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左心室收缩性变化对小鼠收缩性指标的影响。

Effects of changes in left ventricular contractility on indexes of contractility in mice.

作者信息

Nemoto Shintaro, DeFreitas Gilberto, Mann Douglas L, Carabello Blase A

机构信息

Department of Medicine, Houston Veterans Affairs Medical Center, Texas 77030, USA.

出版信息

Am J Physiol Heart Circ Physiol. 2002 Dec;283(6):H2504-10. doi: 10.1152/ajpheart.0765.2001.

Abstract

Measurement of left ventricular (LV) function is often overlooked in murine studies, which have been used to analyze the effects of genetic manipulation on cardiac phenotype. The goal of this study was to address the effects of changes in LV contractility on indexes of contractility in mice. LV function was assessed in vivo in closed-chest mice by echocardiography and by LV catheterization using a conductance pressure-volume (P-V) catheter with three different interventions that alter contractility by 1) atrial pacing to increase inotropy by augmentation of the force-frequency relation (modest increment of inotropy), 2) dobutamine to maximize inotropy, and 3) esmolol infusion to decrease contractility. Load-independent parameters derived from P-V relations, such as slope of end-systolic P-V relations (ESPVR) and slope of the first maximal pressure derivative over time (dP/dt(max))-end-diastolic volume relation (dP/dt-EDV), and standard echocardiographic parameters were measured. The dP/dt-EDV changed the most among parameters after atrial pacing and dobutamine infusion (percent change, 162.8 +/- 95.9% and 271.0 +/- 44.0%, respectively). ESPVR was the most affected by a decrease in LV contractility during esmolol infusion (percent change, -49.8 +/- 8.3%). However, fractional shortening failed to detect changes in contractility during atrial pacing and esmolol infusion and its percent change was <20%. This study demonstrated that contractile parameters derived from P-V relations change the most during a change in LV contractility and should therefore best detect a small change in contractility in mice. Heart rate has a modest but significant effect on P-V relationship-derived indexes and must be considered in the evaluation of murine cardiac physiology.

摘要

在用于分析基因操作对心脏表型影响的小鼠研究中,左心室(LV)功能的测量常常被忽视。本研究的目的是探讨LV收缩性变化对小鼠收缩性指标的影响。通过超声心动图对闭胸小鼠进行体内LV功能评估,并使用电导压力 - 容积(P - V)导管进行LV插管,采用三种不同干预措施来改变收缩性:1)心房起搏通过增强力 - 频率关系增加心肌收缩力(适度增加心肌收缩力),2)多巴酚丁胺使心肌收缩力最大化,3)艾司洛尔输注降低收缩性。测量了从P - V关系导出的与负荷无关的参数,如收缩末期P - V关系(ESPVR)的斜率和第一个最大压力随时间变化率(dP/dt(max)) - 舒张末期容积关系(dP/dt - EDV),以及标准超声心动图参数。心房起搏和多巴酚丁胺输注后,dP/dt - EDV在参数中变化最大(变化百分比分别为162.8 +/- 95.9%和271.0 +/- 44.0%)。艾司洛尔输注期间LV收缩性降低时,ESPVR受影响最大(变化百分比为 - 49.8 +/- 8.3%)。然而,在心房起搏和艾司洛尔输注期间,缩短分数未能检测到收缩性变化,其变化百分比<20%。本研究表明,从P - V关系导出的收缩参数在LV收缩性变化期间变化最大,因此最能检测小鼠收缩性的微小变化。心率对源自P - V关系的指标有适度但显著的影响,在评估小鼠心脏生理学时必须予以考虑。

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