Effects of deep sedation or general anesthesia on cardiac function in mice undergoing cardiovascular magnetic

Christopher J Berry1, Daniel R Thedens, KellyAnn Light-McGroary

  • 1Division of Cardiovascular Medicine, Roy J, and Lucille A, Carver College of Medicine, University of Iowa, Iowa, USA. christopher-j-berry@uiowa.edu

Abstract

Insights

Deep sedation in mice undergoing cardiovascular magnetic resonance (CMR) imaging causes less cardiac function depression than general anesthesia. This finding is crucial for accurate assessment in cardiovascular disease models.

Area of Science:

  • Cardiovascular Research
  • Animal Models
  • Medical Imaging

Background:

  • Genetically engineered mouse models are vital for studying human cardiovascular disease.
  • Cardiovascular magnetic resonance (CMR) offers precise cardiac assessment but requires animal immobilization.
  • General anesthesia can significantly alter cardiac function, potentially confounding study results.

Purpose of the Study:

  • To evaluate the impact of deep sedation versus general anesthesia on cardiac function in mice using CMR.
  • To compare these findings with echocardiography results from mildly sedated conscious mice.
  • To determine the optimal imaging conditions for accurate cardiac assessment in mouse models.

Main Methods:

  • Comparison of cardiac function (heart rate, ejection fraction) using CMR under light sedation, deep sedation (morphine/midazolam), and general anesthesia (isoflurane) in normal and heart failure mice.
  • Echocardiography was used for baseline assessment in conscious, mildly sedated mice.
  • Image quality and quantitative accuracy (left ventricular mass) were assessed.

Main Results:

  • General anesthesia with isoflurane significantly reduced heart rate and ejection fraction in normal mice compared to deep sedation.
  • Deep sedation also depressed ejection fraction in normal mice but to a lesser extent than general anesthesia.
  • In mice with heart failure, sedation/anesthesia regimens did not significantly impact cardiac function measurements.
  • CMR image quality and quantitative accuracy were comparable between deep sedation and general anesthesia.

Conclusions:

  • Deep sedation is preferable to isoflurane general anesthesia for CMR in normal mice, minimizing cardiac function perturbation.
  • Sedation/anesthesia choice has minimal impact on CMR assessment of cardiac function in mice with heart failure.
  • Both deep sedation and general anesthesia yield comparable image quality and quantitative accuracy in mouse CMR.