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September 23, 2009Interactive Cardiovascular and Thoracic SurgeryOpen Access

Murine coronary reperfusion reduces border zone systolic wall thickening ~86% from week one to four post-MI.

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Population

Mouse model of acute myocardial infarction subjected to surgical coronary occlusion/reperfusion by left…

Comparison

Observation of left ventricular remodeling at 1… vs 1 week post-MI vs 4 weeks post-MI

Design

Preclinical

Follow-up

4 weeks

Key result

Surgical coronary occlusion/reperfusion in mice significantly decreased systolic regional wall thickening at 4 weeks compared to 1 week post-MI (-86% in border zone, P<0.05).

Authors

YKYoichiro KusakariNHNathan HimesSKStuart Kinsella

Discussion

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Overview

Hypothesis-generating for scar extension in post-MI remodeling; leaves open translation to human HF progression.

Structured PICO

P
Population
Mice subjected to surgical coronary occlusion/reperfusion by left anterior descending coronary artery ligation, followed for 4 weeks.
I
Intervention
Observation of left ventricular remodeling at 1 week and 4 weeks post-MI
C
Comparator
1 week post-MI vs 4 weeks post-MI
O
Outcome
Systolic regional wall thickening (WT) in the border and remote zones by MRI, and histological scar formationsurrogate

Main Result

Effect estimate: -86% in border zone, -77% in remote zone

p-value: p=<0.05

Fibrotic scar extension along mid-circumferential myofibers following the helical ventricular myocardial band model may account for progressive cardiac dysfunction during LV remodeling post-MI.

Cite This Study

Kusakari et al. (2009) studied Myocardial infarction. Surgical coronary occlusion/reperfusion by LAD ligation vs. 1 week post-MI was evaluated on Systolic regional wall thickening (WT) in the border and remote zones (-86% in border zone, -77% in remote zone, p=<0.05). Surgical coronary occlusion/reperfusion in mice significantly decreased systolic regional wall thickening at 4 weeks compared to 1 week post-MI (-86% in border zone, P<0.05).

synapsesocial.com/papers/6aa5a30be46a8f6037921faehttps://doi.org/10.1510/icvts.2009.206524
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