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心脏重塑影响大鼠DOCA/盐模型中的心电图。

Heart remodelling affects ECG in rat DOCA/salt model.

作者信息

Laska M, Vitous J, Jirik R, Hendrych M, Drazanova E, Kratka L, Nadenicek J, Novakova M, Stracina T

机构信息

Department of Physiology, Faculty of Medicine, Masaryk University, Brno, Czech Republic.

出版信息

Physiol Res. 2024 Dec 31;73(S3):S727-S753. doi: 10.33549/physiolres.935512.

Abstract

Myocardial remodelling involves structural and functional changes in the heart, potentially leading to heart failure. The deoxycorticosterone acetate (DOCA)/salt model is a widely used experimental approach to study hypertension-induced cardiac remodelling. It allows to investigate the mechanisms underlying myocardial fibrosis and hypertrophy, which are key contributors to impaired cardiac function. In this study, myocardial remodelling in rat deoxycorticosterone acetate/salt model was examined over a three-week period. The experiment involved 11 male Sprague-Dawley rats, divided into two groups: fibrosis (n=6) and control (n=5). Myocardial remodelling was induced in the fibrosis group through unilateral nephrectomy, deoxyco-rticosterone acetate administration, and increased salt intake. The results revealed significant structural changes, including increased left ventricular wall thickness, myocardial fractional volume, and development of myocardial fibrosis. Despite these changes, left ventricular ejection fraction was preserved and even increased. ECG analysis showed significant prolongation of the PR interval and widening of the QRS complex in the fibrosis group, indicating disrupted atrioventricular and ventricular conduction, likely due to fibrosis and hypertrophy. Correlation analysis suggested a potential relationship between QRS duration and myocardial hypertrophy, although no significant correlations were found among other ECG parameters and structural changes detected by MRI. The study highlights the advantage of the DOCA/salt model in exploring the impact of myocardial remodelling on electrophysiological properties. Notably, this study is among the first to show that early myocardial remodelling in this model is accompanied by distinct electrophysiological changes, suggesting that advanced methods combined with established animal models can open new opportunities for research in this field. Key words Myocardial fibrosis, Remodelling, Animal model, DOCA-salt, Magnetic resonance imaging.

摘要

心肌重构涉及心脏的结构和功能变化,可能导致心力衰竭。醋酸脱氧皮质酮(DOCA)/盐模型是一种广泛用于研究高血压诱导的心脏重构的实验方法。它可以用来研究心肌纤维化和肥大的潜在机制,而这两者是心脏功能受损的关键因素。在本研究中,对大鼠醋酸脱氧皮质酮/盐模型在三周时间内的心肌重构进行了检测。实验涉及11只雄性斯普拉格-道利大鼠,分为两组:纤维化组(n = 6)和对照组(n = 5)。通过单侧肾切除术、给予醋酸脱氧皮质酮和增加盐摄入量,在纤维化组诱导心肌重构。结果显示出显著的结构变化,包括左心室壁厚度增加、心肌分数容积增加以及心肌纤维化的发展。尽管有这些变化,左心室射血分数得以保留甚至增加。心电图分析显示,纤维化组的PR间期显著延长,QRS波群增宽,表明房室传导和心室传导受到干扰,这可能是由于纤维化和肥大所致。相关性分析表明QRS波持续时间与心肌肥大之间可能存在关联,尽管在其他心电图参数与MRI检测到的结构变化之间未发现显著相关性。该研究突出了DOCA/盐模型在探索心肌重构对电生理特性影响方面的优势。值得注意的是,本研究是首批表明该模型早期心肌重构伴有明显电生理变化的研究之一,这表明先进方法与成熟动物模型相结合可为该领域的研究开辟新的机遇。关键词 心肌纤维化;重构;动物模型;DOCA-盐;磁共振成像

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Heart remodelling affects ECG in rat DOCA/salt model.心脏重塑影响大鼠DOCA/盐模型中的心电图。
Physiol Res. 2024 Dec 31;73(S3):S727-S753. doi: 10.33549/physiolres.935512.

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