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1 Department of Internal Medicine, 97080 Würzburg; and 2 Department of Biophysics Experimentelle Physik, University of Würzburg, 97074 Würzburg, Germany
Right ventricular (RV) weight increases
dependent on time after myocardial infarction (MI) and on MI size. The
sequential changes in RV volume and hemodynamics and their relations to
left ventricular (LV) remodeling after MI are unknown. We therefore examined the time course of RV remodeling in rats with LV MI. MI was
produced by left coronary artery ligation. Four, eight, and sixteen
weeks later, LV and RV hemodynamic measurements were performed and
pressure-volume curves were obtained. For serial measurement of RV
volumes and performance, cine-MRI was performed 2 and 8 wk after MI.
The ratios of
-myosin heavy chain (MHC) to
-MHC and skeletal to
cardiac
-actin were determined for the RV and LV after large MI or
sham operation. RV weight increased in rats with MI, as did RV volume.
RV pressure-volume curves were shifted toward larger volumes 16 wk
after large MI. RV systolic pressure increased gradually over time;
however, the gain in RV weight was always in excess of RV systolic
pressure. The ratios of skeletal to cardiac
-actin and
-MHC to
-MHC were increased after MI in both ventricles in a similar
fashion. Because RV wall stress was not increased after infarction,
mechanical factors may not conclusively explain hypertrophy, which
maintained balanced loading conditions for the RV even after large LV infarction.
rat heart; magnetic resonance imaging
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