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.
Abstract

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