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January 1, 2002Japanese Heart JournalOpen Access

A 30-day period of volume overload via aortocaval fistula caused more mechanical functional changes, including increased relaxation time, in hypertrophied rat myocardium than in normal myocardium.

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Population

Isolated left ventricular papillary muscle from male spontaneously hypertensive rats and age-matched…

Comparison

Volume overload induced by aortocaval fistula… vs Control rats without aortocaval fistula

Design

Preclinical

Follow-up

30 days

Key result

A 30-day period of volume overload via aortocaval fistula caused more mechanical functional changes, including increased relaxation time, in hypertrophied rat myocardium than in normal myocardium.

Authors

ACAntônio Carlos CicognaBMBeatriz B. MatsubaraLMLuiz Shiguero Matsubara

Discussion

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Overview

May warrant cautious volume management in hypertrophied hearts; leaves open translation to human HF.

Structured PICO

P
Population
38 male 5-month-old spontaneously hypertensive and normotensive Wistar-Kyoto rats subjected to volume overload via aortocaval fistula for 30 days to assess myocardial mechanical function.
I
Intervention
Volume overload induced by aortocaval fistula (ACF) for 30 days
C
Comparator
Control rats without aortocaval fistula (SHR-control and WKY-control)
O
Outcome
Mechanical function of isolated left ventricular papillary muscle (developed tension, maximum rate of developed tension, time from peak tension to 50% relaxation, resting tension)surrogate

Main Result

p-value: p=<0.05

In a rat model, hypertrophied myocardium demonstrated greater sensitivity to mechanical functional changes from volume overload compared to normal myocardium.

Limitations

  • The mechanisms behind the functional changes induced by volume-overload in hypertrophied rat heart remain unknown.
  • Unable to provide an explanation for the resting tension elevation in the WKY-ACF rats.

Cite This Study

Cicogna et al. (2002) studied Cardiac hypertrophy and volume overload (n=38). Aortocaval fistula (ACF) vs. No ACF (Control) was evaluated on Mechanical function of isolated left ventricular papillary muscle (Developed tension and relaxation time) (p=<0.05). A 30-day period of volume overload via aortocaval fistula caused more mechanical functional changes, including increased relaxation time, in hypertrophied rat myocardium than in normal myocardium.

synapsesocial.com/papers/6a6ae2b001245da06ecb53dahttps://doi.org/10.1536/jhj.43.689
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Also Consider

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

  1. 1Myocardial Dysfunction with Increased Ventricular Compliance in Volume Overload Hypertrophy2006 · 17 citations
  2. 2Compensated function in hypertrophied ventricles of Wistar Kyoto and spontaneously hypertensive rats1990 · 3 citations
  3. 3Improved Systolic Ventricular Function With Normal Myocardial Mechanics in Compensated Cardiac Hypertrophy2004 · 45 citations
  4. 4Effects of hypertrophy and allylamine-induced fibrosis on mechanical properties of isolated rat heart muscles with references to the pumping function of the intact heart in the same models.1986 · 1 citations
  5. 5Diastolic characteristics and cardiac energetics of isolated hearts exposed to volume and pressure overload1988 · 11 citations