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September 1, 1997AJP Heart and Circulatory Physiology

AVF acutely increases end-diastolic strain ~96% before normalizing at 6 weeks despite elevated fiber stress.

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Population

Rats with an arteriovenous fistula (AVF) model of volume-overload hypertrophy

Comparison

Arteriovenous fistula (AVF) creation vs Baseline/control rats

Design

Preclinical

Follow-up

6 weeks

Key result

Arteriovenous fistula-induced volume overload acutely increased end-diastolic strain from 0.056 to 0.110 (P<0.05), which normalized by 6 weeks despite persistently elevated fiber stress.

Authors

JEJ. L. EmeryJOJeff Omens

Discussion

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Overview

No immediate clinical implications; extends mechanistic insights on strain adaptation in experimental volume overload.

Structured PICO

P
Population
Rats with volume-overload hypertrophy induced by an arteriovenous fistula, followed for up to 6 weeks.
I
Intervention
Arteriovenous fistula (AVF) creation
C
Comparator
Baseline/control rats
O
Outcome
Passive pressure-strain relationships (myocardial stress and strain) in the left ventricle midwallsurrogate

Main Result

Absolute Event Rate: 0.11% vs 0.056%

p-value: p=< 0.05

In a rat model of volume-overload hypertrophy, end-diastolic strain, rather than stress, normalizes over 6 weeks through changes in ventricular geometry and wall stiffness.

Cite This Study

Emery et al. (1997) studied Volume-overload hypertrophy. Arteriovenous fistula (AVF) vs. Baseline/control was evaluated on Mean strain in the muscle fiber direction (Eff) at end-diastolic pressure (p=< 0.05). Arteriovenous fistula-induced volume overload acutely increased end-diastolic strain from 0.056 to 0.110 (P<0.05), which normalized by 6 weeks despite persistently elevated fiber stress.

synapsesocial.com/papers/6aa648626cd58dd9e9f4dd23https://doi.org/10.1152/ajpheart.1997.273.3.h1198
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Also Consider

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

  1. 1Candidate mechanical stimuli for hypertrophy during volume overload2004 · 50 citations
  2. 2Myocardial Dysfunction with Increased Ventricular Compliance in Volume Overload Hypertrophy2006 · 17 citations
  3. 3Biaxial mechanics of the passively overstretched left ventricle1997 · 44 citations
  4. 4Transmural distribution of myocardial tissue growth induced by volume-overload hypertrophy in the dog.1991 · 39 citations
  5. 5Heart size-independent analysis of myocardial function in murine pressure overload hypertrophy2002 · 51 citations