AJP - Heart Calcium Transients and Cell-Sarcomere
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Am J Physiol Heart Circ Physiol 294: H2428-H2434, 2008. First published March 28, 2008; doi:10.1152/ajpheart.00860.2007
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Mechanics of the left ventricular myocardial interstitium: effects of acute and chronic myocardial edema

Ketaki V. Desai, Glen A. Laine, Randolph H. Stewart, Charles S. Cox, Jr., Christopher M. Quick, Steven J. Allen, and Uwe M. Fischer

Michael E. DeBakey Institute, Texas A&M University, College Station; and Center for Microvascular and Lymphatic Studies, University of Texas Medical School, Houston, Texas

Submitted 23 July 2007 ; accepted in final form 25 March 2008

Myocardial interstitial edema forms as a result of several disease states and clinical interventions. Acute myocardial interstitial edema is associated with compromised systolic and diastolic cardiac function and increased stiffness of the left ventricular chamber. Formation of chronic myocardial interstitial edema results in deposition of interstitial collagen, which causes interstitial fibrosis. To assess the effect of myocardial interstitial edema on the mechanical properties of the left ventricle and the myocardial interstitium, we induced acute and chronic interstitial edema in dogs. Acute myocardial edema was generated by coronary sinus pressure elevation, while chronic myocardial edema was generated by chronic pulmonary artery banding. The pressure-volume relationships of the left ventricular myocardial interstitium and left ventricular chamber for control animals were compared with acutely and chronically edematous animals. Collagen content of nonedematous and chronically edematous animals was also compared. Generating acute myocardial interstitial edema resulted in decreased left ventricular chamber compliance compared with nonedematous animals. With chronic edema, the primary form of collagen changed from type I to III. Left ventricular chamber compliance in animals made chronically edematous was significantly higher than nonedematous animals. The change in primary collagen type secondary to chronic left ventricular myocardial interstitial edema provides direct evidence for structural remodeling. The resulting functional adaptation allows the chronically edematous heart to maintain left ventricular chamber compliance when challenged with acute edema, thus preserving cardiac function over a wide range of interstitial fluid pressures.

left ventricular chamber compliance; compliance resetting; edemagenic gain


Address for reprint requests and other correspondence: G. A. Laine, Michael E. DeBakey Institute, Texas A&M University, College Station, Texas 77843-4466 (e-mail: glaine{at}tamu.edu)






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