Department of Pathophysiology: Du Xiaojun. THE EFFECT OF INFARCT EXPANSION ON LEFT VENTRICULAR FUNCTION IN RATS. [J]. Journal of Chongqing Medical University (1):7-12(1985)
Department of Pathophysiology: Du Xiaojun. THE EFFECT OF INFARCT EXPANSION ON LEFT VENTRICULAR FUNCTION IN RATS. [J]. Journal of Chongqing Medical University (1):7-12(1985)DOI:
THE EFFECT OF INFARCT EXPANSION ON LEFT VENTRICULAR FUNCTION IN RATS
摘要
本文目的是探讨大鼠心肌梗死区伸展(IE)对左心室功能的影响。开胸结扎左冠状动脉造成穿壁性心肌梗死
于术后第9天测定基础状态和增加负荷状态的左室泵血和收缩性能指标。结果显示
虽然IE组与无IE组的梗死心肌量相同(P>0.5)
但与无IE组比较
IE组的梗死心肌占据了更大的心室表面积(P<0.0005)
梗死心壁变薄也更为显著(P<0.02)
各项心功能指标均明显差于无IE组
IE严重程度与主要的心功能指标间存在着显著性负相关。因此
本实验证明
IE是大鼠梗塞心室功能的重要影响因素之一。文中对可能的机制进行了讨论。
Abstract
The effect of infarct expansion (IE) on left ventricular function was studied in rats 9 days after transmural myocardial infarction produced by left coronary occlusion. The results showed that: Although the volume of infarcted myocardium were similar in IE group (N = 9
33.6+1.1%) and non-IE group (N = 14
34.4 + 2.1%
P >0.5)
the surface area of left ventricle (LV) occupied by infarcted tissue was larger in IE group than in non-IE group (49.0 + 1.1% vs 43.7+1.9%
P<0.0005).The infarcted wall thi ckness was also thinner in IE group (P<0.02). Obvious IE could only be seen in the LVs with more than 28% of myocardium infarcted
which showed that the infarct size (IS) is one of important determing factors of IE. But the degree of IE was not affected by IS (r = 0.284
P>0.1). The function indices of LV obtained during baseline or loading states
such as CI (332 + 14 in IE group vs 398 + 14 ml/min/kg in non-IE group
P<0.01)
-dp/dtmax (3211+220 vs 3879 + 201 mmHg/sec
P<0.05) and dp/dtmax (5722 + 415 vs 7392 + 460 mmHg/sec
P<0.05)
had significant difference between the two groups. In 29 infarcted rats
the significant correlations between the degree of IE and CI (r-- 0.561
P<0.002)
-dp/dtmax (r=-0.561
P<0.002)
and dp/dtmax (r=-0.534
P<0.005) were present. Thus
it is concluted that IE is an independent influence factor of infarcted LV function.