Scar Size and Other Parameters for Tracking Left Ventricular Dysfunction after Induction of Myocardial Infarcts in
Hylton P Gordon1, Michael G Katz2, Anthony S Fargnoli2
1Center for Comparative Medicine and Surgery, Icahn School of Medicine, Mt Sinai, New York, New York, USA. hylton.gordon@mssm.edu.
Insights
This study models myocardial infarction (MI) in sheep to track heart failure progression. Myocardial scar size and left ventricular ejection fraction predict post-MI cardiac dysfunction, aiding early detection.
Area of Science:
- Cardiovascular Research
- Animal Models of Disease
- Cardiac Pathophysiology
Background:
- Cardiovascular disease (CVD) is a leading global cause of mortality.
- Myocardial infarction (MI) frequently leads to heart failure, with progression often undetected.
- Early detection of post-MI cardiac dysfunction is crucial for patient outcomes.
Purpose of the Study:
- To establish and validate ovine models of small (mild) and large (severe) myocardial infarction.
- To track the progression of left-sided heart failure following induced MI.
- To identify predictive indicators of post-MI cardiac dysfunction.
Main Methods:
- Induction of MI in castrated male sheep via coronary artery ligation (single vs. double branch).
- Assessment of cardiac function and damage at baseline, 3 weeks, and 3 months post-MI.
- Parameters included scar size, left ventricular ejection fraction, hematology, biomarkers, and ECG.
Main Results:
- Established distinct small and large MI models in sheep.
- Observed varying utility of assessed parameters in model verification and progression monitoring.
- Demonstrated potential of myocardial scar size and ejection fraction as predictive indicators.
Conclusions:
- Myocardial scar size and left ventricular ejection fraction are proposed as key predictors of post-infarction cardiac dysfunction.
- The developed ovine models facilitate the study of heart failure progression post-MI.
- Further research can leverage these models for therapeutic development and understanding disease mechanisms.
Abstract:
In humans, cardiovascular disease (CVD) is the most frequent cause of death worldwide. Myocardial infarction (MI) is a leading cause of heart failure due to myocardial impairment, yet the progression of the resultant dysfunction is often undetected after incidental or induced myocardial infarction. In this study we tracked the progression of left-sided heart failure in 6-mo-old male castrated sheep in which we created 2 models of myocardial infarction, small and large. Myocardial infarction was induced through ligation of a single branch (obtuse marginal [OM] 1) of the left circumflex coronary artery to create small (mild) infarcts and of 2 branches (OM1 and OM2) for large (severe) infarcts. Progression of heart failure was evaluated by assessing scar size, the left ventricular ejection fraction, hematology, cardiac serum biochemical biomarkers, ST elevation, and clinical observation. All parameters were assessed at baseline and at 3 wk and 3 mo after infarction, except that clinical observation of the animals was conducted daily. The different parameters differed in their usefulness: some verified appropriate creation of the model, whereas others enabled assessment of the progression of heart disease. We hypothesize that myocardial scar size, as a function of induced ischemia, coupled with left ventricular ejection fraction are predictive indicators of postinfarction cardiac dysfunction.
Related Concept Videos
Cloning of Dolly the Sheep
Cell Size
Surface Area
Cells can take in nutrients and water via diffusion through the plasma membrane itself or through specific channels in the membrane. The area of the membrane surrounding...
Wave Parameters
Induction
A...
Self-Inductance
Consider a circuit connected to an AC source. As the current varies with time, the magnetic flux through the circuit correspondingly changes. Faraday's law tells us that an emf would...
Brick Sizes
Modular bricks are the most common type and are sized to include the mortar joint, which is essential for...


