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Am J Physiol Heart Circ Physiol (March 28, 2008). doi:10.1152/ajpheart.01190.2007
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Submitted on October 12, 2007
Accepted on March 24, 2008

CHARACTERIZATION OF THE STRUCTURAL AND FUNCTIONAL CHANGES IN THE MYOCARDIUM FOLLOWING FOCAL ISCHEMIA-REPERFUSION INJURY

Navdeep Ojha1, Sashwati Roy1, Jared Radtke1, Orlando Simonetti2, Surya Gnyawali1, Jay L Zweier2, Periannan Kuppusamy2, and Chandan K. Sen3*

1 Department of Surgery, The Ohio State University Medical Center, Columbus, Ohio, United States
2 Department of Internal Medicine, The Ohio State University Medical Center, Columbus, Ohio, United States
3 Department of Surgery, Ohio State University Medical Center, Columbus, Ohio, United States

* To whom correspondence should be addressed. E-mail: chandan.sen{at}osumc.edu.

High resolution (11.7T) cardiac magnetic resonance imaging (MRI) and histological approaches have been employed in tandem to characterize the secondary damage suffered by the murine myocardium following the initial insult caused by ischemia-reperfusion (IR). IR induced changes in the myocardium were examined in five separate groups at the following time-points after IR: 1h, 1d, 3d, 7d and 14 d. Infarct volume increased from 1h to 1d post-IR. Over time, loss of myocardial function was observed to be associated with increased infarct volume and worsened regional wall motion. In the infarct region, IR caused a decrease in end-systolic thickness coupled with small changes in end-diastolic thickness, leading to massive wall thickening abnormalities. In addition, compromised wall thickening was also observed in left ventricular regions adjacent to the infarct region. A tight correlation (r2 = 0.86) between measured MRI and triphenyltetrazolium chloride (TTC) infarct volumes was noted. Our observation that until day 3 post-IR, the infarct size as measured by TTC staining and MRI were much larger than the myocyte-silent regions in trichrome or H&E stained sections is consistent with the literature and leads to the conclusion that at such early phase the infarct site contains structurally intact myocytes that are functionally compromised. Over time, such affected myocytes were noted to structurally disappear resulting in consistent infarct sizes obtained from MRI, TTC as well as trichrome and hematoxylin/eosin analyses on day 7 following IR. Myocardial remodeling following IR includes secondary myocyte death followed by loss of cardiac function over time.




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