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Microvascular integrity and the time course of myocardial sodium accumulation after acute infarction.

Publication ,  Journal Article
Rochitte, CE; Kim, RJ; Hillenbrand, HB; Chen, EL; Lima, JA
Published in: Circ Res
October 13, 2000

Loss of membrane permeability caused by ischemia leads to cellular sodium accumulation and myocardial edema. This phenomenon has important implications to left ventricular structure and function in the first hours after myocardial infarction. We hypothesized that during this period of time, after prolonged coronary occlusion and complete reflow, the rate of myocardial sodium accumulation is governed by microvascular integrity. We used 3-dimensional (23)Na MRI to monitor myocardial sodium content changes over time in an in vivo closed-chest canine model (n=13) of myocardial infarction and reperfusion. Infarcts with microvascular obstruction (MO) defined by both radioactive microspheres and contrast-enhanced (1)H MRI showed a slower rate of sodium accumulation as well as lower blood flow at 20 minutes and 6 hours after reperfusion. Conversely, the absence of MO was associated with faster rates of sodium accumulation and greater blood flow restoration. In addition, infarct size by (23)Na MRI correlated best with infarct size by triphenyltetrazolium chloride and contrast-enhanced (1)H MRI at 9 hours after reperfusion. We conclude that in reperfused myocardial infarction, sodium accumulation is dependent on microvascular integrity and is slower in regions of MO compared with those with patent microvasculature. Finally, (23)Na MRI can be a useful tool for monitoring in vivo myocardial sodium content in acute myocardial infarction.

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Published In

Circ Res

DOI

EISSN

1524-4571

Publication Date

October 13, 2000

Volume

87

Issue

8

Start / End Page

648 / 655

Location

United States

Related Subject Headings

  • Sodium
  • Regional Blood Flow
  • Radioisotopes
  • Myocardium
  • Myocardial Reperfusion
  • Myocardial Infarction
  • Microspheres
  • Microcirculation
  • Magnetic Resonance Angiography
  • Hemodynamics
 

Citation

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Rochitte, C. E., Kim, R. J., Hillenbrand, H. B., Chen, E. L., & Lima, J. A. (2000). Microvascular integrity and the time course of myocardial sodium accumulation after acute infarction. Circ Res, 87(8), 648–655. https://doi.org/10.1161/01.res.87.8.648
Rochitte, C. E., R. J. Kim, H. B. Hillenbrand, E. L. Chen, and J. A. Lima. “Microvascular integrity and the time course of myocardial sodium accumulation after acute infarction.Circ Res 87, no. 8 (October 13, 2000): 648–55. https://doi.org/10.1161/01.res.87.8.648.
Rochitte CE, Kim RJ, Hillenbrand HB, Chen EL, Lima JA. Microvascular integrity and the time course of myocardial sodium accumulation after acute infarction. Circ Res. 2000 Oct 13;87(8):648–55.
Rochitte, C. E., et al. “Microvascular integrity and the time course of myocardial sodium accumulation after acute infarction.Circ Res, vol. 87, no. 8, Oct. 2000, pp. 648–55. Pubmed, doi:10.1161/01.res.87.8.648.
Rochitte CE, Kim RJ, Hillenbrand HB, Chen EL, Lima JA. Microvascular integrity and the time course of myocardial sodium accumulation after acute infarction. Circ Res. 2000 Oct 13;87(8):648–655.

Published In

Circ Res

DOI

EISSN

1524-4571

Publication Date

October 13, 2000

Volume

87

Issue

8

Start / End Page

648 / 655

Location

United States

Related Subject Headings

  • Sodium
  • Regional Blood Flow
  • Radioisotopes
  • Myocardium
  • Myocardial Reperfusion
  • Myocardial Infarction
  • Microspheres
  • Microcirculation
  • Magnetic Resonance Angiography
  • Hemodynamics