Why the study?
Can cardiac gated MRI detect right ventricular changes in murine models of Chagas' disease?
Can cardiac gated MRI detect right ventricular changes in murine models of Chagas' disease?
Effect estimate: 1.6 times increase
Absolute Event Rate: 3.12% vs 1.95%
p-value: p=0.005
Cardiac gated MRI is a useful tool for serial evaluation of right ventricular changes in murine models of Chagas' disease.
Gated MRI detects RV changes in murine Chagas models; leaves open translation to human monitoring.
To evaluate the role of gated cardiac magnetic imaging resonance (MRI) in Chagas' disease, we infected mice with Trypanosoma cruzi (Brazil strain). Two models were chosen for study, the CD1 and the inducible nitric oxide synthase knockout (NOS2-/-) mice. Infection of CD1 mice was associated with a significant increase in the right ventricular inner diameter (RVID) that was reversed in some mice by verapamil. Expression of cardiac NOS2 has been associated with myocardial dysfunction. Therefore, we evaluated chagasic cardiomyopathy in NOS2-/- and syngeneic wild type (WT) mice. Infected WT mice exhibited an increase in RVID in the acute phase (< 60 days postinfection) that was more marked during chronic infection (>100 days postinfection). Chronically infected NOS2-/- mice had an increase in RVID. The RVID in infected WT mice was greater than in NOS2-/- mice. These data demonstrate that MRI is a useful tool in the serial evaluation of the heart in murine Chagas' disease. In addition, it supports the notion that the NOS2-/-/NO pathway may contribute to the pathogenesis of murine chagasic cardiomyopathy.
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Jelicks et al. (1999) studied Murine Chagas' disease (n=27). Trypanosoma cruzi infection and verapamil vs. Uninfected control mice was evaluated on Right ventricular inner diameter (RVID) in mm (1.6 times increase, p=0.005).
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