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October 9, 2014Cardiovascular DiabetologyOpen Access

Diabetic hyperglycemia attenuates sympathetic dysfunction and oxidative stress after myocardial infarction in rats

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Key result

Diabetic hyperglycemia attenuated sympathetic dysfunction after myocardial infarction in rats, significantly reducing the sympathovagal balance (LF/HF 0.14 vs 0.40) and improving the oxidative stress profile.

Why the study?

Does diabetic hyperglycemia attenuate sympathetic dysfunction and oxidative stress after myocardial infarction in rats?

Population

Male Wistar rats (2-3 months old, 250-270 g), n=32

Comparison

Streptozotocin-induced diabetes followed 15 days… vs Control rats, diabetic rats without infarction…

Design

Preclinical, The rats were randomly assigned to 4 groups

Follow-up

30 days

Authors

CMChristiane MalfitanoCBCatarina de Andrade BarbozaCMCristiano Teixeira Mostarda

Discussion

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Member takes

Overview

Hypothesis-generating for autonomic protection by hyperglycemia post-MI in rats; should not change human diabetes management.

Structured PICO

Does diabetic hyperglycemia attenuate sympathetic dysfunction and oxidative stress after myocardial infarction in rats?

P
Population
32 adult male Wistar rats were divided into control, diabetic, myocardial infarcted, and diabetic infarcted groups to evaluate the effects of hyperglycemia on ischemic injury over 30 days.
I
Intervention
Streptozotocin (STZ, 50 mg/kg)-induced diabetes followed 15 days later by myocardial infarction (left coronary occlusion)
C
Comparator
Control rats, diabetic rats without infarction, and normoglycemic infarcted rats
O
Outcome
Cardiovascular autonomic modulation (heart rate variability, sympathetic/vagal modulation) and cardiac oxidative stress profile (antioxidant enzymes, superoxide anion, protein carbonylation, GSH/GSSG)surrogate

Main Result

Absolute Event Rate: 0.14% vs 0.4%

p-value: p=<0.05

Short-term diabetic hyperglycemia in rats promotes compensatory mechanisms that attenuate sympathetic dysfunction and oxidative stress following myocardial infarction.

Limitations

  • Animal model which may not fully translate to human clinical pathology
  • Short-term hyperglycemia (30 days) may differ from the effects of chronic diabetes

Cite This Study

Malfitano et al. (2014) studied Myocardial infarction and diabetes (n=32). Diabetic hyperglycemia (Streptozotocin-induced) vs. Normoglycemic myocardial infarction (citrate buffer) was evaluated on Sympathovagal balance (LF/HF) (p=<0.05). Diabetic hyperglycemia attenuated sympathetic dysfunction after myocardial infarction in rats, significantly reducing the sympathovagal balance (LF/HF 0.14 vs 0.40) and improving the oxidative stress profile.

synapsesocial.com/papers/6a8473a7c2c8a33f31f7b0c3https://doi.org/10.1186/s12933-014-0131-x
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Also Consider

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

  1. 1Short-term diabetes attenuates left ventricular dysfunction and mortality rates after myocardial infarction in rodents2011 · 12 citations
  2. 2Hyperglycaemia Protects the Heart After Myocardial Infarction: Aspects of Programmed Cell Survival and Cell Death2010 · 95 citations
  3. 3Hyperglycemia can delay left ventricular dysfunction but not autonomic damage after myocardial infarction in rodents2011 · 32 citations
  4. 4Impact of conditioning hyperglycemic on myocardial infarction rats: Cardiac cell survival factors2014 · 8 citations
  5. 5Impact of hyperglycemia on myocardial ischemia–reperfusion susceptibility and ischemic preconditioning in hearts from rats with type 2 diabetes2019 · 51 citations