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大鼠心肌梗死所致右心室肥大的形态测量学

Morphometry of right ventricular hypertrophy induced by myocardial infarction in the rat.

作者信息

Anversa P, Beghi C, McDonald S L, Levicky V, Kikkawa Y, Olivetti G

出版信息

Am J Pathol. 1984 Sep;116(3):504-13.

Abstract

The growth response of the right ventricle was studied in rats following ligation of the left coronary artery, which produced infarcts comprising approximately 40% of the left ventricle. A month after surgery the weight of the right ventricle was increased 30%, and this hypertrophic change was characterized by a 17% wall thickening, consistent with the 13% greater diameter of myocytes. Myocardial hypertrophy was accompanied by an inadequate growth of the microvasculature that supports tissue oxygenation. This was seen by relative decreases in capillary luminal volume density (-27%) and capillary luminal surface density (-21%) and by an increase in the average maximum distance from the capillary wall to the mitochondria of myocytes (19%). In contrast, measurements of the mean myocyte volume per nucleus showed a proportional enlargement of these cells (32%), from 16,300 cu mu in control animals to 21,500 cu mu in experimental rats. Quantitative analysis of the right coronary artery revealed a 33% increase in its luminal area, commensurate with the magnitude of ventricular hypertrophy.

摘要

在大鼠左冠状动脉结扎后,对右心室的生长反应进行了研究,该结扎产生的梗死面积约占左心室的40%。术后一个月,右心室重量增加了30%,这种肥大性变化的特征是壁增厚17%,这与心肌细胞直径增大13%一致。心肌肥大伴随着支持组织氧合的微血管生长不足。这表现为毛细血管腔容积密度相对降低(-27%)和毛细血管腔表面密度相对降低(-21%),以及从毛细血管壁到心肌细胞线粒体的平均最大距离增加(19%)。相比之下,每个细胞核的平均心肌细胞体积测量显示这些细胞成比例增大(32%),从对照动物的16300立方微米增加到实验大鼠的21500立方微米。对右冠状动脉的定量分析显示其管腔面积增加了33%,与心室肥大的程度相当。

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