Studies on the changes in myocardial oxygen tension

An arterial oxygen tension (PO2) sensor was used to measure the myocardial PO2 at three sites in the left ventricle supplied by the paraconal interventricular branch of the left coronary artery, cranial descending coronary artery (CDCA): a subendocardial site, a subepicardial site and an intermediate point in the left ventricular wall. At first, the PO2 sensor had been compared with the values from a blood gas analyzer. The regression equation Y = 1.4X-4.9 with a correlation coefficient of 0.993 indicated a high correlation between these two measurements. The PO2 of the arterial blood in the left ventricular cavity was assigned an index value of 100%. The PO2 was about 70% in the subendocardial myocardium, about 15% in the mid-ventricular wall myocardium and 9% in the subepicardial myocardium, demonstrating a decreasing PO2 gradient from the endocardial to the epicardial surface. A transient occlusion of the CDCA confirmed the pathway of myocardial oxygen supply. In the mid-ventricular and subepicardial myocardium, marked hypoxia occurred after occlusion of the CDCA. Release of the occlusion resulted in a rapid return to the normal PO2 level. The oxygen supply to these sites is strongly influenced by coronary artery blood flow. The PO2 in the subendocardial myocardium was not dependent on the cranial descending coronary artery. Oxygen appears to be probably supplied through arterial blood in the left ventricle via the endocardium.