Key result
Pressure-overload hypertrophy in dogs significantly increased the proportion of longitudinally oriented myocardial fibers compared to normal dogs (10.4% vs 2.9%, P<0.001).
Observational (n=17)
Absolute Event Rate: 10.4% vs 2.9%
p-value: p=<0.001
Pressure-overload hypertrophy, but not volume-overload or exercise-induced hypertrophy, is associated with a significant increase in longitudinally oriented myocardial fibers in the canine left ventricle.
Hypothesis-generating for fiber reorientation in pressure-overload remodeling; leaves open human relevance and therapeutic implications.
Myocardial fiber orientation was examined in transmural specimens obtained at the maximum diameter of the left ventricle from five dogs with pressure-overload hypertrophy produced by aortic stenosis, six dogs with volume-overload hypertrophy due to an arteriovenous fistula, and six exercise-hypertrophied greyhounds trained for racing. Hearts arrested in diastole were fixed in situ while the operating end-diastolic pressure was maintained. Fiber orientation changed smoothly from about +60 degrees (with respect to the equator) at the endocardium to about -69 degrees at the epicardium. The majority of fibers near the midwall were oriented circumferentially. These findings are quite similar to those previously reported for normal dogs. In comparison to normals, the left ventricles from dogs with pressure-overload had an increase in longitudinally oriented fibers, i.e. fiber angles between -67.5 degrees and -90 degrees and between +67.5 degrees and +90 degrees; these fibers comprised 10.4 +/- 1.8% of the total fibers in dogs with aortic stenosis vs. 2.9 +/- 1.8% of total fibers in normal dogs (P less than 0.001). Neither the dogs with volume-overload hypertrophy nor exercise-trained animals were significantly different from normals.
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Carew et al. (1979) conducted an observational in Left ventricular hypertrophy (n=17). Pressure-overload, volume-overload, or exercise-induced hypertrophy vs. Normal dogs was evaluated on Percentage of longitudinally oriented myocardial fibers (p=<0.001). Pressure-overload hypertrophy in dogs significantly increased the proportion of longitudinally oriented myocardial fibers compared to normal dogs (10.4% vs 2.9%, P<0.001).
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