Abstract
Positron emission tomography (PET) with C-11 palmitate has been used in estimating the myocardial utilization of free fatty acid. To assess the metabolic reserve in normal subjects, a PET study was performed at control and during dobutamine infusion at 2 hour intervals in 5 normal subjects. Following monoexponential curve fitting of the time activity curve of the myocardium, the clearance half time (min) and residual fraction ( %) were calculated as indices of β-oxydation of free fatty acid. A significant increase in the heart rate and systolic blood pressure were observed during dobutamine infusion (65 ± 5 vs 100±29 bpm, p< 0.05 and 119±12 vs 144±16 mmHg, p< 0.01, respectively). The clearance half time and the residual fraction were significantly decreased (23.4±2.6 vs 15.8±2.3 min and 67.0±2.5vs 58.6± 4.0%, p< 0.05, each). When the left ventricular myocardium was divided into 4 segments, these indices were similar at control and uniformly decreased without regional differences during dobutamine infusion. These data suggest that β-oxydation of free fatty acid may be uniformly increased in the left ventricular myocardium in relation to the increase in cardiac work in normal subjects. PET with C-11 palmitate at control and during dobutamine infusion is considered to be promising in assessing metabolic reserve in the myocardium.
Similar content being viewed by others
References
Weiss ES, Hoffman EJ, Phelps ME, et al: External detection and visualization of myocardial ischemia with C-11 substratesin vivo andin vivo.Circ Res 39: 24–32, 1976
Sobel BE, Weiss ES, Welch MJ, et al: Detection of remote myocardial infarction in patients with positron transaxial tomography and intravenous C-11 palmitate.Circulation 55: 853–857, 1977
Ter-Pogossian MM, Klein MS, Markham J, et al: Regional assessment of myocardial infarction in patients with positron emision tomography with C-11 palmitate.Circulation 61: 242–255, 1980
Bergmann SR, Lerch RA, Fox KAA et al: Temporal dependence of beneficial effects of coronary thrombolysis characterized by positron tomography.Am J Med 73: 753–581, 1982
Geltman EM, Biello D, Welch MJ, et al: Characterization of nontransmural myocardial infarction by positron emission tomography.Circulation 65: 747–755, 1982
Schon HR, Schelbert HR, Robinson G, et al: C-11 labeled palmitic acid for the noninvasive evaluation of regional myocardial fatty acid metabolism with positron computed tomography. I. Kinetics of C-11 palmitic acid in normal myocardium.Am Heart J 103: 532–547, 1982
Schon HR, Schelbert HR, Nahaji A, et al: C-11 labeled palmitic acid for the noninvasive evaluation of regional myocardial fatty acid metabolism with positron computed tomography. II. Kinetics of C-11 palmitic acid in acutely ischemic myocardium.Am Heart J 103: 548–561, 1982
Schelbert HR, Henze E, Keen R, et al: C-11 palmitate for the noninvasive evaluation of regional myocardial fatty acid metabolism with positron computed tomography. IV.In vivo evaluation of acute demand-induced ischemia in dogs.Am Heart J 106: 736–750, 1983
Schelbert H, Henze E, Sochor H, et al: Effects of substrate availability on myocardial C-11 palmitate kinetics by positron emission tomography in normal subjects and patients with ventricular dysfunction.Am Heart J 111: 1055–1064, 1986
Grover-McKay M, Schelbert HR, Schwaiger M, et al: Identification of impaired metabolic reserve by atrial pacing in patients with significant coronary artery stenosis.Circulation 74: 281–292, 1986
Senda M, Tamaki N, Yonekura Y, et al: Performance characteristics of Positologica III, a whole body positron emission tomograph.J Comput Assist Tomogr 9: 940–946, 1985
Yonekura Y, Tamaki N, Kambara H, et al: Detection of metabolic alterations in ischemic myocardium by F-18 fiuorodeoxyglucose uptake with positron emission tomography.J Am Cardiac Imag 2: 122–132, 1988
Stratmann HG, Kennedy H: Evaluation of coronary artery disease in the patients unable to exercise: alternatives to exercise stress testing.Am Heart J 117: 1344–1365, 1989
Mannering D, Cripps T, Leech G, et al: The dobutamine stress test as an alterative to exercise testing after acute myocardial infarction.Br Heart J 59: 521–526, 1988
Brown M, Marshall DR, Sobel BE, et al: Delineation of myocardial utilization with carbon-11-labeled acetate.Circulation 76: 687–696, 1987
Brown MA, Myears DW, Bergmann SR: Validity of estimates of myocardial oxidative metabolism with carbon-11 acetate and positron emission tomography despite altered patterns of substrate utilization.J Nucl Med 30: 187–193, 1989
Buxton DB, Nienaber CA, Luxen A, et al: Non-invasive quantitation of regional myocardial oxygen consumptionin vivo with 1-11C acetate and dynamic positron emission tomography.Circulation 79: 134–142, 1989
Tamaki N, Yonekura Y, Magata Y, et al: Fatty acid metabolism using C-11 palmitate: I. Resting study.Kaku Igaku 27: 313–321, 1990 (in Japanese)
Tuttle RR, Millis J: Dobutamine. Development of new catecholamine to selectively increase cardiac contractility.Circ Res 36: 185–196, 1975
Meyer SL, Curry GC, Donsky MS, et al: Influence of dobutamine on hemodynamics and coronary blood flow in patients with and without coronary artery disease.Am J Cardiol 38: 103–108, 1976
Mason JR, Palac RT, Freeman ML, et al: Thallium-201 scintigraphy during dobutamine infusion: non-exercise-dependent screening test for coronary disease.Am Heart J 107: 481–485, 1984
Berthe C, Pierard LA, Hiernaux M, et al: Predicting the extent and location of coronary artery disease in acute myocardial infarction by echocardiography during dubutamine infusion.Am J Cardiol 58: 1167–1172, 1986
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Tamaki, N., Kawamoto, M., Takahashi, N. et al. Metabolic reserve in normal myocardium assessed by positron emission tomography with C-11 palmitate. Ann Nucl Med 5, 53–58 (1991). https://doi.org/10.1007/BF03164614
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF03164614