title: [Energy-supplying metabolism of the volume overloaded and hypoxia stressed heart in children].
abstract: This study summarizes results obtained with regard to atrial and ventricular enzymes of energy supplying metabolism in children with different types of congenital heart disease. In all groups of patients - normoxemic as well as hypoxemic - significant atrio - ventricular differences were observed: the right ventricle is amply equipped for utilization and oxidation of all major nutrients, while the right atrium utilizes glucose predominantly. Myocardial metabolism in children with congenital heart disease was significantly influenced by hypoxemia: the capacity of aerobic enzymes in cyanotic patients was significantly lower, both in atrial and ventricular tissue, whereby the atrial changes were even more striking. No marked differences were found between atrial and ventricular septal defects in normoxemic patients; the only difference was a lower capacity of fatty acid catabolism in children with atrial septal defect.
authors.affiliation: Kardiozentrum, Akademie der Wissenchaften, Prag, CSSR.
authors.forename: M
authors.initials: M
authors.lastname: Samánek
authors.forename: A
authors.initials: A
authors.lastname: Bass
authors.forename: B
authors.initials: B
authors.lastname: Ostádal
authors.forename: B
authors.initials: B
authors.lastname: Hucín
mesh_terms: D000293:Adolescent; D001786:Blood Glucose / Q000378:metabolism; D009202:Cardiomyopathies / Q000201:enzymology; D002648:Child; D002675:Child, Preschool; D004734:Energy Metabolism; D004798:Enzymes / Q000097:blood; D005227:Fatty Acids / Q000097:blood; D006330:Heart Defects, Congenital / Q000201:enzymology* / Q000601:surgery; D006333:Heart Failure / Q000201:enzymology*; D006801:Humans; D000860:Hypoxia / Q000201:enzymology*; D007223:Infant; D009206:Myocardium / Q000201:enzymology*
chemical_list: D001786:Blood Glucose; D004798:Enzymes; D005227:Fatty Acids
vernacular_title: Energieliefernder Stoffwechsel des volumen- und hypoxiebelasteten Herzens bei Kindern.