The effect of a myocardial infarction on the normalized time-varying elastance curve

Details

Serval ID
serval:BIB_2C7C5F9D9B97
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The effect of a myocardial infarction on the normalized time-varying elastance curve
Journal
Journal of Applied Physiology
Author(s)
Jegger  D., Mallik  A. S., Nasratullah  M., Jeanrenaud  X., da Silva  R., Tevaearai  H., von Segesser  L. K., Stergiopulos  N.
ISSN
8750-7587 (Print)
Publication state
Published
Issued date
03/2007
Volume
102
Number
3
Pages
1123-9
Notes
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Mar
Abstract
It has been suggested that the shape of the normalized time-varying elastance curve [E(n)(t(n))] is conserved in different cardiac pathologies. We hypothesize, however, that the E(n)(t(n)) differs quantitatively after myocardial infarction (MI). Sprague-Dawley rats (n = 9) were anesthetized, and the left anterior descending coronary artery was ligated to provoke the MI. A sham-operated control group (CTRL) (n = 10) was treated without the MI. Two months later, a conductance catheter was inserted into the left ventricle (LV). The LV pressure and volume were measured and the E(n)(t(n)) derived. Slopes of E(n)(t(n)) during the preejection period (alpha(PEP)), ejection period (alpha(EP)), and their ratio (beta = alpha(EP)/alpha(PEP)) were calculated, together with the characteristic decay time during isovolumic relaxation (tau) and the normalized elastance at end diastole (E(min)(n)). MI provoked significant LV chamber dilatation, thus a loss in cardiac output (-33%), ejection fraction (-40%), and stroke volume (-30%) (P < 0.05). Also, it caused significant calcium increase (17-fold), fibrosis (2-fold), and LV hypertrophy. End-systolic elastance dropped from 0.66 +/- 0.31 mmHg/microl (CTRL) to 0.34 +/- 0.11 mmHg/microl (MI) (P < 0.05). Normalized elastance was significantly reduced in the MI group during the preejection, ejection, and diastolic periods (P < 0.05). The slope of E(n)(t(n)) during the alpha(PEP) and beta were significantly altered after MI (P < 0.05). Furthermore, tau and end-diastolic E(min)(n) were both significantly augmented in the MI group. We conclude that the E(n)(t(n)) differs quantitatively in all phases of the heart cycle, between normal and hearts post-MI. This should be considered when utilizing the single-beat concept.
Keywords
Animals Blood Pressure/physiology Cardiac Volume/physiology Elasticity Male Myocardial Infarction/pathology/*physiopathology Myocardium/pathology Rats Rats, Sprague-Dawley Time Factors Ventricular Function, Left/*physiology
Pubmed
Web of science
Create date
28/01/2008 11:01
Last modification date
20/08/2019 14:11
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