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Exercise induced augmentation of myocardial oxygen extraction in spite of normal coronary dilatory capacity in dogs

  • Heart, Circulation, Respiration and Blood; Environmental and Exercise Physiology
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Summary

Myocardial O2-extraction rate was studied during exercise induced augmentation of cardiac work in dogs.

The O2-extraction rate at rest was 75% of arterial content. Progressive levels of exercise increased the animals' O2-consumption from 7 ml/min · kg up to 91 ml/min · kg. Cardiac output rose from 108 ml/min · kg at rest to 484 ml/min · kg at the highest exercise level. The increase in myocardial O2-consumption from 9 ml/min·100 g at rest up to 57 ml/min·100 g at the highest exercise level was met by an increase in coronary flow from 59 to 256 ml/min·100 g and a rise of myocardial AVDO2 from 15 to 22 Vol%. Thus the latter contributed 40% to the augmented myocardial O2-requirements.

Coronary venous O2-saturation decreased to 9% saturation during highest levels of exercise. This low value was not the result of a limited coronary dilatory capacity, of inadequate state of exercise training, or of a relative underperfusion of the inner layers of the left ventricle.

Thus, augmentation of myocardial O2-extraction rate seems to be a mechanism of physiological relevance during exercise induced elevation of myocardial O2-requirements in dogs and may be explained by capillary recruitment in the myocardium.

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von Restorff, W., Holtz, J. & Bassenge, E. Exercise induced augmentation of myocardial oxygen extraction in spite of normal coronary dilatory capacity in dogs. Pflugers Arch. 372, 181–185 (1977). https://doi.org/10.1007/BF00585334

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