Myocardial perfusion MRI shows impaired perfusion of the mouse hypertrophic left ventricle

Bastiaan J van Nierop1, Bram F Coolen, Noortje A Bax

  • 1Biomedical NMR, Department of Biomedical Engineering, Eindhoven University of Technology, PO Box 513, 5600 MB, Eindhoven, The Netherlands.

Insights

Myocardial perfusion deficits are key in heart failure. This study shows reduced perfusion in mice with pressure overload-induced heart failure, correlating with cardiac dysfunction.

Area of Science:

  • Cardiovascular Research
  • Medical Imaging
  • Animal Models

Background:

  • Myocardial perfusion deficits are increasingly recognized as critical in the progression of cardiac hypertrophy to decompensated heart failure.
  • Previous studies have not systematically investigated these deficits in a pressure overload-induced hypertrophy and heart failure model.

Purpose of the Study:

  • To systematically evaluate myocardial perfusion deficits in a mouse model of pressure overload-induced hypertrophy and heart failure using transverse aortic constriction (TAC).
  • To longitudinally assess myocardial perfusion and its correlation with left ventricular (LV) function and morphology.

Main Methods:

  • Utilized a dual-bolus first-pass perfusion magnetic resonance imaging (MRI) technique to quantify regional LV myocardial perfusion in healthy and TAC-induced heart failure mice over 10 weeks.
  • Assessed LV function and morphology using cinematographic MRI.

Main Results:

  • TAC mice exhibited significantly reduced myocardial perfusion (4.2 ± 0.9 mL/min/g) compared to controls (7.6 ± 1.8 mL/min/g).
  • Decreased myocardial perfusion in TAC mice correlated strongly with increased LV volumes and mass, and decreased ejection fraction.
  • Total LV blood flow was significantly lower in TAC mice (0.5 ± 0.1 mL/min) versus controls (0.7 ± 0.2 mL/min).

Conclusions:

  • Myocardial perfusion is significantly reduced in a mouse model of pressure overload-induced heart failure.
  • Quantitative first-pass contrast-enhanced MRI is a valuable tool for studying perfusion deficits in diseased hearts.
  • Perfusion deficits are linked to cardiac remodeling and impaired LV function in this model.

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