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December 1, 1997Cardiovascular ResearchOpen Access

The effect of delayed reperfusion following infarction in the rat on structural changes in viable myocardium

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Key result

Delayed reperfusion without myocardial salvage attenuated the increase in myocyte length in viable left ventricular tissue compared to permanent ligation (155 vs 167 microns, p=0.02).

Why the study?

Does delayed reperfusion following myocardial infarction attenuate structural remodeling in viable myocardium in a rat model?

Population

Rats with experimental myocardial infarction (n=31 total: 11 reperfused, 10 non-reperfused, 10 sham)

Comparison

Reperfusion 150 minutes after left coronary… vs Permanent ligation of left coronary vessels and…

Design

Preclinical

Follow-up

28 days

Authors

KMKenneth McDonaldHeart Failure & Transplant

Discussion

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Implication

May attenuate viable-myocardium hypertrophy post-MI without salvage in rats; leaves open clinical translation in humans.

Structured PICO

Does delayed reperfusion following myocardial infarction attenuate structural remodeling in viable myocardium in a rat model?

P
Population
Rats with experimental myocardial infarction (n=31 total: 11 reperfused, 10 non-reperfused, 10 sham)
I
Intervention
Reperfusion 150 minutes after left coronary vessel ligation
C
Comparator
Permanent ligation of left coronary vessels (non-reperfused) and sham operation
O
Outcome
Myocyte morphometrics (length and volume) and collagen content (hydroxyproline) at 28 dayssurrogate

Main Result

Absolute Event Rate: 155% vs 167%

p-value: p=0.02

Delayed reperfusion after myocardial infarction in rats attenuates myocyte hypertrophy in viable myocardium despite no reduction in infarct size.

Cite This Study

Kenneth McDonald (1997) studied Myocardial infarction (n=31). Reperfusion 150 minutes after ligation vs. Permanent ligation and sham-operated was evaluated on Myocyte length in viable, non-infarcted left ventricular tissue (microns) (p=0.02). Delayed reperfusion without myocardial salvage attenuated the increase in myocyte length in viable left ventricular tissue compared to permanent ligation (155 vs 167 microns, p=0.02).

synapsesocial.com/papers/6a0e9359a7f61df77cc8635dhttps://doi.org/10.1016/s0008-6363(97)00201-0
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Also Consider

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

  1. 1Mechanical performance of spared myocytes after myocardial infarction in rats: effects of captopril treatment1992 · 35 citations
  2. 2Structural remodeling of cardiac myocytes in patients with ischemic cardiomyopathy.1992 · 310 citations
  3. 3Structural basis of end-stage failure in ischemic cardiomyopathy in humans.1994 · 607 citations
  4. 4Limitation of infarct expansion and ventricular remodeling by late reperfusion. Study of time course and mechanism in a rat model.1993 · 103 citations
  5. 5Late reperfusion for acute myocardial infarction limits the dilatation of left ventricle without the reduction of infarct size.1993 · 85 citations