PMID- 17993597 OWN - NLM STAT- MEDLINE DCOM- 20080228 LR - 20200930 IS - 0363-6135 (Print) IS - 0363-6135 (Linking) VI - 294 IP - 1 DP - 2008 Jan TI - Susceptibility to systolic dysfunction in the myocardium from chronically infarcted spontaneously hypertensive rats. PG - H372-8 AB - We explored whether the hypertensive heart is susceptible to myocardial dysfunction in viable noninfarcted tissue post-myocardial infarction (MI), the potential mechanisms thereof, and the impact of these changes on pump function. Six to seven months after the ligation of the left anterior descending coronary artery, left ventricular (LV) myocardial systolic function, as assessed from the percent shortening of the noninfarcted lateral wall segmental length determined over a range of filling pressures (ultrasonic transducers placed in the lateral wall in anaesthetized, open-chest, ventilated rats) and the percent thickening of the posterior wall (echocardiography), was reduced in infarcted spontaneous hypertensive rats (SHR-MI) (P < 0.05) but not in normotensive Wistar-Kyoto (WKY-MI) animals compared with corresponding controls [SHR-sham operations (Sham) and WKY-Sham]. This change in the regional myocardial function in SHR-MI, but not in WKY-MI, occurred despite a similar degree of LV dilatation (increased LV end-diastolic dimensions and volume intercept of the LV end-diastolic pressure-volume relation) in SHR-MI and WKY-MI rats and a lack of difference in LV relative wall thinning, LV wall stress, apoptosis [terminal deoxynucleotidyl transferase biotin-dUTP nick-end labeling (TUNEL)], or necrosis (pathological score) between SHR-MI and WKY-MI rats. Although the change in regional myocardial function in the SHR-MI group was not associated with a greater reduction in baseline global LV chamber systolic function [end-systolic elastance (LV E(es)) and endocardial fractional shortening determined in the absence of an adrenergic stimulus], in the presence of an isoproterenol challenge, noninfarct-zone LV systolic myocardial dysfunction manifested in a significant reduction in LV E(es) in SHR-MI compared with WKY-MI and SHR and WKY-Sham rats (P < 0.04). In conclusion, these data suggest that with chronic MI, the hypertensive heart is susceptible to the development of myocardial dysfunction, a change that cannot be attributed to excessive chamber dilatation, apoptosis, or necrosis, but which in turn contributes toward a reduced cardiac adrenergic inotropic reserve. FAU - Norton, Gavin R AU - Norton GR AD - Cardiovascular Pathophysiology and Genomics Research Unit, School of Physiology, University of the Witwatersrand Medical School, 7 York Road, Parktown 2193, Johannesburg, South Africa. gavin.norton@wits.ac.za FAU - Veliotes, Demetri G A AU - Veliotes DG FAU - Osadchii, Oleg AU - Osadchii O FAU - Woodiwiss, Angela J AU - Woodiwiss AJ FAU - Thomas, D Paul AU - Thomas DP LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20071109 PL - United States TA - Am J Physiol Heart Circ Physiol JT - American journal of physiology. Heart and circulatory physiology JID - 100901228 RN - 0 (Cardiotonic Agents) RN - L628TT009W (Isoproterenol) SB - IM MH - Animals MH - Apoptosis MH - Cardiotonic Agents/pharmacology MH - Coronary Vessels/surgery MH - Disease Models, Animal MH - Hypertension/*complications/pathology/physiopathology MH - Isoproterenol/pharmacology MH - Ligation MH - Male MH - *Myocardial Contraction/drug effects MH - Myocardial Infarction/*complications/pathology/physiopathology MH - Myocardium/pathology MH - Necrosis MH - Rats MH - Rats, Inbred SHR MH - Rats, Inbred WKY MH - Stress, Mechanical MH - *Systole MH - Time Factors MH - Ventricular Dysfunction, Left/*etiology/pathology/physiopathology MH - Ventricular Remodeling EDAT- 2007/11/13 09:00 MHDA- 2008/02/29 09:00 CRDT- 2007/11/13 09:00 PHST- 2007/11/13 09:00 [pubmed] PHST- 2008/02/29 09:00 [medline] PHST- 2007/11/13 09:00 [entrez] AID - 01024.2007 [pii] AID - 10.1152/ajpheart.01024.2007 [doi] PST - ppublish SO - Am J Physiol Heart Circ Physiol. 2008 Jan;294(1):H372-8. doi: 10.1152/ajpheart.01024.2007. Epub 2007 Nov 9.