Ultrastructural evidence of microvascular damage and myocardial cell injury after coronary artery occlusion: which comes first?

Both microvascular damage and myocardial cell injury occur after coronary occlusion, but the relationship of these two events is unclear; specifically, it is unknown whether microvascular damage causes myocardial cell injury. Dogs were subjected to coronary occlusion for 20, 40, 60, 90 or 180 minute...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 1980-11, Vol.62 (5), p.945-952
Hauptverfasser: Kloner, R A, Rude, R E, Carlson, N, Maroko, P R, DeBoer, L W, Braunwald, E
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container_end_page 952
container_issue 5
container_start_page 945
container_title Circulation (New York, N.Y.)
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creator Kloner, R A
Rude, R E
Carlson, N
Maroko, P R
DeBoer, L W
Braunwald, E
description Both microvascular damage and myocardial cell injury occur after coronary occlusion, but the relationship of these two events is unclear; specifically, it is unknown whether microvascular damage causes myocardial cell injury. Dogs were subjected to coronary occlusion for 20, 40, 60, 90 or 180 minutes, after which subendocardial and subepicardial biopsies were obtained for electron and light microscopy of 1-mu sections. Of 312 biopsies of ischemic myocadium, 181 showed myocardial cell injury with no microvascular damage; 131 showed myocardial cell injury and microvascular damage; but none showed microvascular damage without myocardial cell injury. Although ultrastructural evidence of myocardial cell damage was present in the subendocardium after 20-40 minutes of ischemia, ultrastructural evidence of microvascular damage was not prominent until 60-90 minutes after coronary artery occlusion. Morphologic ultrastructural evidence of microvascular damage lagged behind myocardial cell injury, suggesting that ultrastructural microvascular damage is not a primary cause of ultrastructural myocardial cell injury.
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source MEDLINE; American Heart Association Journals; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals
subjects Animals
Arterial Occlusive Diseases - pathology
Coronary Vessels
Dogs
Endothelium - ultrastructure
Heart Injuries - pathology
Microcirculation
Myocardium - ultrastructure
title Ultrastructural evidence of microvascular damage and myocardial cell injury after coronary artery occlusion: which comes first?
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