Yan Xiaobo, Luo Linmei, Xiao Shouzhong, Liu Leichu, Deng Suyuan, Zhang Cong, Xia Guoxiang
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2014 Aug;31(4):855-60.
The objective of this study is to combine troponin and indicators of cardiac acoustics for synthetically evaluating cardiac fatigue of rabbits, analyzing exercise-induced cardiac fatigue (EICF) and exercise-induced cardiac damage (EICD). New Zealand white rabbits were used to conduct a multi-step swimming experiments with load, reaching an exhaustive state for evaluating if the amplitude ratio of the first to second heart sound (S1/S2) and heart rate (HR) during the exhaustive exercise would decrease or not and if they would be recovered 24-48 h after exhaustive exercise. The experimental end point was to complete 3 times of exhaustions or death from exhaustion. Circulating troponin I (cTnI) were detected from all of the experimental rabbits at rest [(0. 02±0. 01) ng/mL], which, in general, indicated that there existed a physiological release of troponin. After the first exhaustive swim, cTnI of the rabbits increased. However, with 24-hour rest, S1/S2, HR, and cTnI of the tested rabbits all returned toward baseline levels, which meant that the experimental rabbits experienced a cardiac fatigue process. After repeated exhaustion, overloading phenomena were observed, which led to death in 3 out of 11 rabbits, indicating their cardiac damage; the troponin elevation under this condition could be interpreted by pathological release. Evaluation of myocardial damage can not be based on the troponin levels alone, but can only be based on a comprehensive analysis.
本研究的目的是结合肌钙蛋白和心脏声学指标,综合评估家兔的心脏疲劳,分析运动诱导的心脏疲劳(EICF)和运动诱导的心脏损伤(EICD)。采用新西兰白兔进行多负荷阶段游泳实验,使其达到力竭状态,以评估力竭运动期间第一心音与第二心音的振幅比(S1/S2)和心率(HR)是否降低,以及在力竭运动后24 - 48小时是否恢复。实验终点为完成3次力竭或因力竭死亡。检测所有实验家兔静息时的循环肌钙蛋白I(cTnI)[(0.02±0.01)ng/mL],总体表明存在肌钙蛋白的生理性释放。第一次力竭游泳后,家兔的cTnI升高。然而,经过24小时休息,受试家兔的S1/S2、HR和cTnI均恢复至基线水平,这意味着实验家兔经历了心脏疲劳过程。反复力竭后,观察到超负荷现象,11只家兔中有3只死亡,表明出现了心脏损伤;在此情况下肌钙蛋白升高可解释为病理性释放。心肌损伤的评估不能仅基于肌钙蛋白水平,而只能基于综合分析。