Key result
Acute LAD occlusion in cats significantly increased mean plasma ANF levels from 57.6 to 98.9 pmol/L (p<0.05), which positively correlated with LVEDP and noradrenaline levels.
Absolute Event Rate: 98.9% vs 57.6%
p-value: p=<0.05
Acute myocardial ischemia induces an increase in plasma ANF that correlates with elevations in LVEDP and noradrenaline in a feline model.
Hypothesis-generating for ANF release in acute ischemia; leaves open translation to human MI.
Eighteen anaesthetized open chest cats were subjected to 10, 30, or 50 min occlusion of the left anterior descending coronary artery (LAD). Heart rate, left ventricular end-diastolic (LVEDP) and systolic pressure (LVSP), and dp/dt were continuously recorded during the experiments. Prior to LAD-occlusion, and just before termination of the experiments, blood samples were collected from the left femoral artery for measurements of atrial natriuretic factor (ANF), catecholamines, electrolytes, urea, and creatinine. Simultaneously, biopsies were collected from the right auricular wall. The tissue was embedded in Lowicryl K4M, and ultrathin sections were incubated with anti-ANF antibodies and secondary antibodies conjugated to gold particles. The density of ANF-containing atrial-specific granules labelled with gold particles was morphometrically calculated. LVEDP increased significantly in all three time groups, and when pooling the pre- and postocclusion values, there was an increase from 5.1 +/- 0.4 to 10.3 +/- 1.2 mmHg (p < 0.05). The noradrenaline level increased from 0.93 +/- 0.18 to 2.34 +/- 0.75 nmol l-1 (p < 0.05) after LAD-occlusion. Similarly, the mean plasma level of ANF in the 18 cats increased from 57.6 +/- 11.9 to 98.9 +/- 22.6 pmol l-1 (p < 0.05). Atrial granular density appeared to decline after 10 min of occlusion (from 0.141 +/- 0.017 to 0.127 +/- 0.022 granules-1 microns 2 sarcoplasm), and after 30 min there was a significant decrease (0.080 +/- 0.012 granules/microns 2, p < 0.05). However, after 50 min occlusion the granular density was almost restored (0.133 +/- 0.017 granules/microns 2). Plasma ANF showed a positive linear correlation to LVEDP and to the noradrenaline level.(ABSTRACT TRUNCATED AT 250 WORDS)
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Larsen et al. (1992) studied Acute myocardial ischaemia (n=18). Left anterior descending coronary artery (LAD) occlusion vs. Pre-occlusion baseline was evaluated on Mean plasma level of atrial natriuretic factor (ANF) (p=<0.05). Acute LAD occlusion in cats significantly increased mean plasma ANF levels from 57.6 to 98.9 pmol/L (p<0.05), which positively correlated with LVEDP and noradrenaline levels.
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