Activity–rest stimulation of latissimus dorsi for cardiomyoplasty: 1-year results in sheep

Background. In dynamic cardiomyoplasty electrostimulation achieves full transformation of the latissimus dorsi (LD); therefore, its slowness limits the systolic support. Daily activity–rest could maintain partial transformation of the LD. Methods. Sheep LD were burst-stimulated either 10 or 24 hours...

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Veröffentlicht in:The Annals of thoracic surgery 1998-12, Vol.66 (6), p.1983-1990
Hauptverfasser: Arpesella, Giorgio, Carraro, Ugo, Mikus, Piero M, Dozza, Franco, Lombardi, Pierloca, Marinelli, Giuseppe, Zampieri, Sandra, El Messlemani, Abdul H, Rossini, Katia, Pierangeli, Angelo
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container_end_page 1990
container_issue 6
container_start_page 1983
container_title The Annals of thoracic surgery
container_volume 66
creator Arpesella, Giorgio
Carraro, Ugo
Mikus, Piero M
Dozza, Franco
Lombardi, Pierloca
Marinelli, Giuseppe
Zampieri, Sandra
El Messlemani, Abdul H
Rossini, Katia
Pierangeli, Angelo
description Background. In dynamic cardiomyoplasty electrostimulation achieves full transformation of the latissimus dorsi (LD); therefore, its slowness limits the systolic support. Daily activity–rest could maintain partial transformation of the LD. Methods. Sheep LD were burst-stimulated either 10 or 24 hours/day. Before and 2, 4, 6, and 12 months after stimulation, LD power output, fatigue resistance, and tetanic fusion frequency were assessed. Latissimus dorsi were biopsied at 6 months, and sheep sacrificed at 12 months. Results. After 1 year of 10 hours/day stimulation LD was substantially conserved and contained large amounts of fast type myosin. From 2 months to 1 year of stimulation the power per muscle of the daily rested LD was greater than that of the left ventricle, being three to four times higher than in the 24-hour/day stimulation. Conclusions. If extended to humans, these results could be the rationale for the need of a cardiomyostimulator, whose discontinuous activity could offer to patients the long-standing advantage of a faster and powerful muscle contraction.
doi_str_mv 10.1016/S0003-4975(98)00906-0
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In dynamic cardiomyoplasty electrostimulation achieves full transformation of the latissimus dorsi (LD); therefore, its slowness limits the systolic support. Daily activity–rest could maintain partial transformation of the LD. Methods. Sheep LD were burst-stimulated either 10 or 24 hours/day. Before and 2, 4, 6, and 12 months after stimulation, LD power output, fatigue resistance, and tetanic fusion frequency were assessed. Latissimus dorsi were biopsied at 6 months, and sheep sacrificed at 12 months. Results. After 1 year of 10 hours/day stimulation LD was substantially conserved and contained large amounts of fast type myosin. From 2 months to 1 year of stimulation the power per muscle of the daily rested LD was greater than that of the left ventricle, being three to four times higher than in the 24-hour/day stimulation. Conclusions. If extended to humans, these results could be the rationale for the need of a cardiomyostimulator, whose discontinuous activity could offer to patients the long-standing advantage of a faster and powerful muscle contraction.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/S0003-4975(98)00906-0</identifier><identifier>PMID: 9930481</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Animals ; Biological and medical sciences ; Cardiomyoplasty - methods ; Electric Stimulation Therapy ; Medical sciences ; Muscle Contraction - physiology ; Muscle, Skeletal - cytology ; Muscle, Skeletal - metabolism ; Muscle, Skeletal - physiology ; Sheep ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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In dynamic cardiomyoplasty electrostimulation achieves full transformation of the latissimus dorsi (LD); therefore, its slowness limits the systolic support. Daily activity–rest could maintain partial transformation of the LD. Methods. Sheep LD were burst-stimulated either 10 or 24 hours/day. Before and 2, 4, 6, and 12 months after stimulation, LD power output, fatigue resistance, and tetanic fusion frequency were assessed. Latissimus dorsi were biopsied at 6 months, and sheep sacrificed at 12 months. Results. After 1 year of 10 hours/day stimulation LD was substantially conserved and contained large amounts of fast type myosin. From 2 months to 1 year of stimulation the power per muscle of the daily rested LD was greater than that of the left ventricle, being three to four times higher than in the 24-hour/day stimulation. Conclusions. If extended to humans, these results could be the rationale for the need of a cardiomyostimulator, whose discontinuous activity could offer to patients the long-standing advantage of a faster and powerful muscle contraction.</description><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Cardiomyoplasty - methods</subject><subject>Electric Stimulation Therapy</subject><subject>Medical sciences</subject><subject>Muscle Contraction - physiology</subject><subject>Muscle, Skeletal - cytology</subject><subject>Muscle, Skeletal - metabolism</subject><subject>Muscle, Skeletal - physiology</subject><subject>Sheep</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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In dynamic cardiomyoplasty electrostimulation achieves full transformation of the latissimus dorsi (LD); therefore, its slowness limits the systolic support. Daily activity–rest could maintain partial transformation of the LD. Methods. Sheep LD were burst-stimulated either 10 or 24 hours/day. Before and 2, 4, 6, and 12 months after stimulation, LD power output, fatigue resistance, and tetanic fusion frequency were assessed. Latissimus dorsi were biopsied at 6 months, and sheep sacrificed at 12 months. Results. After 1 year of 10 hours/day stimulation LD was substantially conserved and contained large amounts of fast type myosin. From 2 months to 1 year of stimulation the power per muscle of the daily rested LD was greater than that of the left ventricle, being three to four times higher than in the 24-hour/day stimulation. Conclusions. 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source MEDLINE; Elsevier ScienceDirect Journals Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Animals
Biological and medical sciences
Cardiomyoplasty - methods
Electric Stimulation Therapy
Medical sciences
Muscle Contraction - physiology
Muscle, Skeletal - cytology
Muscle, Skeletal - metabolism
Muscle, Skeletal - physiology
Sheep
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Time Factors
title Activity–rest stimulation of latissimus dorsi for cardiomyoplasty: 1-year results in sheep
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