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  4. The effect of a myocardial infarction on the normalized time-varying elastance curve
 
research article

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

Jegger, David
•
Mallik, Ajit S
•
Nasratullah, Mohammed
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2006
Journal of Applied Physiology

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.

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Type
research article
DOI
10.1152/japplphysiol.00976.2006
PubMed ID

17158245

Author(s)
Jegger, David
Mallik, Ajit S
Nasratullah, Mohammed
Jeanrenaud, Xavier
da Silva, Rafaela
Tevaearai, Hendrik
von Segesser, Ludwig K
Stergiopulos, Nikolaos  
Date Issued

2006

Published in
Journal of Applied Physiology
Volume

102

Issue

3

Start page

1123

End page

9

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LHTC  
Available on Infoscience
December 16, 2010
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/62251
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