Final answer:
Heart muscle cells switch to anaerobic respiration, producing lactic acid and ATP during oxygen deprivation. This enables them to continue pumping, albeit less efficiently, until oxygen is again available for aerobic metabolism.
Step-by-step explanation:
When heart muscle cells are deprived of oxygen, they must switch to a different method to produce the energy required to continue pumping. This method is known as anaerobic respiration or fermentation, in which cells can derive sufficient energy by converting pyruvate into lactic acid. This conversion is crucial because it allows the recycling of the enzyme NAD+ from NADH, enabling glycolysis to continue and produce ATP, even though this process is less efficient and sustainable compared to aerobic metabolism. The lactic acid generated is then transported to the liver, where it is processed via the Cori Cycle into pyruvate or glucose when oxygen is available.