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Research ArticleCardiology

Effects of Hypercapnia on Myocardial Blood Flow in Healthy Human Subjects

Matthieu Pelletier-Galarneau, Robert A. deKemp, Chad R.R.N. Hunter, Ran Klein, Michael Klein, Joel Ironstone, Joseph A. Fisher and Terrence D. Ruddy
Journal of Nuclear Medicine January 2018, 59 (1) 100-106; DOI: https://doi.org/10.2967/jnumed.117.194308
Matthieu Pelletier-Galarneau
1Division of Nuclear Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada
2Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada
3Division of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
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Robert A. deKemp
2Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada
3Division of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
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Chad R.R.N. Hunter
2Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada
3Division of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
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Ran Klein
2Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada
3Division of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
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Michael Klein
4Thornhill Research Inc., Toronto, Ontario, Canada; and
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Joel Ironstone
4Thornhill Research Inc., Toronto, Ontario, Canada; and
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Joseph A. Fisher
5Department of Anesthesiology, University of Toronto, Ottawa, Ontario, Canada
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Terrence D. Ruddy
1Division of Nuclear Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada
2Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada
3Division of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
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  • FIGURE 1.
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    FIGURE 1.

    Sequence of imaging during single visit.

  • FIGURE 2.
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    FIGURE 2.

    Representative curve of target PETco2 (red line) and measured PETco2 (black dots) in participant at different levels of hypercapnia.

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    FIGURE 3.

    Measured PETco2 (A), f (B), HR (C), SBP (D), DBP (E), and RPP (F) of all participants at baseline and at different levels of hypercapnia. Results are presented as mean ± SD. P values of ≥0.05 were not significant (ns). *P < 0.05. **P < 0.01. ***P < 0.0001.

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    FIGURE 4.

    (A) MBF vs. RPP. (B) MFR vs. increase in PETco2. (C) Relationships between MBF and PETco2 and between adjusted MBF and PETco2. (D) Relationship between MFR and hypercapnia. Results are presented as mean ± SD. *P < 0.05. **P < 0.01.

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    FIGURE 5.

    MBF polar maps of representative subject, showing global MBF at baseline, during hypercapnic stimuli, and during adenosine stress.

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    FIGURE 6.

    Average MBF (A) and MFR (B) during initial and repeat 60-mm Hg PETco2 stress. Results are presented as mean ± SD. P values of ≥0.05 were not significant. *P < 0.05.

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    TABLE 1

    Summary of Results

    ParameterBaseline (n = 10)Repeat baseline (n = 10)50 mm Hg (n = 10)55 mm Hg (n = 9)60 mm Hg (n = 9)Repeat 60 mm Hg (n = 8)Adenosine (n = 10)P value determined by ANOVA*
    PETco2 (mm Hg)38.9 ± 2.4N/A49.9 ± 0.154.8 ± 0.359.4 ± 1.259.7 ± 0.5N/A<0.0001
    HR (beats/min)57 ± 859 ± 862 ± 766 ± 968 ± 1069 ± 876 ± 10<0.001
    f (breaths/min)12 ± 4N/A17 ± 519 ± 422 ± 523 ± 6N/A<0.001
    SBP (mm Hg)109 ± 13117 ± 13119 ± 15123 ± 11131 ± 12125 ± 8121 ± 13<0.001
    DBP (mm Hg)65 ± 1171 ± 1168 ± 1270 ± 1074 ± 1371 ± 770 ± 120.196
    RPP (bpm × mm Hg)6,135 ± 1,6506,900 ± 1,1657,140 ± 1,4957,487 ± 1,5038,256 ± 1,4937,666 ± 1,2409,123 ± 1,6320.001
    MBF (mL/min/g)0.45 ± 0.080.52 ± 0.100.62 ± 0.200.76 ± 0.210.86 ± 0.240.89 ± 0.242.00 ± 0.34<0.0001
    Corrected MBF (mL/min/g)0.44 ± 0.0450.47 ± 0.090.51 ± 0.150.57 ± 0.080.59 ± 0.150.64 ± 0.191.37 ± 0.31<0.0001
    MFR1.37 ± 0.3171.68 ± 0.331.97 ± 0.452.12 ± 0.484.53 ± 0.70<0.0001
    • ↵* Three participants for whom data were missing were excluded from repeated-measures ANOVA.

    • n = number of participants; N/A = not available.

    • Values (other than P values) are presented as mean ± SD.

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Journal of Nuclear Medicine: 59 (1)
Journal of Nuclear Medicine
Vol. 59, Issue 1
January 1, 2018
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Effects of Hypercapnia on Myocardial Blood Flow in Healthy Human Subjects
Matthieu Pelletier-Galarneau, Robert A. deKemp, Chad R.R.N. Hunter, Ran Klein, Michael Klein, Joel Ironstone, Joseph A. Fisher, Terrence D. Ruddy
Journal of Nuclear Medicine Jan 2018, 59 (1) 100-106; DOI: 10.2967/jnumed.117.194308

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Effects of Hypercapnia on Myocardial Blood Flow in Healthy Human Subjects
Matthieu Pelletier-Galarneau, Robert A. deKemp, Chad R.R.N. Hunter, Ran Klein, Michael Klein, Joel Ironstone, Joseph A. Fisher, Terrence D. Ruddy
Journal of Nuclear Medicine Jan 2018, 59 (1) 100-106; DOI: 10.2967/jnumed.117.194308
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