Recently, we have consistently observed curved endsystolic pressure-volume relations (ESPVRs) of the left ventricle (LV) in rat blood-perfused [1][2][3] and crystalloid-perfused whole heart preparations [4] and in situ ejecting rat hearts [5,6], like those of the puppy LV [7] and adult canine LV in supernormal contractility [8,9]. These studies suggest more generality of the curvilinear than linear ESPVR in different animal species. Despite this curvilinearity, we have obtained a linear myocardial oxygen consumption per Japanese Journal of Physiology, 49, 513-520, 1999 Key words: excitation-contraction coupling, oxygen consumption, E max (end-systolic pressure-volume ratio), systolic pressure-volume area (PVA).
Abstract:We have already reported the linear oxygen consumption per beat (VO 2 )-systolic pressure-volume area (PVA) relation from the curved left ventricular (LV) end-systolic pressure-volume relation (ESPVR) in the cross-circulated rat heart. The VO 2 intercept (PVA-independent VO 2 ) is primarily composed of VO 2 for Ca 2ϩ handling in excitation-contraction (E-C) coupling and basal metabolism. The aim of the present study was to obtain the oxygen cost of LV contractility that indicates VO 2 for Ca 2ϩ handling in E-C coupling per unit LV contractility change in the rat heart. Oxygen cost of LV contractility is obtainable as a slope of a linear relation between PVA-independent VO 2 and LV contractility. We obtained a composite VO 2 -PVA relation line at a mid-range LV volume (mLVV) under gradually enhanced LV contractility by stepwise increased Ca 2ϩ infusion and thus the gradually increased PVA-independent VO 2 values. As a LV contractility index, we could not use E max (ESP-V ratio; ESP/ESV) for the linear ESPVR because of the curved ESPVR in the rat LV. A PVA at a mLVV (PVA mLVV ) has been proposed as a good index for assessing rat LV mechanoenergetics. Since the experimentally obtained PVA mLVV was not triangular due to the curved ESPVR, we propose an equivalent ESP-V ratio at a mLVV, (eESP/ ESV) mLVV , as a LV contractility index. This index was calculated as an ESP-V ratio of the specific virtual triangular PVA mLVV that is energetically equivalent to the real PVA mLVV . The present approach enabled us to obtain a linear relation between PVA-independent VO 2 and (eESP/ ESV) mLVV and the oxygen cost of LV contractility as the slope of this relation.