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The Annals of Thoracic Surgery, Vol 52, 78-83, Copyright © 1991 by The Society of Thoracic Surgeons
RW Millner, JM Mann, I Pearson and JR Pepper
A model of chronic cardiac failure has undergone extensive hemodynamic
investigation. Under anesthesia the homonymous and second diagonal coronary
arteries of sheep have been ligated. The resulting myocardial infarction
caused significant acute hemodynamic impairment (paired two- tailed t
tests), mean pulmonary artery pressure increasing from 7.31 +/- 0.94 to
13.80 +/- 1.19 mm Hg (p less than 0.001), pulmonary artery diastolic
pressure increasing from 4.94 +/- 1.03 to 11.13 +/- 1.27 mm Hg (p less than
0.001), and directly measured left ventricular end- diastolic pressure
increasing from 9.31 +/- 1.52 to 17.42 +/- 1.82 mm Hg (p less than 0.001)
after infarction documented with invasive monitoring. There was a
hemodynamically significant left ventricular aneurysm (paired two-tailed t
tests) in animals studied 3 months later, with increased mean pulmonary
artery pressure from 7.20 +/- 1.15 to 13.80 +/- 2.00 mm Hg (p = 0.009), an
increase in pulmonary artery diastolic pressure from 4.60 +/- 1.30 to 12.10
+/- 2.06 mm Hg (p = 0.006), and an increase in left ventricular
end-diastolic pressure from 11.00 +/- 1.94 mm Hg before infarction to 17.00
+/- 2.69 mm Hg (p = 0.038). We conclude that this is a useful model of
chronic left ventricular failure that is reproducible and applicable to
investigations of therapeutic options in chronic heart failure.
ARTICLES
Experimental model of left ventricular failure
Department of Cardiothoracic Surgery, St. George's Hospital, London, United Kingdom.
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