TABLE 1

Arterial Substrate Concentration, Myocardial Extraction Fraction, and Utilization

Arterial concentrationMyocardial extraction fractionMyocardial utilization (nmol/g/min)
InterventionFFA (nmol/mL)Glucose (μmol/mL)Lactate (nmol/mL)FFAGlucoseLactateFFAGlucoseLactate
Fast (n = 5)496 ± 1174.78 ± 0.27999 ± 3670.45 ± 0.11*0.03 ± 0.030.20 ± 0.09116 ± 6877 ± 6788 ± 38
Clamp/IL (n = 4)2,701 ± 790*4.89 ± 1.00926 ± 2720.17 ± 0.060.07 ± 0.040.13 ± 0.09452 ± 248*254 ± 71109 ± 79
Clamp/LA (n = 4)88 ± 314.81 ± 0.852,467 ± 794−0.16 ± 0.15*0.09 ± 0.020.39 ± 0.09−10 ± 10283 ± 63626 ±134
Clamp (n = 4)80 ± 294.87 ± 0.671,202 ± 6360.11 ± 0.050.15 ± 0.060.46 ± 0.1311 ± 10671 ± 181716 ± 599
Clamp/PH (n = 5)104 ± 344.00 ± 0.762,080 ± 1,2760.19 ± 0.100.24 ± 0.08§0.39 ± 0.1529 ± 261,262 ± 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.