Glycogen utilization in working and nonworking ventricles was studied at high (over 70 mg/100 ml) and low (27 to 61 mg/100 ml) arterial glucose concentrations and after insulin or epinephrine addition in 16 isolated ventricle preparations of dog hearts. Coronary perfusion and hemodynamic determinants of right ventricular work were controlled, and the left ventricle was kept unloaded. Time courses of change in ventricular glycogen concentration were determined during monitoring of heart rate, workload, arterial oxygen saturation, and coronary perfusion pressure. Epicardial samples for glycogen analysis were taken from each ventricle, and glucose uptake from circulating blood was determined. Glycogen loss was greater in working right than in nonworking left ventricles. In spontaneously fibrillating hearts, this difference was not observed, and there was greater glycogenolysis than during coordinated contraction. Insulin administration early in-experiments-led-to equivalent glycogen loss in working right and nonworking left ventricles. There was glycogen preservation in both ventricles of fibrillating hearts. Epinephrine augmented glycogen loss in fibrillating hearts; depletion was never complete. Myocardial glucose uptake, corrected for red cell glycolysis, was proportional to initial arterial glucose concentration.
ADDITIONAL KEY WORDS myocardial glucose consumption fibrillationinsulin red cell glycolysis epinephrine • It has not yet been established whether the heart, when supplied with energy-yielding substrates in its coronary perfusate, utilizes glycogen for its energy requirements as well. We studied this question in a preparation that permitted simultaneous comparison between a working right ventricle that was pumping blood and a nonworking left ventricle that was merely contracting in the same dog heart. The metabolic pattern of glycogen was studied also in the fibrillating heart and, in another study (1), in the Langendorff preparation in which both ventricles were contracting.Glycogen concentration in each ventricle was determined in subepicardial tissue samples removed at intervals during experiments lasting 90 min. Throughout each experiment, the hearts were perfused via the coronary arteries with oxygenated whole blood or a partly synthetic medium at constant perfusion pressure, and the physiologic performance of the working right ventricle was monitored.