Effect of the blood supply to the normal noninfarcted myocardium on the incidence and severity of early postocclusion arrhythmias in dogs

A. Végh, L. Szekeres, E. Udvary

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

This work was initiated by the discrepancy existing between the traditional experimental infarction model with occlusion of one single major coronary artery in the otherwise healthy myocardium and the clinical situation in which two or more major coronary arteries are stenosed at the same time. A model mimicking this latter clinical situation was elaborated as follows: In anaesthetized, open-chest dogs the haemodynamic, electrophysiological and blood flow changes due to 5 min occlusion of the left anterior descending coronary artery (LAD) were studied in the absence and presence of a critical constriction of the left circumflex coronary artery (LCX). Control LAD occlusion resulted in enhanced ST-segment elevation and inhomogeneity of electrical activation, depressed left ventricular contractility (LVdP/dt) and local myocardial contractility, as well as in a decline of myocardial blood flow (MBF) in the ischaemic area supplied by LAD. These changes were accompanied by no or slight extrasystolic activity. In the presence of critical stenosis of LCX, occlusion of the LAD aggravated myocardial ischaemia, i.e. ST-segment elevation and diminution of MBF were more marked, mainly in the subepicardium of the ischaemic area. The incidence and severity of arrhythmias significantly increased. Even ventricular fibrillation occurred in one third of the animals, both during LAD occlusion and after its release. Thus, acute LAD occlusion in the presence of a stenosed LCX produced a more severe myocardial ischaemia associated with more severe arrhythmias than occlusion of LAD alone. This model is more relevant to the clinical situation in which multivessel coronary artery disease is common.

Original languageEnglish
Pages (from-to)159-171
Number of pages13
JournalBasic Research in Cardiology
Volume82
Issue number2
DOIs
Publication statusPublished - Mar 1987

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Cardiac Arrhythmias
Coronary Vessels
Myocardium
Dogs
Incidence
Myocardial Ischemia
Ventricular Fibrillation
Constriction
Infarction
Coronary Artery Disease
Pathologic Constriction
Theoretical Models
Thorax
Hemodynamics

Keywords

  • arrhythmia
  • ischaemia
  • local myocardial blood flow
  • multivessel coronary stenosis
  • occlusion

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Effect of the blood supply to the normal noninfarcted myocardium on the incidence and severity of early postocclusion arrhythmias in dogs. / Végh, A.; Szekeres, L.; Udvary, E.

In: Basic Research in Cardiology, Vol. 82, No. 2, 03.1987, p. 159-171.

Research output: Contribution to journalArticle

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