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April 1, 1996Anesthesia & Analgesia

Myocardial Ischemia and Reperfusion Are Associated with an Increased Stiffness of Remote Nonischemic Myocardium

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Key result

Regional myocardial ischemia and 60 minutes of reperfusion were associated with persistent increases in chamber stiffness (+54%) and myocardial stiffness (+55%) in remote nonischemic myocardium (P<0.05).

Population

10 anesthetized (isoflurane 1.0% vol/vol) open-chest dogs

Comparison

45 min low flow ischemia followed by 60 min… vs Baseline measurements

Design

Preclinical

Follow-up

60 min after onset of reperfusion

Authors

SMStephan MärschUniversity of BaselSDSerge DalmasNational Institutes of HealthDPDaniel M. PhilbinBrown University

Discussion

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Implication

Should not change practice; leaves open whether remote myocardial stiffness increases translate to human ischemia-reperfusion injury.

Structured PICO

P
Population
10 anesthetized open-chest dogs subjected to 45 minutes of low flow ischemia and 60 minutes of reperfusion.
I
Intervention
45 min low flow ischemia followed by 60 min reperfusion
C
Comparator
Baseline measurements
O
Outcome
Regional chamber stiffness and myocardial stiffness assessed using the end-diastolic pressure-length relationshipsurrogate

Main Result

Effect estimate: +54% chamber stiffness, +55% myocardial stiffness

p-value: p=<0.05

In a canine model, the ischemia-induced increase in stiffness of remote nonischemic myocardium persists for at least 60 minutes after reperfusion.

Cite This Study

Märsch et al. (1996) studied Myocardial ischemia and reperfusion (n=10). Low flow ischemia and reperfusion vs. Baseline was evaluated on Chamber stiffness and myocardial stiffness in remote nonischemic myocardium (+54% chamber stiffness, +55% myocardial stiffness, p=<0.05). Regional myocardial ischemia and 60 minutes of reperfusion were associated with persistent increases in chamber stiffness (+54%) and myocardial stiffness (+55%) in remote nonischemic myocardium (P<0.05).

synapsesocial.com/papers/6a23a5e955bd20cf6fa61562https://doi.org/10.1097/00000539-199604000-00004
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Also Consider

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  1. 1Recovery of regional contractile function and oxidative metabolism in stunned myocardium induced by 1-hour circumflex coronary artery stenosis in chronically instrumented dogs.1993 · 47 citations
  2. 2Ventricular remodeling after myocardial infarction. Experimental observations and clinical implications.1990 · 2,883 citations
  3. 3Effects of anaesthesia and recent surgery on diastolic function1994 · 43 citations
  4. 4Viscoelastic properties of the diastolic left ventricle in the conscious dog.1977 · 189 citations
  5. 5Dynamic stiffness profiles in the left ventricle1975 · 61 citations