Department of Cardiology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China.
J Appl Physiol (1985). 2012 Dec 1;113(11):1802-8. doi: 10.1152/japplphysiol.00480.2012. Epub 2012 Aug 16.
Sick Sinus Syndrome is a common and refractory arrhythmia, needing further study in which setting up a credible sinus node damage model is important. To explore the feasibility and superiority of an original formaldehyde pinpoint pressing permeation (FPPP) method for building a chronic sinus node damage (CSND) model, 5 rabbits were chosen from 35 as a sham-operation group, and the remaining were randomly divided into two groups: the formaldehyde wet compressing (FWC) group, in which models were established by applying a cotton bud dipped in 20% formaldehyde onto the sinus node (SN) area, and the FPPP group, in which models were established by injecting formaldehyde into the SN area through a self-made pinpointing and injecting electrode. We found that in both groups, the HR at 2 h, 24 h, 1 wk, and 2 wk after modeling decreased compared with premodeling; sinoatrial conduction time, sinus node recovery time, and corrected sinus node recovery time were prolonged compared with premodeling. The indexes mentioned shortened by 2 wk after modeling compared with 2 h in the FWC group, whereas they were stable after modeling in the FPPP group. The modeling achievement ratio in the FPPP group was higher and the death rate was lower. Under light microscope, paraffin sections of the SN tissue and cells showed severe injury in both groups. The results indicate that the CSND models in rabbits can be successfully established by the FPPP method, with higher achievement ratio, lower death rate, better stabilization effect, and less damaging comparing with the traditional method.
病态窦房结综合征是一种常见且难治的心律失常,需要进一步研究,建立一个可信的窦房结损伤模型非常重要。为了探索原创甲醛点状压迫渗透(FPPP)方法建立慢性窦房结损伤(CSND)模型的可行性和优越性,从 35 只兔子中选择 5 只作为假手术组,其余随机分为两组:甲醛湿压组(FWC),通过将蘸有 20%甲醛的棉签应用于窦房结(SN)区域建立模型,和 FPPP 组,通过自制的点状和注射电极将甲醛注入 SN 区域建立模型。我们发现,在两组模型中,建模后 2 小时、24 小时、1 周和 2 周的 HR 均较建模前降低;窦房结传导时间、窦房结恢复时间和校正窦房结恢复时间均较建模前延长。与 FWC 组建模后 2 小时相比,FPPP 组这些指标在建模后 2 周时缩短,但在 FPPP 组中稳定。FPPP 组的建模成功率更高,死亡率更低。在光镜下,SN 组织和细胞的石蜡切片在两组中均显示出严重损伤。结果表明,FPPP 法可成功建立兔 CSND 模型,与传统方法相比,成功率更高,死亡率更低,稳定效果更好,损伤更小。