Tanaka D M, Romano M M D, Carvalho E E V, Oliveira L F L, Souza H C D, Maciel B C, Salgado H C, Fazan-Júnior R, Simões M V
Departamento de Medicina Interna, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.
Departamento de Biomecânica, Medicina e Reabilitação do Aparelho Locomotor, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.
Braz J Med Biol Res. 2016 Aug 25;49(10):e5294. doi: 10.1590/1414-431X20165294.
Determination of left ventricular ejection fraction (LVEF) using in vivo imaging is the cardiac functional parameter most frequently employed in preclinical research. However, there is considerable conflict regarding the effects of anesthetic agents on LVEF. This study aimed at assessing the effects of various anesthetic agents on LVEF in hamsters using transthoracic echocardiography. Twelve female hamsters were submitted to echocardiography imaging separated by 1-week intervals under the following conditions: 1) conscious animals, 2) animals anesthetized with isoflurane (inhaled ISO, 3 L/min), 3) animals anesthetized with thiopental (TP, 50 mg/kg, intraperitoneal), and 4) animals anesthetized with 100 mg/kg ketamine plus 10 mg/kg xylazine injected intramuscularly (K/X). LVEF obtained under the effect of anesthetics (ISO=62.2±3.1%, TP=66.2±2.7% and K/X=75.8±1.6%) was significantly lower than that obtained in conscious animals (87.5±1.7%, P<0.0001). The K/X combination elicited significantly higher LVEF values compared to ISO (P<0.001) and TP (P<0.05). K/X was associated with a lower dispersion of individual LVEF values compared to the other anesthetics. Under K/X, the left ventricular end diastolic diameter (LVdD) was increased (0.60±0.01 cm) compared to conscious animals (0.41±0.02 cm), ISO (0.51±0.02 cm), and TP (0.55±0.01 cm), P<0.0001. The heart rate observed with K/X was significantly lower than in the remaining conditions. These results indicate that the K/X combination may be the best anesthetic option for the in vivo assessment of cardiac systolic function in hamsters, being associated with a lower LVEF reduction compared to the other agents and showing values closer to those of conscious animals with a lower dispersion of results.
使用体内成像技术测定左心室射血分数(LVEF)是临床前研究中最常采用的心脏功能参数。然而,关于麻醉剂对LVEF的影响存在相当大的争议。本研究旨在使用经胸超声心动图评估各种麻醉剂对仓鼠LVEF的影响。12只雌性仓鼠在以下条件下,每隔1周接受一次超声心动图成像:1)清醒动物;2)用异氟烷麻醉的动物(吸入ISO,3 L/分钟);3)用硫喷妥钠麻醉的动物(TP,50 mg/kg,腹腔注射);4)用100 mg/kg氯胺酮加10 mg/kg赛拉嗪肌肉注射麻醉的动物(K/X)。麻醉状态下获得的LVEF(ISO = 62.2±3.1%,TP = 66.2±2.7%,K/X = 75.8±1.6%)显著低于清醒动物(87.5±1.7%,P < 0.0001)。与ISO(P < 0.001)和TP(P < 0.05)相比,K/X组合引起的LVEF值显著更高。与其他麻醉剂相比,K/X导致个体LVEF值的离散度更低。在K/X麻醉下,左心室舒张末期直径(LVdD)(0.60±0.01 cm)比清醒动物(0.41±0.02 cm)、ISO(0.51±0.02 cm)和TP(0.55±0.01 cm)增大,P < 0.0001。观察到K/X麻醉下的心率显著低于其他情况。这些结果表明,K/X组合可能是仓鼠体内心脏收缩功能评估的最佳麻醉选择,与其他药物相比,LVEF降低幅度较小,且结果值更接近清醒动物,离散度更低。