左心室重塑的生物能量后果
1Department of Medicine, University of Minnesota Medical School, Minneapolis 55455, USA.
Circulation
|August 15, 1995
概括
改变的心肌高能酸盐水平与左心室 (LV) 重塑相关. 在重塑心脏中,节奏加速会恶化心下酸盐水平,这与功能障碍和血流再分配有关.
科学领域:
- 心脏病学 心脏病学
- 生物化学 生物化学
- 医疗成像医学成像
背景情况:
- 左心室 (LV) 改造与功能障碍和降低冠状动脉流量储备有关.
- 这些变化背后的机制,特别是涉及心肌高能酸盐的机制,仍然不清楚.
研究的目的:
- 研究心肌高能酸盐水平与左心室重塑之间的关系.
- 为了探索节奏对这些酸盐水平在心脏重塑中的影响.
主要方法:
- 磁共振成像 (MRI) 评估了诱导LV重塑的狗的LV质量和体积.
- 31P磁共振光谱 (MRS) 测量了超毛层高能酸盐水平.
- 在基底条件和节奏时,使用微球测量血流.
主要成果:
- 重建后的LV显示质量和体积增加,心下肌酸 (CP) /ATP比较低.
- 脑下内脏CP/ATP比率与LV重塑程度相反相关.
- 在重塑心脏中的节奏节奏降低了心下内脏血流和CP/ATP水平,增加了末端透气压.
结论:
- 心肌高能酸盐变化与LV重塑严重程度相关.
- 节拍诱导的心力衰竭在重塑心脏中加剧了下内心酸盐耗尽,与功能障碍和血液流量分布的改变有关.
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