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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Muscle Injury Induces Postoperative Cognitive Dysfunction.

Lorna Guéniot1,2,3, Victoria Lepere1,4,5, Gabriela Ferreira De Medeiros1

  • 1Institut Pasteur, Experimental Neuropathology Unit, Paris, France.

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|February 19, 2020
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Summary
This summary is machine-generated.

Muscle injury impacts brain function, causing memory deficits and neuroinflammation. This study introduces a novel mouse model to investigate the link between muscle damage and postoperative cognitive dysfunction (POCD).

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Area of Science:

  • Neuroscience
  • Surgical Complications
  • Muscle Injury Research

Background:

  • Postoperative cognitive dysfunction (POCD) is a significant complication following surgery, with unclear underlying mechanisms.
  • Existing rodent models for POCD have limitations in assessing behavioral impacts, especially concerning skeletal muscle injury.
  • The role of muscle injury in the development of POCD remains largely unexplored.

Purpose of the Study:

  • To establish and validate a physical model of muscle injury in mice to study its impact on POCD.
  • To investigate the early and late effects of muscle injury on cognitive function and brain changes.
  • To explore the role of microglial activation and neurotrophic factors in muscle injury-induced POCD.

Main Methods:

  • Utilized a physical model of muscle injury in CX3CR1GFP/+ mice, which allows for visualization of microglial cells.
  • Employed morphological, behavioral, and molecular approaches to assess cognitive function and brain alterations.
  • Analyzed short- and long-term memory, microglial reactivity in the hippocampus, and the balance of brain-derived neurotrophic factor (BDNF) and nerve growth factor (NGF).

Main Results:

  • Muscle regeneration following injury led to alterations in both short- and long-term memory.
  • Significant microglial reactivity was observed in the brain, including the hippocampus, 24 hours post-injury.
  • An altered balance of BDNF and NGF was detected 28 days after muscle injury.

Conclusions:

  • Muscle injury can induce both early and late-onset neurological and cognitive deficits.
  • The developed CX3CR1GFP/+ mouse model is suitable for investigating microglial roles in neuroinflammation and synaptic plasticity relevant to POCD.
  • This research highlights a novel connection between skeletal muscle injury and the pathophysiology of POCD.