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Updated: Jul 22, 2026

Permanent Ligation of the Left Anterior Descending Coronary Artery in Mice: A Model of Post-myocardial Infarction Remodelling and Heart Failure
Published on: December 2, 2014
[Left ventricular function of the coronary patient: relation between ventricular kinetic disorders and alterations of
Insights
Left ventricular contractility, assessed by Vmax and VECmax, is crucial for coronary heart disease prognosis. Reduced ejection fraction and increased hypokinetic areas indicate potential cardiac failure and guide treatment decisions.
Area of Science:
- Cardiology
- Cardiac Physiology
Context:
- Assesses left ventricular kinetics in 29 coronary patients using biplane angiocardiography.
- Evaluates contractility via Vmax and VECmax indices during the isovolumetric phase.
Purpose:
- To investigate the relationship between hypokinetic areas, ejection fraction, and cardiac function in coronary artery disease patients.
- To determine the prognostic and operability value of Vmax, ejection fraction, and hypokinetic areas.
Summary:
- A strong correlation exists between hypokinetic area size and decreased ejection fraction (SV/LSV).
- Ejection fraction below 0.40 and hypokinetic areas exceeding 20% of the endocardial surface indicate manifest cardiac failure.
- Myocardial hypertrophy adjacent to fibrous scars can compensate for ventricular dysfunction, but diminished contractility may still occur.
Impact:
- Vmax, ejection fraction, and hypokinetic areas serve as excellent prognostic and operability criteria.
- Findings aid in predicting patient outcomes and guiding surgical interventions for coronary artery disease.
Abstract:
The left ventricular kinaetics of 29 coronary patients (pure angina and with sequela of myocardial infarction) was studies by biplane angiocardiography. Their contractility was assessed by measurement of the Vmax and VECmax indices derived from the relationship between contractile elements shortening speed-overall wall tension, in isovolumetric phase. An excellent relationship links the hypokinaetic area with decrease of the ejection fraction (SV/LSV): when the hypokinaetic area exceeded 20% of the overall endocardial surface, the ejection fraction deveased below 0.40, and signs of cardiac failure were manifest. Pure anginal patients at rest kept normal kinaetics, late diastolic volume, ejection fraction and myocardial mass. A myocardial hypertrophy develops in the areas adjacent to the fibrous scar. In some cases (group I) it compensates for the ventricular dysfunction; in other cases, it is not sufficient to compensate for the ejection fraction reduction. One must then admit the presence of diminished contractility in the areas adjacent to the fibrous scar, as is suggested by the increase of the late diastolic pressure, the decrease of the externel work of the left ventricle and of the contractility indices. Analysis of both the natural and post-operative courses in these patients shows that Vmax the ejection fraction and the hypokinaetic areas afford excellent criteria for prognosis and operability.
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