We aimed at evaluating the spatial heterogeneity of regional dysoxia and its correlation with microcirculatory flow in the epimyocardiurn of Langendorff-perfused rat hearts. Mitochondrial NADH fluorescent image reflecting the O
2 supply-consumption imbalance was recorded by a CCD video-camera system. The patchy fluorescence pattern appeared and remained almost unchanged during hypoxic perfusion in each hearts. The size of high fluorescence zones was distributed around several hundred microns, comparable with anatomical microvascular unit governed by a precapillary arteriole. The spatial pattern of fluorescence was compared with flow distributions measured by a molecular-tracer digitalradiography. The patterns of the two distributions were similar to each other; the mutual correlation coefficient between regional fluorescence and flow was 0.49 and 0.56 at 100- μ m and 400- μ resolutions, respectively. These identical patchy fluorescence patterns also appeared transiently during repetitive reperfusion periods in each hearts. In high fluorescence zones observed during hypoxia, the fluorescence intensity increased more rapidly due to the flow cessation and returned to the control level more slowly after reperfusion than in the other regions. Time constants of fluorescence intensity change during flow cessation and reperfusion showed a significant inverse correlation (mean r= -0.73, p<0.005). In conclusions, heterogeneity and stable appearance of a regional epimyocardial dysoxic state were significantly related to regional flow at a microcirculatory level.
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