Koyama T
Recent Adv Stud Cardiac Struct Metab. 1975;10:525-38.
In order to measure local myocardial blood flow respectively, a needle-type recessed Pt electrode sealed in a thin injection needle was constructed. By means of this electrode, the myocardial blood flow in the inner and outer portions of the anterior wall of the exposed left ventricle of anesthesized dogs was studied. Under conditions, the blood flow in the inner portion (112.4 ml/100 ml/min) exceeded that in the outer portion (98.7 ml/100 ml/min). But the blood flow distribution expressed in terms of the blood flow ratio in both portions was readily varied by several pharmacological treatments, starvation, or prolongation of the experiment. Combining these observations with the results obtained in the decrease of the O2 current in the coronary occlusion test, the following possibilities seemed probable: 1) The myocardial blood flow under normal conditions was so distributed that the inner layer could be supplied with an increased blood flow and more oxygen. 2) Such a balance between the local blood flow and O2 demand can often be disturbed under various conditions, as was seen in the case of isoproterinol infusion in the present study.
为了分别测量局部心肌血流量,构建了一种密封在细注射针中的针型凹陷铂电极。借助该电极,对麻醉犬暴露的左心室前壁内外部分的心肌血流量进行了研究。在这些条件下,内部部分的血流量(112.4毫升/100毫升/分钟)超过外部部分(98.7毫升/100毫升/分钟)。但是,通过几种药物治疗、饥饿或延长实验时间,以两部分血流量比值表示的血流量分布很容易发生变化。将这些观察结果与冠状动脉闭塞试验中氧电流降低所获得的结果相结合,以下可能性似乎很有可能:1)正常情况下心肌血流量的分布使得内层能够获得增加的血流量和更多的氧气。2)局部血流量与氧需求之间的这种平衡在各种情况下经常会受到干扰,如本研究中异丙肾上腺素输注的情况所示。