Ischemia reperfusion
Purpose
In early efficacy studies, the model which we use most frequently is acute myocardial infarction – either ischemia by itself or ischemia reperfusion.
Heart failure results from acute/chronic targeted ischemia.
May be accompanied by arrhythmia/dyskinesia.
Myocardial infarct of selected size between 0 to 35%.
Decreased cardiac output associated with decreased fractional shortening (approx. 30-50%) and decreased aortic Vmax.
Detectable within 24h post MI/IR by echocardiography.
Method
Surgical ligation of LAD with or without reperfusion. Ligation can be permanent or last for a fixed time (30, 60, 90 minutes, etc.).
Study outcome
Cardiac echography (ultrasound)
Biomarkers (tropins, CKMB, ANP, NT-Pro-BNP)
Invasive hemodynamics (BP, HR, ECG, P-V Loop)
Histology
Major limitations
Area-at-risk cannot exceed 35% of LV area
Dany Salvail
Ph.D., Vice-President.
