Recognition of Fibrotic Infarct Density by the Pattern of Local Systolic-Diastolic Myocardial Electrical Impedance

Myocardial electrical impedance is a biophysical property of the heart that is influenced by the intrinsic structural characteristics of the tissue. Therefore, the structural derangements elicited in a chronic myocardial infarction should cause specific changes in the local systolic-diastolic myocar...

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Detalles Bibliográficos
Autores: Amorós Figueras, Gerard|||0000-0002-2109-5550, Jorge, Esther|||0000-0002-2777-0000, García Sánchez, Tomás, Bragos, Ramon|||0000-0002-1373-1588, Rosell Ferrer, Javier|||0000-0002-9691-328X, Cinca, Juan|||0000-0003-4819-4265
Tipo de recurso: artículo
Fecha de publicación:2016
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:185983
Acceso en línea:https://ddd.uab.cat/record/185983
https://dx.doi.org/urn:doi:10.3389/fphys.2016.00389
Access Level:acceso abierto
Palabra clave:Healed myocardial infarction
Myocardial electrical impedance
Hemodynamics
Novel bioimpedance device
Swine
Descripción
Sumario:Myocardial electrical impedance is a biophysical property of the heart that is influenced by the intrinsic structural characteristics of the tissue. Therefore, the structural derangements elicited in a chronic myocardial infarction should cause specific changes in the local systolic-diastolic myocardial impedance, but this is not known. This study aimed to characterize the local changes of systolic-diastolic myocardial impedance in a healed myocardial infarction model. Six pigs were successfully submitted to 150 min of left anterior descending (LAD) coronary artery occlusion followed by reperfusion. 4 weeks later, myocardial impedance spectroscopy (1-1000 kHz) was measured at different infarction sites. The electrocardiogram, left ventricular (LV) pressure, LV dP/dt, and aortic blood flow (ABF) were also recorded. A total of 59 LV tissue samples were obtained and histopathological studies were performed to quantify the percentage of fibrosis. Samples were categorized as normal myocardium (<10% fibrosis), heterogeneous scar (10-50%) and dense scar (.