill Univ. Medical Clinic, Quebec, Canada
OSTI ID:
5708246
Journal Information:
Circ. Res.; (United States), Vol. 56:1
Country of Publication:
United States
Language:
English