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一种新型超声心动图方法与心脏磁共振在评估梗死小鼠左心室功能方面具有高度一致性。

A novel echocardiographic method closely agrees with cardiac magnetic resonance in the assessment of left ventricular function in infarcted mice.

机构信息

Department of Cardiovascular Research, Mario Negri Institute for Pharmacological Research IRCCS, Milan, Italy.

Department of Neuroscience, Mario Negri Institute for Pharmacological Research IRCCS, Milan, Italy.

出版信息

Sci Rep. 2019 Mar 5;9(1):3580. doi: 10.1038/s41598-019-40393-0.

Abstract

Cardiac Magnetic Resonance (CMR) is the gold standard for left ventricular (LV) function assessment in small rodents and, though echocardiography (ECHO) has been proposed as an alternative method, LV volumes may be underestimated when marked eccentric remodeling is present. In the present study we described a novel echocardiographic method and we tested the agreement with CMR for LV volumes and ejection fraction calculation in mice with experimental myocardial infarction. Sham-operated and infarcted mice, subjected to Coronary Artery Ligation, underwent ECHO and CMR. Volumes and ejection fraction were calculated by ECHO using a standard Simpson's modified method (ECHO pLAX) or a method from sequential parasternal short axis (ECHO pSAX) acquired mechanically by translating the probe every 1 mm along the left ventricle. The mean differences ±1.96 standard deviation near to zero suggested close agreement between ECHO pSAX and CMR; contrarily ECHO pLAX agreement with CMR was lower. In addition, ECHO was three times shorter and cheaper (Relative cost difference: pLAX: -66% and pSAX -57%) than CMR. In conclusion, ECHO pSAX is a new, fast, cheap and accurate method for LV function assessment in mice.

摘要

心脏磁共振(CMR)是评估小型啮齿动物左心室(LV)功能的金标准,尽管超声心动图(ECHO)已被提议作为替代方法,但当存在明显的偏心性重构时,LV 容积可能会被低估。在本研究中,我们描述了一种新的超声心动图方法,并在实验性心肌梗死的小鼠中测试了其与 CMR 计算 LV 容积和射血分数的一致性。假手术和梗死的小鼠接受冠状动脉结扎后,进行了 ECHO 和 CMR 检查。使用标准 Simpson 改良法(ECHO pLAX)或通过沿左心室每 1mm 机械平移探头获取的连续胸骨旁短轴(ECHO pSAX)的方法计算容积和射血分数。接近零的平均差异±1.96 标准差表明 ECHO pSAX 与 CMR 之间具有密切的一致性;相反,ECHO pLAX 与 CMR 的一致性较低。此外,ECHO 比 CMR 短三倍,且价格更便宜(相对成本差异:pLAX:-66%,pSAX:-57%)。总之,ECHO pSAX 是一种新的、快速、廉价且准确的评估小鼠 LV 功能的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7118/6400943/547bf0f2228e/41598_2019_40393_Fig1_HTML.jpg

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