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Related Experiment Videos

Microcirculation in the hypertrophic and ischemic heart.

H Tillmanns1, F J Neumann, N Parekh

  • 1Abteilung Innere Medizin-Kardiologie, Medizinische Universitätsklinik, Giessen, FRG.

European Journal of Clinical Pharmacology
|January 1, 1990
PubMed
Summary

Hypertension-induced left ventricular hypertrophy (LVH) in rats shows reduced capillary density and impaired red blood cell recruitment, potentially explaining chest pain in patients with LVH and normal coronary arteries.

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Area of Science:

  • Cardiovascular Physiology
  • Renal Hypertension Research

Background:

  • Myocardial hypertrophy, common in hypertensive heart disease, reduces coronary vascular reserve despite normal coronary arteries.
  • Functional microcirculatory changes precede structural alterations in hypertensive models.

Purpose of the Study:

  • To investigate microcirculatory changes in the left ventricular myocardium of rats with renal hypertension and pressure-induced left ventricular hypertrophy (LVH).
  • To assess capillary function and red blood cell recruitment under normoxic and hypoxic conditions.

Main Methods:

  • In vivo fluorescence microscopy and morphometric analysis were used in 10 rats with renal hypertension and LVH and 10 normotensive (NT) rats.
  • Systolic blood pressure was measured; capillary plasma-perfused distances, densities, and red cell content (Q) were analyzed.

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  • Capillary red cell recruitment was assessed during hypoxia (5% O2).
  • Main Results:

    • LVH rats exhibited significantly increased plasma-perfused capillary distances (20 vs. 17.7 microns) and a 20% reduction in capillary volume, surface, and length densities compared to NT rats.
    • Capillary red cell content (Q) was higher in LVH rats (0.83 vs. 0.77).
    • During hypoxia, capillary red cell recruitment in LVH rats was diminished by 33% compared to NT rats.

    Conclusions:

    • Reduced capillary density and impaired capillary red blood cell recruitment in LVH contribute to diminished coronary vascular reserve.
    • These microcirculatory dysfunctions may explain chest pain in patients with LVH and normal coronary arteries.