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用于转化研究的健康年轻成年绵羊的超声心动图参数及左心室功能指标的参考值:与人类标准化值的比较

Reference values for echocardiographic parameters and indexes of left ventricular function in healthy, young adult sheep used in translational research: comparison with standardized values in humans.

作者信息

Locatelli Paola, Olea Fernanda D, De Lorenzi Andrea, Salmo Fabián, Vera Janavel Gustavo L, Hnatiuk Anna P, Guevara Eduardo, Crottogini Alberto J

机构信息

Department of Physiology, Favaloro University, Buenos Aires, Argentina.

出版信息

Int J Clin Exp Med. 2011;4(4):258-64. Epub 2011 Oct 22.

Abstract

Ovine models of ischemic heart disease and cardiac failure are increasingly used in translational research. However, reliable extrapolation of the results to the clinical setting requires knowing if ovine normal left ventricular (LV) function is comparable to that of humans. We thus assessed for echocardiographic LV dimensions and indexes in a large normal adult sheep population and compared them with standardized values in normal human adults. Bidimensional and tissue Doppler echocardiograms were performed in 69 young adult Corriedale sheep under light sedation. LV dimensions and indexes of systolic and diastolic function were measured. Absolute and body surface areanormalized values were compared to those for normal adult humans and their statistical distribution was assessed. Normalized dimensions (except for end diastolic diameter) as well as ejection fraction and fractional shortening fell within the ranges established by the American Society of Echocardiography and European Association of Echocardiography for normal adult humans. Normalized end diastolic diameter exceeded the upper normal limit but got close to it when correcting for the higher heart mass/body surface area ratio of sheep with respect to humans. Diastolic parameters also fell within normal human ranges except for a slightly lower mitral deceleration time. All values exhibited a Gaussian distribution. We conclude that echocardiographic parameters of systolic and diastolic LV performance in young adult sheep can be reliably extrapolated to the adult human, thus supporting the use of ovine models of human heart disease in translational research.

摘要

缺血性心脏病和心力衰竭的绵羊模型在转化研究中的应用越来越广泛。然而,要将结果可靠地外推至临床情况,需要了解绵羊的正常左心室(LV)功能是否与人类相当。因此,我们评估了一大群正常成年绵羊的超声心动图左心室尺寸和指标,并将其与正常成年人类的标准化值进行比较。对69只轻度镇静的成年科里代尔绵羊进行了二维和组织多普勒超声心动图检查。测量了左心室尺寸以及收缩和舒张功能指标。将绝对值和体表面积标准化值与正常成年人类的值进行比较,并评估其统计分布。标准化尺寸(除舒张末期直径外)以及射血分数和缩短分数均落在美国超声心动图学会和欧洲超声心动图协会为正常成年人类确定的范围内。标准化舒张末期直径超过正常上限,但在考虑到绵羊相对于人类较高的心脏质量/体表面积比进行校正后接近该上限。除二尖瓣减速时间略短外,舒张参数也落在正常人类范围内。所有值均呈高斯分布。我们得出结论,成年绵羊左心室收缩和舒张性能的超声心动图参数可以可靠地外推至成年人类,从而支持在转化研究中使用人类心脏病的绵羊模型。

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