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斑点追踪超声心动图能够检测出幼年大鼠和成年大鼠之间压力超负荷诱导的心肌重塑差异。

Speckle tracking echocardiography could detect the difference of pressure overload-induced myocardial remodelling between young and adult rats.

作者信息

Niu Pei, Li Li, Yin Zhongjie, Du Jie, Tan Wenchang, Huo Yunlong

机构信息

Department of Mechanics and Engineering Science, College of Engineering, Peking University, Beijing, People's Republic of China.

Beijing Anzhen Hospital Capital Medical University, Beijing, People's Republic of China.

出版信息

J R Soc Interface. 2020 Feb;17(163):20190808. doi: 10.1098/rsif.2019.0808. Epub 2020 Feb 26.

Abstract

The assessment by speckle tracking echocardiography (STE) provides useful information on regional and global left ventricular (LV) functions. The aim of the study is to investigate if STE-based strain analysis could detect the difference of pressure overload-induced myocardial remodelling between young and adult rats. Physiological, haemodynamic, histological measurements were performed post-operatively in young and adult rats with transverse aortic constriction (TAC) as well as the age-matched shams. Two-way ANOVA was used to detect the statistical difference of various measured parameters. Pressure overload decreased the ejection fraction, fractional shortening, d/d and , but increased the LV end-diastolic (ED) pressure in adult rat hearts for nine weeks after TAC operation than those in young rat hearts. Pressure overload also resulted in different changes of peak strain and strain rate in the free wall, but similar changes in the interventricular septum of young and adult rat hearts. The changes in myocardial remodelling were confirmed by the histological analysis including the increased apoptosis rate of myocytes and collagen area ratio in the free wall of adult rat hearts of LV hypertrophy when compared with the young. Pressure overload alters myocardial components in different degrees between young and adult animals. STE-based strain analysis could detect the subtle difference of pressure overload-induced myocardial remodelling between young and adult rats.

摘要

斑点追踪超声心动图(STE)评估可为左心室(LV)局部和整体功能提供有用信息。本研究旨在探讨基于STE的应变分析能否检测出年轻大鼠和成年大鼠压力超负荷诱导的心肌重塑差异。对接受横断主动脉缩窄(TAC)手术的年轻和成年大鼠以及年龄匹配的假手术组大鼠术后进行生理、血流动力学和组织学测量。采用双向方差分析检测各项测量参数的统计学差异。与年轻大鼠心脏相比,TAC手术后9周,压力超负荷使成年大鼠心脏的射血分数、缩短分数、d/d和降低,但左心室舒张末期(ED)压力升高。压力超负荷还导致年轻和成年大鼠心脏游离壁的峰值应变和应变率发生不同变化,但室间隔的变化相似。与年轻大鼠相比,成年大鼠左心室肥厚游离壁心肌细胞凋亡率增加和胶原面积比增加等组织学分析证实了心肌重塑的变化。压力超负荷在年轻和成年动物之间不同程度地改变心肌成分。基于STE的应变分析能够检测出年轻大鼠和成年大鼠压力超负荷诱导的心肌重塑的细微差异。

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