Left ventricular (LV) O 2 consumption (VO 2 ) per minute is measurable for both regular and arrhythmic beats. LV VO 2 per beat can then be obtained as VO 2 per minute divided by heart rate per minute for regular beats, but not for arrhythmic beats. We have established that VO 2 of a regular stable beat is predictable by VO 2 = a PVA + b E max + c, where PVA is the systolic pressure-volume area as a measure of the total mechanical energy of an individual contraction and E max is the end-systolic maximum elastance as an index of ventricular contractility of the contraction. Furthermore, a is the O 2 cost of PVA, b is the O 2 cost of E max , and c is the basal metabolic VO 2 per beat. We considered it theoretically reasonable to expect that the sameWe have established that left ventricular (LV) O 2 consumption (VO 2 ) is predictable by VO 2 = a PVA + b E max + c on a per-beat basis in regular stable beats [1][2][3]. Here, PVA is the total mechanical energy generated by each LV contraction [1][2][3], and E max is the end-systolic maximum elastance or pressure/volume ratio as a loadindependent measure of LV contractility of the respective beat [1][2][3][4][5]. Furthermore, a is the O 2 cost of PVA, b is the O 2 cost of E max , and c is the basal metabolic VO 2 per beat [1][2][3]6]. This formula proved to hold in regular stable beats under steady-state cardiac contractile (or E max ), loading (or PVA), and heart rate conditions where VO 2 per beat is simply equal to VO 2 per min divided by heart rate per min [1][2][3]6]. Moreover, we have found a, b, and c to be largely independent of PVA and formula could also predict LV VO 2 of individual arrhythmic beats from their respective PVA and E max with the same a, b, and c. We therefore applied this formula to the PVA -E max data of individual arrhythmic beats under electrically induced atrial fibrillation (AF) in six canine in situ hearts. We found that the predicted VO 2 of individual arrhythmic beats highly correlated linearly with either their VO 2 (r = 0.96 ± 0.01) or E max (0.97 ± 0.03) while both also highly correlated linearly with each other (0.88 ± 0.04). This suggests that the above formula may be used to predict LV VO 2 of absolute arrhythmic beats from their E max and PVA under AF. [The Japanese Journal of Physiology 55: [135][136][137][138][139][140][141][142] 2005]