The aim of this study was to characterize the spatial distribution of microregional blood flows in the left ventricular subendocardium. The within-layer myocardial flow distributions in subendocardium (Endo) and subepicardium (Epi) of anesthetized rabbit left ventricular free walls (n=6) were measured using high-resolution digital radiography combined with the
3H-labeled desmethylimipramine deposition technique [sample size (SS) =0.1 mm]. The spatial pattern of flow distribution was quantitated by the coefficient of variation of regional flows (CV, related to global flow heterogeneity) and the correlation between adjacent regional flows (CA, related to local flow homogeneity). To evaluate the resolution-dependence of regional flows, CV and CA were also computed for several coarse-grained images reproduced from the original by increasing SS step by step from 0.1 to 1 mm. Both CV and CA were higher in Endo than in Epi at all levels of resolution (P<0.05, Wilcoxon test). Fractal nature of CV existed in both layer; however the fractal dimension was lower in Endo than in Epi (P<0.05, Wilcoxon test). In both layers, CA increased with increasing SS and reached a plateau at SS=0.4 mm. We conclude that globally, the microregional flow distribution is more heterogeneous but locally, more homogeneous in Endo than in Epi. The large global flow heterogeneity in Endo may be attributable to the high heterogeneity of coronary anatomy and myocardial stress distribution in Endo. The large local flow homogeneity and low fractal dimension in Endo may be related to the high oxygen demand in Endo. The higher oxygen demand will bring about more cooperative behavior of nearby regulatory units, the minimum size of which is estimated to be 0.4 mm.
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