Table 1.
Myocardial energy metabolism: source, process and site of ATP production.
Source of ATP production | Pathway of ATP production | Oxygen consumption (per unit ATP) | Accumulation of acid metabolites | Rate of ATP production | Net ATP yield (per unit substrate) | Site of ATP production |
---|---|---|---|---|---|---|
CrP | CrP ⇆ ATP shuttle | None | – | Very fast | 1 | Cytoplasm |
Glucose | Anaerobic glycosis | None | + + + | Fast | 2 | Cytoplasm |
Glucose | Aerobic oxidation | Less | – | Moderate | 38 | Mitochondria (predominant) and cytoplasm |
Free fatty acids | Aerobic oxidation | More | – | Slow | Usually > 100 (depending on the number of carbon atoms in the molecule of free fatty acid) | Mitochondria (predominant) and cytoplasm |
ATP, adenosine triphosphate; CrP, creatine phosphate/.