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          Institute: MPI für Herz- und Lungenforschung (W. G. Kerckhoff Institut)     Collection: Publikationen des W. G. Kerckhoff-Instituts     Display Documents

ID: 474487.0, MPI für Herz- und Lungenforschung (W. G. Kerckhoff Institut) / Publikationen des W. G. Kerckhoff-Instituts
Desynchronization: a novel model to induce heart failure
Authors:Mollmann, H.; Voss, S.; Nef, H. M.; Lintz, M.; Oltenau, C.; Kostin, S.; Sperzel, J.; Troidl, C.; Skwara, W.; Rolf, A.; Hamm, C.; Elsasser, A.
Date of Publication (YYYY-MM-DD):2009
Title of Journal:Thorac Cardiovasc Surg
Issue / Number:8
Start Page:441
End Page:8
Audience:Not Specified
Abstract / Description:BACKGROUND: Previous large animal heart failure models led to inhomogeneous results. Therefore, we developed a novel model combining rapid pacing with forced ventricular desynchronization. METHODS: Heart failure was induced in 20 pigs during a pacing period of 21 days. Group A (n = 10) received one right ventricular lead (220 bpm). In group B (n = 10), two leads were implanted in different right ventricular regions with beat-to-beat alternation of activation sites (each lead 110 bpm). Sham-operated pigs (n = 6) served as controls. Hemodynamics were invasively evaluated and tissue was analyzed by immunohistochemistry and zymography. RESULTS: Hemodynamics were significantly more impaired in group B with an increase of pulmonary capillary wedge and central venous pressure and a reduction of cardiac index (control 4.3 +/- 0.1 l/min/m (2); A 3.6 +/- 0.2; B 2.9 +/- 0.2, P < 0.05). Heart-to-body weight ratio was significantly higher in group B. Histological analyses showed a significant increase of cell diameters and interstitial fibrosis with significantly higher collagen contents in group B. CONCLUSION: The new model with a combination of rapid pacing and forced desynchronization of the ventricular contraction is superior to traditional heart failure models induced solely by rapid pacing.
External Publication Status:published
Document Type:Article
Communicated by:N. N.
Affiliations:MPI für physiologische und klinische Forschung
External Affiliations:Department of Cardiology, Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany. h.moellmann@kerckhoff-fgi.de
Identifiers:ISSN:1439-1902 (Electronic) 0171-6425 (Linking)
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