心脏以糖类、脂肪酸、氨基酸等为底物氧化代谢提供能量,底物选择随循环中底物浓度和应激状态的不同而改变.底物代谢的灵活性转变可使心脏迅速适应循环中物质浓度和氧气的变化而做出最优的能量代谢选择,为心肌提供足量ATP.然而不同的心脏疾病中能量代谢变化也不相同,能量代谢改变也可引起不同的心脏疾病,为了进一步了解能量代谢与心脏疾病间的关系及具体变化,本文对不同类型心脏疾病与能量代谢进行综述.“,”Heart produces ATP by oxidation the substrates of carbohydrates,fatty acids,amino acids and so on.The substrate selectivity of the heart depend on the material concentration and different stress states.The flexibility changes of substrate metabolic can make the cardiac quickly adapt to the material concentration in circulation to make the best choice of myocardium metabolism to provide adequate ATP.However,different metabolic changes appear in different heart diseases,energy metabolism can also cause different heart troubles.We reviewed research progress on this topic to improve the further understand the relationship between energy metabolism and cardiopathy.