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体温昼夜节律变化与失代偿性心肌病仓鼠的左心室收缩功能障碍有关。

Body temperature circadian rhythm variability corresponds to left ventricular systolic dysfunction in decompensated cardiomyopathic hamsters.

机构信息

Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas, USA.

出版信息

J Card Fail. 2011 Nov;17(11):937-43. doi: 10.1016/j.cardfail.2011.07.004.

DOI:10.1016/j.cardfail.2011.07.004
PMID:22041331
Abstract

BACKGROUND

A declining amplitude of body temperature circadian rhythm (BTCR) predicts decompensation or death in cardiomyopathic hamsters. We tested the hypothesis that changes in BTCR amplitude accompany significant changes in left ventricular (LV) size and function.

METHODS AND RESULTS

Using intraperitoneal transmitters, we continuously monitored the temperature of 30 male BIO TO-2 Syrian dilated cardiomyopathic hamsters. Cosinor analysis was used to detect significant changes--defined as changes >1 standard deviation from the baseline amplitude for 3 consecutive days--in BTCR amplitude over each hamster's lifespan. The Student t-test was used to compare BTCR variability and LV size and function (as assessed by 2D echocardiography) between baseline and the time that BTCR amplitude declined. All hamsters received 10 mg/kg furosemide daily. At the time of BTCR amplitude decline, functional parameters had changed significantly (P < .0001) from baseline: ejection fraction (0.31 ± 0.09% vs. 0.52 ± 0.08%), LV end-systolic volume (0.11 ± 0.03 vs. 0.05 ± 0.02 cm(3)), and LV end-diastolic volume (0.16 ± 0.04 vs. 0.10 ± 0.03 cm(3)).

CONCLUSIONS

In decompensated cardiomyopathic hamsters, a decline in BTCR amplitude was associated with progression of heart failure and cardiac decompensation. Variation in BTCR warrants further investigation because of its potential implications for the diagnosis and treatment of cardiovascular disorders.

摘要

背景

体温昼夜节律(BTCR)幅度的降低预示着心肌病仓鼠的失代偿或死亡。我们检验了这样一个假设,即 BTCR 幅度的变化伴随着左心室(LV)大小和功能的显著变化。

方法和结果

我们使用腹腔内发射器连续监测了 30 只雄性 BIO TO-2 叙利亚扩张型心肌病仓鼠的体温。采用余弦分析检测 BTCR 幅度在每只仓鼠的寿命内是否发生显著变化——定义为连续 3 天超过基线幅度 1 个标准差的变化。Student t 检验用于比较 BTCR 变异性与 LV 大小和功能(通过二维超声心动图评估)在基线和 BTCR 幅度下降时之间的差异。所有仓鼠每天接受 10 mg/kg 呋塞米治疗。在 BTCR 幅度下降时,与基线相比,功能参数发生了显著变化(P <.0001):射血分数(0.31 ± 0.09%比 0.52 ± 0.08%)、LV 收缩末期容积(0.11 ± 0.03 比 0.05 ± 0.02 cm(3))和 LV 舒张末期容积(0.16 ± 0.04 比 0.10 ± 0.03 cm(3))。

结论

在失代偿性心肌病仓鼠中,BTCR 幅度的下降与心力衰竭和心脏失代偿的进展有关。BTCR 的变化值得进一步研究,因为它可能对心血管疾病的诊断和治疗具有重要意义。

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