Postsurgery echocardiography can predict the amount of ischemia-reperfusion injury and the resultant scar size

医学 缺血 再灌注损伤 心脏病学 样本量测定 心肌缺血 内科学 统计 数学
作者
Yijun Yang,Giana Schena,Tao Wang,Steven R. Houser
出处
期刊:American Journal of Physiology-heart and Circulatory Physiology [American Physical Society]
卷期号:320 (2): H690-H698 被引量:2
标识
DOI:10.1152/ajpheart.00672.2020
摘要

Despite advances in the diagnosis and treatment of ischemic heart disease (IHD), it remains the leading cause of death globally. Thus, there is a need to investigate the underlying pathophysiology and develop new therapies for the prevention and treatment of IHD. Murine models are widely used in IHD research because they are readily available, relatively inexpensive, and can be genetically modified to explore mechanistic questions. Ischemia-reperfusion (I/R)-induced myocardial infarction in mice is produced by the blockage followed by reperfusion of the left anterior descending branch (LAD) to imitate human IHD disease and its treatment. This I/R model can be widely used to investigate the potential reparative effect of putative treatments in the setting of reperfusion. However, the surgical technique is demanding and can produce an inconsistent amount of damage, which can make identification of treatment effects challenging. Therefore, determining which hearts have been significantly damaged by I/R is an important consideration in studies designed to either explore the mechanisms of disrupted function or test possible therapies. Noninvasive echocardiography (ECHO) is often used to determine structural and functional changes in the mouse heart following injury. In the present study, we determined that ECHO performed 3 days post I/R surgery could predict the permanent injury produced by the ischemic insult.
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