Ferreira Marcelo, Ferreira Celso, de Abreu Luiz Carlos, Valenti Vitor E, Murad Neif, Meneghini Adriano, Filho Celso F, Filho Japy Angelini de Oliveira
Department of Clinical Medicine, Cardiology Division, School of Medicine of ABC, Santo André, SP, Brazil.
Int Arch Med. 2009 Oct 23;2(1):31. doi: 10.1186/1755-7682-2-31.
Cardiomyocytes cytoarchitecture changes caused by transthoracic countershocks have been focused recently. We aimed to evaluate the effects of electrical discharge application in the mitochondria structure in atrial myocardium of rats.
An electrical cardioverter was adapted to small rodent animals for our research. Electrical discharges were applied to the precordial region of 30 albino rats: (1) control group - animals that remained on resting period and were afterwards sacrificed; (2) electrical discharge group - animals that remained on resting period, followed by ten electrical discharges of 300 mV and sacrificed, and; (3) electrical post-discharge group - animals that remained on a resting period and received ten electrical discharges like the electrical discharge group, but were sacrificed seven days subsequently. We examined liver, adrenal and left atrium tissue fragments of the three groups.
It was observed in control and post-discharge groups a normal cellular structure aspect with preserved architecture of cardiomyocytes and continuous sarcoplasmic membrane integrity. On the other hand, cardiac muscle fibers with mitochondrial edema and lysis occurred in the discharge group. Glycogen and adrenal lipids were not depleted in all groups.
These data suggest that transthoracic electrical discharges induce mitochondrial injuries in atrial cardiac cells of rats.
经胸体外除颤引起的心肌细胞细胞结构变化近来受到关注。我们旨在评估放电对大鼠心房肌线粒体结构的影响。
我们改装了一台心脏复律器用于小型啮齿动物研究。对30只白化大鼠的心前区施加放电:(1)对照组——处于静息期后处死的动物;(2)放电组——处于静息期,随后接受10次300 mV放电后处死的动物;以及(3)放电后组——处于静息期,像放电组一样接受10次放电,但在7天后处死的动物。我们检查了三组动物的肝脏、肾上腺和左心房组织切片。
在对照组和放电后组中观察到细胞结构正常,心肌细胞结构保存,肌浆膜完整性连续。另一方面,放电组出现了伴有线粒体水肿和溶解的心肌纤维。所有组中的糖原和肾上腺脂质均未耗尽。
这些数据表明经胸放电可诱导大鼠心房心肌细胞发生线粒体损伤。