A rabbit model of progressive chronic right ventricular pressure overload

被引:4
作者
Ramos, Sara Roldan [1 ,2 ,3 ]
Pieles, Guido [1 ,3 ,4 ]
Hui, Wei [1 ]
Slorach, Cameron [1 ]
Redington, Andrew N. [1 ]
Friedberg, Mark K. [1 ]
机构
[1] Hosp Sick Children, Dept Paediat Cardiol, Toronto, ON, Canada
[2] Bristol Heart Inst, Dept Congenital Cardiac Surg, 8 Manilla Rd, Bristol BS8 4ED, Avon, England
[3] Hosp Sick Children, 8 Manilla Rd, Bristol BS8 4ED, Avon, England
[4] Bristol Heart Inst, Dept Pediat Cardiol, Bristol, Avon, England
关键词
Right heart failure; Pressure-volume curves; Interventricular interactions; Ventricular fibrosis and remodelling; Animal model of right heart failure; PULMONARY ARTERIAL-HYPERTENSION; HEART; FAILURE; VOLUME; ASSOCIATION; ADAPTATION; SOCIETY; ADULTS; LOAD;
D O I
10.1093/icvts/ivx372
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVES: Right ventricular (RV) failure from increased pressure loading is a frequent consequence of acquired and congenital heart diseases. However, the mechanisms involved in their pathophysiology are still unclear, and few data exist on RV pressure-loading models and early versus late effects on RV and left ventricular responses. We characterized a rabbit model of chronic RV pressure overload and early-late effects on biventricular function. METHODS: Twenty-one New Zealand white rabbits were randomized into 3 groups: (i) sham, (ii) pulmonary artery (PA) banding (PAB) for 3 weeks (PAB3W) and (iii) PAB for 6 weeks (PAB6W). Progressive RV pressure overload was created by serial band inflation using an adjustable device. Molecular, echocardiographic and haemodynamic studies were performed. RESULTS: RV pressure overload was achieved with clinical manifestations of RV failure. Heart and liver weights were significantly higher after PAB. PAB-induced echocardiographic ventricular remodelling increased wall thickness and stress and ventricular dilation. Cardiac output (ml/min) (sham 172.4 +/- 42.86 vs PAB3W 103.1 +/- 23.14 vs PAB6W 144 +/- 60.9, P = 0.0027) and systolic and diastolic functions decreased; with increased RV end-systolic and end-diastolic pressures (mmHg) (sham 1.6 +/- 0.66 vs PAB3W 3.9 +/- 1.8 vs PAB6W 5.2 +/- 2.2, P = 0.0103), despite increased contractility [end-systolic pressure-volume relationship (mmHg/ml), sham 3.76 +/- 1.76 vs PAB3W 12.21 +/- 3.44 vs PAB6W 19.4 +/- 6.88, P < 0.0001]. Functional parameters further worsened after PAB6W versus PAB3W. LV contractility increased in both the PAB groups, despite worsening of other invasive measures of systolic and diastolic functions. CONCLUSIONS: We describe a novel, unique model of chronic RV pressure overload leading to early biventricular dysfunction and fibrosis with further progression at 6 weeks. These findings can aid in guiding management.
引用
收藏
页码:673 / 680
页数:8
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