Shimizu, Juichiro, Koji Todaka, and Daniel Burkhoff. Load dependence of ventricular performance explained by model of calcium-myofilament interactions. Am J Physiol Heart Circ Physiol 282: H1081-H1091, 2002; 10.1152/ ajpheart.00498.2001.-Although a simple concept of loadindependent behavior of the intact heart evolved from early studies of isolated, intact blood-perfused hearts, more recent studies showed that, as in isolated muscle, the mode of contraction (isovolumic vs. ejection) impacts on end-systolic elastance. The purpose of the present study was to test whether a four-state model of myofilament interactions with length-dependent rate constants could explain the complex contractile behavior of the intact, ejecting heart. Studies were performed in isolated, blood-perfused canine hearts with intracellular calcium transients measured by macroinjected aequorin. Measured calcium transients were used as the driving function for the model, and length-dependent rate constants yielding the highest concordance between measured and model-predicted midwall stress at different isovolumic volumes were determined. These length-dependent rate constants successfully predicted contractile behavior on ejecting contractions. This, along with additional model analysis, suggests that length-dependent changes in calcium binding affinity may not be an important factor contributing to load-dependent contractile performance in the intact heart under physiological conditions. left ventricle; calcium transient; four-state model; excitationcontraction coupling ALTHOUGH MANY EARLY STUDIES of isolated cardiac muscle showed a complex dependence of myocardial contractile force on length, rate, and extent of shortening, a simpler concept of load-independent behavior of the intact heart initially evolved from studies in isolated, intact blood-perfused hearts. These studies led to widespread acceptance of the end-systolic pressure-volume relationship (ESPVR) as a load-independent index of ventricular contractile state (29). Although the ESPVR approach has proven invaluable as a tool to quantify and track changes in ventricular contractile state under a wide range of conditions and has enabled new understanding of ventricular-vascular coupling, it is a phenomenological description of ventricular properties with no link to basic mechanisms of myofilament contraction. Additionally, it has become increasingly clear that loading conditions can influence the ESPVR (6, 7, 15).Attempting to establish a link between the growing understanding of the biochemical interactions involved in muscle contraction and whole organ properties, we demonstrated the feasibility of a four-state biochemical scheme of calcium, actin, and myosin interactions (Fig. 1) to explain the complex contractile behavior of the intact heart under isovolumic conditions at different volumes (3,5). Initial modeling studies led to experiments focused on characterizing length dependence of myocardial calcium sensitivity in intact hearts (28). We identified important quantitative dif...