Exploratory Comparison of Cardiac Left and Right Ventricle and Skeletal Muscle Glucose Uptake After Exercise
: Heinonen, Ilkka; Kalliokoski, Kari K.; Born, Dennis-Peter; Sperlich, Billy; Laaksonen, Marko S.
Publisher: Human Kinetics Publishers
: 2026
International Journal of Sports Physiology and Performance
: 1555-0265
: 1555-0273
DOI: https://doi.org/10.1123/ijspp.2025-0179
: https://doi.org/10.1123/ijspp.2025-0179
Purpose:
This study aimed to measure and compare postexercise glucose uptake (GU) in the left and right ventricular myocardium (LV and RV, respectively) and quadriceps femoris (QF) muscle.
Methods:
Six recreationally active males (22 [2] y; VO2peak 54 [6] mL/kg/min; maximal power 350 [22] W) completed a 30-minute cycling bout. The protocol comprised 10 minutes at 100 W, a ramp to exhaustion (+25 W/min), 1 min passive recovery, then cycling at 75% VO2peak to 30 minute GU was quantified with 2-[18F]FDG PET.
Results:
Postexercise GU in the LV myocardium (14.1 [5.1] μmol/100 g/min) was significantly higher (P < .01) than that in the RV (7.2 [3.2] μmol/100 g/min) or QF muscle (6.4 [1.9] μmol/100 g/min). GU in the LV and RV correlated strongly (r = .84, P = .039), whereas GU in these ventricles did not correlate with QF GU (P > .27). Circulating venous blood lactate concentration was 1.1 (0.5) mmol/L at rest and peaked at 10.4 (2.6) mmol/L postexercise. Peak lactate tended to correlate positively with GU, particularly in the RV (r = .93, P = .02) and LV (r = .87, P = .055) myocardium, and to a lesser extent in the QF muscle (r = .78, P = .12).
Conclusion:
These findings indicate that the LV myocardium consumes more glucose per unit mass than skeletal muscle after vigorous exercise, whereas the RV shows no such difference.
energy metabolism, myocardium, PET, positron emission tomography, postexercise, quadriceps femoris, recovery