We describe real-time measurement of myocardial oxygen consumption during
ischemia in the intact heart. Measurement of extracellular
oxygen concentration during
myocardial ischemia by
spin label oximetry has been limited by
ischemia-induced reduction of the neutral, water-soluble
nitroxide TEMPONE. We have overcome this problem by encapsulating the nitroxides. Isolated immature (7-10 d old) rabbit hearts (n = 8) were perfused aerobically within the cavity of a loop gap resonator with
bicarbonate buffer containing an
oxygen-sensitive,
lipid-soluble
nitroxide (14N-
TEMPO laurate in
FC-43 perfluorocarbon micelles) and a much less
oxygen-sensitive and positively charged
nitroxide (15N-
TEMPO choline in multilamellar vesicles) as an internal standard. The ratio of the ESR signal amplitudes of these nitroxides was used as a sensitive index of
oxygen concentration. Sequestration of the nitroxides decreased their reduction rate by ascorbate in comparison with nonsequestered nitroxides. Hearts were subjected to 60 min of global no-flow
ischemia at 20 degrees C. Extracellular
oxygen content (mean +/- SD) during aerobic perfusion was 1195 +/- 55 mumol/liter. The electron spin resonance signal from
TEMPO laurate increased with the onset and progression of
ischemia, consistent with a decrease in extracellular
oxygen, while the signal for
TEMPO choline was relatively unchanged. Extracellular
oxygen content after 40 and 60 min of
ischemia was reduced to 393 +/- 27 mumol/liter (p < .05) and 61 +/- 5 mumol/liter (p < .05), respectively. We conclude that
spin-label oximetry can directly and precisely measure myocardial oxygen consumption at constant temperature during
ischemia in the intact heart.