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Abteilung für Pathophysiologie, Zentrum für Innere Medizin des Universitätsklinikums Essen, 45122 Essen, Germany
Short-term hibernating
myocardium is characterized by reduced contractile function during
persistent moderate ischemia, the recovery of metabolic parameters, and
the absence of necrosis. To study the afterload dependence of regional
wall excursion in short-term hibernating myocardium, in 11 enflurane-anesthetized swine the left anterior descending coronary
artery was cannulated and hypoperfused for 90 min to reduce anterior
systolic wall thickening (WT, sonomicrometry) by 60%. Under control
conditions, at 5 and 90 min ischemia the descending thoracic aorta was
acutely constricted to increase left ventricular (LV) pressure by 30 mmHg. Under control conditions, increased LV pressure resulted in
decreased WT [i.e., a negative slope of the relationship between WT
and LV end-systolic pressure:
11.2 ± 4.2 (SD) µm/mmHg]. This
slope was further significantly decreased at 5 min ischemia
(
26.5 ± 8.8 µm/mmHg) but returned toward control values in
short-term hibernating myocardium at 90 min ischemia (
17.2 ± 6.6 µm/mmHg). At 30 min reperfusion, the slope was once more
significantly decreased (
27.8 ± 8.1 µm/mmHg). In conclusion,
WT in short-term hibernating myocardium is less afterload dependent
than in acutely ischemic and reperfused myocardium.
myocardial ischemia; hibernating myocardium; ventricular function
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