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1. 四川省医学科学院、四川省人民医院心内科
2. 重庆交通大学土木建筑学院
3. 重庆医科大学超声影像学研究所、重庆医科大学附属第二医院心内科
纸质出版日期:2016,
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[1]李进嵩,张春晓,邓辉胜,江永红,朱悫,袁侨英,黄晶.急性心肌梗死心肌黏弹性实验研究[J].重庆医科大学学报,2016,41(12):1199-1203.
Li Jinsong, Zhan Chunxiao, Deng Huisheng, et al. Experimental study of myocardial viscoelasticity in mongrels with acute myocardial infarction[J]. Journal of Chongqing Medical University, 2016,41(12):1199-1203.
[1]李进嵩,张春晓,邓辉胜,江永红,朱悫,袁侨英,黄晶.急性心肌梗死心肌黏弹性实验研究[J].重庆医科大学学报,2016,41(12):1199-1203. DOI: 10.13406/j.cnki.cyxb.001078.
Li Jinsong, Zhan Chunxiao, Deng Huisheng, et al. Experimental study of myocardial viscoelasticity in mongrels with acute myocardial infarction[J]. Journal of Chongqing Medical University, 2016,41(12):1199-1203. DOI: 10.13406/j.cnki.cyxb.001078.
目的:活体检测急性梗死后梗死心肌黏弹性的改变并探讨其病理机制。方法:通过应用介入超声印压检测系统(intervention ultrasound indentation system
IUIS)分别在6只健康成年杂种犬梗死前、急性心肌梗死(acute myocardial infarction
AMI)后1 h、3 h用印压法检测舒张心肌蠕变试验
以三参量黏弹性模型提取梗死前(NAMI组)、急性心肌梗死1 h(AMI-1组)、急性心肌梗死3 h(AMI-3组)黏弹性参数。随后对梗死心肌的微管蛋白、结蛋白进行免疫组织化学检测
并分析其与黏弹性参数的关系。结果:AMI后1 h、3 h表征心肌硬度参数E∞较梗死前显著增加(P
<
0.05)
分别为(5.30±0.48)k Pa、(5.73±0.32)k Pa vs.(4.31±0.40)k Pa
同样参数E1较梗死前也明显增加(P
<
0.05)
分别为(6.78±0.41)k Pa、(11.67±0.39)k Pa vs.(5.05±0.29)k Pa;AMI后1 h、3 h与黏性形变相关参数E
2
较梗死前明显降低(P
<
0.05)
分别为(23.07±0.28)k Pa、(10.94±0.64)k Pa vs.(29.67±0.63)k Pa
同样参数η较梗死前也明显降低(P
<
0.05)
分别为(0.60±0.04)Pa·s、(0.65±0.05)Pa·s vs.(0.74±0.07)Pa·s;AMI后3 h松弛时间常数τ较梗死前明显增加(P
<
0.05)
分别为(58.91±4.52)ms vs.(23.34±0.43)ms。与梗死前比较急性心肌梗死后3 h结蛋白和微管蛋白明显减少(P
<
0.05)。反映舒张心肌持续形变能力参数E
2
、τ与微管改变相关程度高。结论:在急性心肌梗死早期
梗死心肌硬度增加
黏性组分降低
心肌持续形变依赖更长舒张期。心肌舒张能力降低原因之一是微管蛋白减少。
Objective:To study the changes of myocardial viscoelasticity and its pathological mechanism after acute myocardial infarction(AMI)in mongrels with AMI. Methods:IUIS was used to detect creep tests in six healthy mongrels before myocardial infarction(NAMI group)
at 1 hour after AMI(AMI-1 group)
and 3 hour after AMI(AMI-3 group)in diastole in vivo. Viscoelastic parameters were extracted through the three-parameter Viscoelastic model. Immunohistochemistry of microtubulin and desmin were carried out with myocardium samples. Correlation analyses were carried out in the detection results. Results:The parameters of E∞increased obviously after AMI than before AMI(P
<
0.05)
they were as follows:(5.30±0.48)k Pa
(5.73±0.32)k Pa vs.(4.31±0.40)k Pa
also the parameters of E1
they were as follows:(6.78±0.41)k Pa
(11.67±0.39)k Pa vs.(5.05±0.29)k Pa. The parameters of E
2
both decreased obviously after AMI than before AMI(P
<
0.05)
they were as follows:(23.07±0.28)k Pa
(10.94±0.64)k Pa vs.(29.67±0.63)k Pa
also the parameters of η
they were as follows:(0.60±0.04)Pa·s
(0.65±0.05)Pa·s vs.(0.74±0.07)Pa·s. The parameters of τ in AMI-3 group increased obviously(P
<
0.05)
they were as follows:(58.91±4.52)ms vs.(23.34±0.43)ms. Desmin and microtubulin decreased obviously after AMI for 3 hours(P
<
0.05). The decrease of intracellular microtubule related with E
2
、τ at 3 hours after AMI. Conclusion:Elastic hardness increases
viscous component reduces
but rely on longer relaxation and the ability of myocardial relaxation decreases in 3 hours after AMI. The decrease of diastolic capacity partly is attributed to decrease of myocardium intracellular microtubule.
急性心肌梗死蠕变试验黏弹性参数病理机制
acute myocardial infarctioncreep testviscoelastic parameterspathomechanism
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