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July 1, 1992Circulation Research

Relation between ventricular and myocyte function with tachycardia-induced cardiomyopathy.

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Key result

Pacing-induced SVT cardiomyopathy in pigs significantly reduced LV fractional shortening (12% vs 28%, p<0.05) and isolated myocyte contractile performance compared to controls.

Population

12 pigs (6 with pacing-induced SVT cardiomyopathy and 6 control pigs), including isolated myocytes

Comparison

Pacing-induced supraventricular tachycardia vs Unpaced control pigs

Design

Preclinical

Follow-up

3 weeks

Authors

FSFrancis G. SpinaleHeart Failure & TransplantBFB.Martin FulbrightMedical University of South CarolinaRMRupak MukherjeeMedical University of South Carolina

Discussion

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Implication

Supports primary myocyte defects in tachycardia cardiomyopathy; hypothesis-generating for human translation.

Structured PICO

P
Population
12 pigs (6 with pacing-induced SVT cardiomyopathy and 6 control pigs), including isolated myocytes
I
Intervention
Pacing-induced supraventricular tachycardia (240 beats per minute for 3 weeks)
C
Comparator
Unpaced control pigs
O
Outcome
Left ventricular function (fractional shortening, peak +dP/dt) and isolated myocyte contractile performance (percent shortening, velocity of shortening)surrogate

Main Result

Absolute Event Rate: 12% vs 28%

p-value: p=<0.05

Tachycardia-induced cardiomyopathy is associated with a primary defect in isolated myocyte contractile performance, cytoarchitecture abnormalities, and blunted calcium responsiveness.

Cite This Study

Spinale et al. (1992) studied Tachycardia-induced cardiomyopathy (n=12). Pacing-induced SVT vs. Control was evaluated on LV fractional shortening (p=<0.05). Pacing-induced SVT cardiomyopathy in pigs significantly reduced LV fractional shortening (12% vs 28%, p<0.05) and isolated myocyte contractile performance compared to controls.

synapsesocial.com/papers/6a0e8fe2a0467873efc842edhttps://doi.org/10.1161/01.res.71.1.174

Topics

Cardiomyopathy
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Alterations in myocardial contractility in conscious dogs with dilated cardiomyopathy1991 · 98 citations
  2. 2Contractile properties of single isolated feline ventriculocytes1988 · 19 citations
  3. 3Morphological and contractile characteristics of rat cardiac myocytes from maturation to senescence1989 · 137 citations
  4. 4Regional myocardial blood flow and cardiac function in a naturally occurring congestive cardiomyopathy of turkeys1980 · 30 citations
  5. 5Dilated Cardiomyopathies of the Adult1982 · 318 citations