Abstract
The demand for substrates and oxygen by the heart is closely matched by their supply through coronary circulation. Thus, an increase in force or rate of contraction is powered not by increasing the percentage extraction of substrates and oxygen from the blood but by increasing coronary blood flow (Eckenhoff et al. 1947). Conversely, a decrease in perfusion due to lowered systemic blood pressure or pathologically due to spasm or stenosis of the coronary arteries rapidly leads to an oxygen debt which if not compensated by vasodilation can be detected biochemically through an increase in lactate output, electrically in the E.C.G. and symptomactically through the experience of pain!
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Newby, A.C., Worku, Y. (1986). The Role of 5′-Nucleotidases in the Heart. In: Kreutzberg, G.W., Reddington, M., Zimmermann, H. (eds) Cellular Biology of Ectoenzymes. Proceedings in Life Sciences. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-70664-6_12
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DOI: https://doi.org/10.1007/978-3-642-70664-6_12
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