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13 Cards in this Set

  • Front
  • Back
what are the endogenous fuels of the heart?
Triglycerides and glycogen
under resting positions, what are the proportions of fuel utilized by the heart?
Carbohydrate- 30 to 40
Fatty acids- 60 to 70
what is the randal cycle?
the variation in nutrients used by the heart between fasting and fed states
what happens to PDHC activity during the fasted state?
it is decreased due to inactivation by Acetyl-CoA
what happens to PFK activity during the fasting state?
it is decreased due to inactivation by citrate
what happens to HK in the fasting state?
it is inhibited by the accumulation of G6P.
this, in effect, decreases Glucose uptake
what clinical conditions can be associated with high rates of Fatty acid oxidation?
angina
infarct
diabetes
post cardiac surgery
how might you prevent a post ischemic dysfunction?
shift the hearts metabolism toward the utilization of glucose (oxidative)
why is diabetes bad for the heart?
insulin resistance/abscence results in FA metabolism in the heart
what type of fuel consumption does epinephrine promote?
FA metabolism
which drugs inhibit ketoacyl-CoA thiolase? (B-ox)
ranolazine
trimethizidine
which drugs inhibit carnitine-palmitoyl transferase? (B-ox, FA uptake to Mito)
etomoxir
oxfenicine
what drug stimulates PDHC?
dichloroacetate