在左心室辅助装置支持后,细胞缩的回归
A Zafeiridis1, V Jeevanandam, S R Houser
1Department of Internal Medicine, Temple University School of Medicine, Philadelphia, PA 19140, USA.
Circulation
|August 26, 1998
概括
左心室辅助装置 (LVAD) 疗法通过减少肌细胞大小和改善心脏形状来逆转心脏重塑. 这种细胞变化有助于改善机械性能和减少LVAD植入后的壁应力.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
- 心脏衰竭研究研究
背景情况:
- 已知左心室辅助装置 (LVAD) 治疗可以改善心脏几何形状.
- 驱动这种情况的潜在病理机制.
- 反向改造是指逆向的改造.
- 仍然没有明确.
- 了解细胞变化对于优化LVAD治疗至关重要.
研究的目的:
- 研究LVAD支持对心脏肌细胞大小和形状的影响.
- 为了阐明心脏衰竭中逆转重塑的细胞机制.
主要方法:
- 心脏肌细胞从心力衰竭患者 (带有或没有LVAD支持) 的心脏扩张细胞和从不衰竭的心脏细胞中分离出来.
- 使用经过验证的技术量化了肌细胞尺寸 (体积,长度,宽度,厚度).
- 声心成像用于评估LVAD患者的左心室尺寸和质量.
主要成果:
- 与正常肌细胞相比,心脏衰竭的肌细胞体积,长度,宽度和长度与厚度的比率增加.
- 长期的LVAD支持显著减少了肌细胞体积 (28%),长度 (20%),宽度 (20%) 和长度与厚度比率 (32%).
- 支持LVAD并没有改变肌细胞厚度,但与左心室扩张和质量减少有关.
结论:
- 细胞缩的回归是LVAD诱导的反向重塑的一个关键机制.
- 在器官和细胞层面的并行变化有助于减少壁面的压力.
- LVAD治疗促进了有利的几何变化,可能改善心脏机械性能.
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