Right ventricular function has multiple determinants, including the right ventricular free wall, the left ventricle, and the interventricular septum. Changes in right ventricular performance caused by alterations in left ventricular volume load and mean arterial pressure are mediated partially through the interventricular septum, as well as through perfusion of the right ventricular free wall; inactivation of the interventricular septum leads to a significant decrease in right ventricular function. Maintaining left ventricular developed pressure and hence the contribution of the interventricular septum to right ventricular function may be important in the management of right ventricular failure.

Using nuclear magnetic resonance (NMR), we have examined the relationship of high-energy phosphate metabolism and perfusion in human soleus and gastrocnemius muscles. With 31P-NMR spectroscopy, we monitored phosphocreatine (PCr) decay and recovery in eight normal volunteers and four heart failure patients performing ischemic plantar flexion. By using echo-planar imaging, perfusion was independently measured by a local [inversion-recovery (T1-flow)] and a regional technique (NMR-plethysmography). After correction for its pH dependence, PCr recovery time constant is 27.5 +/- 8.0 s in normal volunteers, with mean flow 118 +/- 75 (soleus and gastrocnemius T1-flow) and 30.2 +/- 9.7 ml.100 ml-1.min-1 (NMR-plethysmography-flow). We demonstrate a positive correlation between PCr time constant and local perfusion given by y = 50 - 0.15x (r2 = 0.68, P = 0.01) for the 8 normal subjects, and y = 64 - 0.24x (r2 = 0.83, P = 0.0001) for the 12 subjects recruited in the study. Regional perfusion techniques also show a significant but weaker correlation. Using this totally noninvasive method, we conclude that aerobic ATP resynthesis is related to the magnitude of perfusion, i.e., O2 availability, and demonstrate that magnetic resonance imaging and magnetic resonance spectroscopy together can accurately assess muscle functional status.

The role of cyclic adenosine 3',5'-monophosphate (AMP) in the control of microsomal calcium ion (Ca 2T ) transport was studied in microsomes prepared from rabbit heart. These cardiac microsomes contained intrinsic cyclic AMP-dependent protein kinase activity that phosphorylated serine residues in a microsomal protein component with a molecular weight of about 20,000 (determined by sodium dodecyl sulfate-polyacrylamide gel electrophoresis). Intrinsic phosphoprotein phosphatase activity of the microsomal membranes resulted in rapid dephosphorylation of these residues. Microsomes phosphorylated in the presence of 1 x 10" °M cyclic AMP exhibited enhanced Ca 2+ uptake. We conclude that reversible phosphorylation of microsomal membranes may be an important mechanism for regulation of microsomal Ca I+ transport by cyclic AMP. KEY WORDS protein kinase phosphoprotein phosphatase catecholamines contractility MethodsExperiments were performed on adult male albino rabbits (approximately 2.5 kg) that were maintained on a diet of rabbit chow and water. The rabbits were killed by a blow to the head, and their hearts were rapidly excised and chilled in crushed ice. After removal of fat and connective tissue, approximately 3 g of ventricular muscle from each heart was cut into small pieces with 2 9 8