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1 Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710; and 2 National Cardiovascular Center Research Institute, Osaka 565-8565, Japan
Pressure overload cardiac hypertrophy may
be a compensatory mechanism to normalize systolic wall stress and
preserve left ventricular (LV) function. To test this concept, we
developed a novel in vivo method to measure myocardial stress
(
)-strain (
) relations in normal and hypertrophied mice. LV
volume was measured using two pairs of miniature omnidirectional
piezoelectric crystals implanted orthogonally in the endocardium and
one crystal placed on the anterior free wall to measure instantaneous
wall thickness. Highly linear
-
relations were obtained in
control (n = 7) and hypertrophied mice produced by 7 days of transverse aortic constriction (TAC; n = 13).
Administration of dobutamine in control mice significantly increased
the load-independent measure of LV contractility, systolic myocardial
stiffness. In TAC mice, systolic myocardial stiffness was significantly
greater than in control mice (3,156 ± 1,433 vs. 1,435 ± 467 g/cm2, P < 0.01), indicating enhanced
myocardial contractility with pressure overload. However, despite the
increased systolic performance, both active (time constant of LV
pressure decay) and passive (diastolic myocardial stiffness constant)
diastolic properties were markedly abnormal in TAC mice compared with
control mice. These data suggest that the development of cardiac
hypertrophy is associated with a heightened contractile state, perhaps
as an early compensatory response to pressure overload.
systolic myocardial stiffness; contractility; cardiac mechanics; transgenic mice
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