“In mechanically overloaded hearts, it has … the low tissue levels of L-carnitine , which regularly occur during the development of cardiac hypertrophy (WITTELS and SPANN 1968, … 1979, REIBEL et al 1983, BOWE et al 1984), may impair the long chain fatty acid utilisation (BISHOP and ALTSCHULD … and SPANN 1968).”