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Published on: February 16, 2016
Histopathological Correlates of Global and Segmental Left Ventricular Systolic Dysfunction in Experimental Chronic
Luciano Fonseca Lemos de Oliveira1, Minna Moreira Dias Romano1, Eduardo Elias Vieira de Carvalho1
1Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil (L.F.L.O., M.M.D.R., E.E.V.C., C.S., R.F.J., R.S.C., J.S.S., B.C.M., J.A.M.N., M.V.S.).
Insights
In experimental Chagas cardiomyopathy, wall motion abnormalities (WMA) often appear with normal heart function, primarily linked to inflammation, not fibrosis.
Area of Science:
- Cardiology
- Parasitology
- Pathology
Background:
- Chronic Chagas cardiomyopathy presents with left ventricular wall motion abnormalities (WMA).
- Early detection of WMA is crucial for understanding disease progression.
Purpose of the Study:
- Investigate WMA detection in a hamster model of chronic Chagas cardiomyopathy.
- Correlate WMA with underlying histopathological changes.
Main Methods:
- Female Syrian hamsters infected with Trypanosoma cruzi.
- Echocardiography assessed left ventricular systolic function at 6 and 10 months.
- Histological analysis quantified fibrosis and inflammation in cardiac segments.
Main Results:
- 29% of infected hamsters showed reduced ejection fraction.
- Among those with preserved ejection fraction, 33% exhibited segmental WMA.
- WMA segments had significantly higher inflammation intensity and fibrosis extent compared to normal segments.
Conclusions:
- Segmental WMA can occur with preserved global systolic function in experimental Chagas cardiomyopathy.
- Inflammation is the predominant histopathological feature associated with WMA in this model.
Background:
Chronic Chagas cardiomyopathy in humans is characterized by segmental left ventricular wall motion abnormalities (WMA), mainly in the early stages of disease. This study aimed at investigating the detection of WMA and its correlation with the underlying histopathological changes in a chronic Chagas cardiomyopathy model in hamsters.
Methods And Results:
Female Syrian hamsters (n=34) infected with 3.5×10(4) or 10(5) blood trypomastigote Trypanosoma cruzi (Y strain) forms and an uninfected control group (n=7) were investigated. After 6 or 10 months after the infection, the animals were submitted to in vivo evaluation of global and segmental left ventricular systolic function by echocardiography, followed by euthanasia and histological analysis for quantitative assessment of fibrosis and inflammation with tissue sampling in locations coinciding with the left ventricular wall segmentation employed at the in vivo echocardiographic evaluation. Ten of the 34 infected animals (29%) showed reduced left ventricular ejection fraction (<73%). Left ventricular ejection fraction was more negatively correlated with the intensity of inflammation (r=-0.63; P<0.0001) than with the extent of fibrosis (r=-0.36; P=0.036). Among the 24 animals with preserved left ventricular ejection fraction (82.9±5.5%), 8 (33%) showed segmental WMA predominating in the apical, inferior, and posterolateral segments. The segments exhibiting WMA, in comparison to those with normal wall motion, showed a greater extent of fibrosis (9.3±5.7% and 7±6.3%, P<0.0001) and an even greater intensity of inflammation (218.0±111.6 and 124.5±84.8 nuclei/mm², P<0.0001).
Conclusions:
Isolated WMA with preserved global systolic left ventricular function is frequently found in Syrian hamsters with experimental chronic Chagas cardiomyopathy whose underlying histopathological features are mainly inflammatory.
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