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正常和自发性高血压大鼠右心室功能的磁共振成像分析

MRI analysis of right ventricular function in normal and spontaneously hypertensive rats.

作者信息

Al-Shafei A I, Wise R G, Grace A A, Carpenter T A, Hall L D, Huang C L

机构信息

Herchel Smith Laboratory for Medicinal Chemistry, University of Cambridge School of Clinical Medicine, Forvie Site, Robinson Way, Cambridge CB2 2PZ, UK.

出版信息

Magn Reson Imaging. 2001 Dec;19(10):1297-304. doi: 10.1016/s0730-725x(01)00466-0.

Abstract

Right ventricular structure and function were characterized in spontaneously hypertensive rats (SHR) using non-invasive magnetic resonance imaging (MRI) techniques. These studies therefore complement previous reports preoccupied with left ventricular changes associated with this condition. Eight SHR and eight control normotensive Wistar-Kyoto (WKY) rats were each subdivided into equal age-matched groups of 8 and 12 weeks. The right ventricle was imaged through a series of twelve contiguous 1.37-1.75 mm transverse sections at twelve equally spaced time-points that covered both systole and most of diastole thereby completely reconstructing right ventricular anatomy. This gave measurements of right ventricular myocardial mass that were consistent through all twelve time-points in all four experimental groups throughout their cardiac cycles. However, spontaneous hypertension increased this right ventricular myocardial mass, as well as the end-diastolic (EDV) and end-systolic volumes (ESV). Although stroke volume (SV) was conserved, decreases in ejection fraction (EF), a positive shift in the relationship between SV and EDV, and reduced indices of systolic ejection rates in SHR rats compared with the age-matched normal WKY controls indicated significant systolic dysfunction. Additionally, reductions in the rates of diastolic relaxation suggested the onset of diastolic dysfunction. Thus, the non-invasive nature of MRI has made it possible for the first time to demonstrate alterations in structure of the right ventricle and in quantitative indicators of its systolic and diastolic function in the SHR model of hypertension.

摘要

利用非侵入性磁共振成像(MRI)技术对自发性高血压大鼠(SHR)的右心室结构和功能进行了表征。因此,这些研究补充了之前专注于与该病症相关的左心室变化的报告。将8只SHR大鼠和8只对照正常血压的Wistar-Kyoto(WKY)大鼠分别分为年龄匹配的两组,每组8只和12只。通过一系列12个连续的1.37 - 1.75毫米横向切片,在12个等间隔的时间点对右心室进行成像,这些时间点覆盖了收缩期和大部分舒张期,从而完整地重建了右心室解剖结构。这使得在所有四个实验组的整个心动周期中,通过所有12个时间点都能获得一致的右心室心肌质量测量值。然而,自发性高血压增加了右心室心肌质量,以及舒张末期容积(EDV)和收缩末期容积(ESV)。尽管每搏输出量(SV)保持不变,但与年龄匹配的正常WKY对照相比,SHR大鼠的射血分数(EF)降低、SV与EDV关系的正向偏移以及收缩期射血速率指数降低,表明存在明显的收缩功能障碍。此外,舒张期松弛速率的降低提示舒张功能障碍的开始。因此,MRI的非侵入性首次使得在高血压的SHR模型中能够证明右心室结构及其收缩和舒张功能的定量指标的改变。

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