Arterial Substrate Concentration, Myocardial Extraction Fraction, and Utilization
Arterial concentration | Myocardial extraction fraction | Myocardial utilization (nmol/g/min) | |||||||
---|---|---|---|---|---|---|---|---|---|
Intervention | FFA (nmol/mL) | Glucose (μmol/mL) | Lactate (nmol/mL) | FFA | Glucose | Lactate | FFA | Glucose | Lactate |
Fast (n = 5) | 496 ± 117 | 4.78 ± 0.27 | 999 ± 367 | 0.45 ± 0.11* | 0.03 ± 0.03 | 0.20 ± 0.09 | 116 ± 68 | 77 ± 67 | 88 ± 38 |
Clamp/IL (n = 4) | 2,701 ± 790* | 4.89 ± 1.00 | 926 ± 272 | 0.17 ± 0.06 | 0.07 ± 0.04 | 0.13 ± 0.09 | 452 ± 248* | 254 ± 71 | 109 ± 79 |
Clamp/LA (n = 4) | 88 ± 31 | 4.81 ± 0.85 | 2,467 ± 794 | −0.16 ± 0.15* | 0.09 ± 0.02 | 0.39 ± 0.09† | −10 ± 10 | 283 ± 63 | 626 ±134 |
Clamp (n = 4) | 80 ± 29 | 4.87 ± 0.67 | 1,202 ± 636 | 0.11 ± 0.05 | 0.15 ± 0.06‡ | 0.46 ± 0.13‡ | 11 ± 10 | 671 ± 181‡ | 716 ± 599 |
Clamp/PH (n = 5) | 104 ± 34 | 4.00 ± 0.76 | 2,080 ± 1,276 | 0.19 ± 0.10 | 0.24 ± 0.08§ | 0.39 ± 0.15† | 29 ± 26 | 1,262 ± 454* | 1,055 ± 1,466 |
↵* P < 0.05 vs. all groups.
↵† P < 0.05 vs. Clamp/IL.
↵‡ P < 0.05 vs. Fast.
↵§ P < 0.05 vs. Fast, Clamp/IL, and Clamp/LA.
Clamp = hyperinsulinemic–euglycemic clamp; IL = Intralipid; LA = lactate; PH = phenylephrine; myocardial extraction fraction = ([arterial – coronary sinus concentration]/[arterial concentration]); myocardial utilization = (arterial – coronary sinus) (μmol/mL)) × MBF (mL/g/min).
Values represent mean ± SD.