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Low doses of hyperbaric oxygenation effectively decrease the size of necrotic zone in rats with experimental

E A Dotsenko1, N V Nikulina, D P Salivonchik

  • 1Belarussian State Medical University, Minsk, the Republic of Belarus, ed_dots@mail.ru.

Bulletin of Experimental Biology and Medicine
|April 23, 2015
PubMed
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Hyperbaric oxygenation reduced the risk zone in rat myocardium after coronary artery occlusion. A lower oxygen pressure (0.02 MPa) was more effective than 0.1 MPa in limiting infarct size.

Area of Science:

  • Cardiovascular Research
  • Hyperbaric Medicine
  • Myocardial Infarction

Background:

  • Myocardial infarction (MI) involves irreversible damage to heart muscle.
  • Assessing the impact of interventions on infarct size is crucial for treatment development.
  • Hyperbaric oxygenation (HBO) is explored for its therapeutic potential in ischemic conditions.

Purpose of the Study:

  • To investigate the effect of a single hyperbaric oxygenation session on infarct size in a rat model.
  • To compare the efficacy of different oxygen pressures (0.02 MPa and 0.1 MPa) during HBO therapy.
  • To analyze the impact of HBO on the risk, ischemic, and necrotic zones of the myocardium.

Main Methods:

  • Myocardial infarction was induced in rats by ligating the left coronary artery.

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  • Hyperbaric oxygenation (60-minute session) was administered 3 hours post-occlusion.
  • Planimetric evaluation was used to measure the size of risk, ischemic, and necrotic zones.
  • Main Results:

    • HBO significantly reduced the risk zone median from 31.7% to 25% of left ventricle weight.
    • At 0.02 MPa, HBO shifted the ischemia-to-necrosis ratio from 1.7:1 to 2:1, decreasing necrotic area.
    • At 0.1 MPa, HBO altered the ratio to 0.6:1, indicating a different effect on tissue zones.

    Conclusions:

    • Hyperbaric oxygenation demonstrates a positive effect on myocardium during total coronary artery occlusion.
    • Lower oxygen pressure (0.02 MPa) during HBO therapy appears more beneficial for limiting infarct expansion.
    • HBO promotes a favorable redistribution of ischemic and necrotic areas, reducing overall infarct size.