SUMMARY Functional intercapillary distance (ICD) was measured in stop-motion photomicrographs of hypertrophied, normally compensated, well oxygenated rat hearts beating in situ. Left ventricular hypertrophy was produced by salt loading and unilateral nephrectomy. Minimum ICD (when all capillaries are open) also was measured. Ventricular weight increased by 30-40% within 8-9 weeks after nephrectomy. To compare the effect of normal and pathological growth, ICD was also measured in normal rats. In normal animals, minimum ICD and functional ICD increased linearly and proportionately with left ventricular weight. Consequently, the extent to which capillary recruitment could decrease ICD was the same in large and small normal hearts (about 2 fun). In the hypertrophied hearts, capillary recruitment could have maintained ICD within normal limits at rest for several weeks. After 8-9 weeks, however, the capillary reserve in hypertrophy was fully utilized at rest, and mean functional ICD was 1.5-2.0 fitn greater than normal for the age of the animal. An analysis of O 2 transport indicates that anoxic foci would exist throughout the hypertrophied heart and particularly in subendocardium when the capillary reserve is exhausted. The calculated amount of anoxic tissue appears sufficient to account for the focal necrosis and fibrosis observed in hypertrophy and for the development of circulatory failure.
WEARN et al.1 -2 were the first to report that myocardial capillary circulation is compromised by the hypertrophy of disease. They concluded that neither the fibers nor the capillaries proliferate, and that the distance between capillaries increases because fiber diameter increases. This view has been challenged by recent studies based on different histological methods which purport to show that capillaries proliferate in pathological hypertrophy. However, it seems likely that capillary growth is not proportional to hypertrophy of the muscle fibers. 9 and V4 the capillaries in left ventricle 9 ' 10 are not perfused at rest. These unperfused capillaries constitute a functional reserve, available for adaptation to stress or disease. Consequently, diffusion distances could be maintained at or near the normal value at rest despite hypertrophy, as long as enough capillaries are available in the reserve. The study to be described was undertaken to: (1) evaluate the capillary reserve in hypertrophied hearts, (2) determine the effect of hypertrophy on the uniformity of diffusion distance, and (3) estimate the effect of altered capillary circulation on O 2 transport.
Methods
GENERALWe studied female Sprague-Dawley rats. Eight pairs of littermates were fed a standard laboratory diet until they Received June 14, 1976; accepted for publication January 26, 1977. reached 160 g at about 45 days. One member of each pair then was subjected to unilateral nephrectomy. In addition, a 60-mg pellet of deoxycorticosterone was implanted under the skin of the back. One week later, 1% NaCl solution was added to the drinking water. Control rats were n...