Effects of Isovolumic Loading Elicited Either by 3-Branch or by 4-Branch Spring Expander on the Degree of Cardiac Atrophy of the Failing Heart in Rats After Heterotopic Heart Transplantation: No Evidence for Sex-Linked Differences.

An important harmful side effect of the prolonged support of the left ventricle (LV) with an LV assist device (LVAD) in patients with advanced heart failure (HF) is development of cardiac atrophy. Our first aim was to evaluate if implantation of the four-branch spring expander into LV of the rat wil...

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Published in:Physiological Research Vol. 74; no. 5; pp. 729 - 742
Main Authors: ČERVENKA, Luděk, MRÁZOVÁ, Iveta, ŠKAROUPKOVÁ, Petra, SADOWSKI, Janusz
Format: Journal Article
Published: Institute of Physiology, Academy of Sciences of the Czech Republic Oct2025
Online Access:View this record in EBSCOhost
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      dt: Oct2025
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      pub: Institute of Physiology, Academy of Sciences of the Czech Republic
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        10.33549/physiolres.935650
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        atl: Effects of Isovolumic Loading Elicited Either by 3-Branch or by 4-Branch Spring Expander on the Degree of Cardiac Atrophy of the Failing Heart in Rats After Heterotopic Heart Transplantation: No Evidence for Sex-Linked Differences.
      aug:
        au:
          ČERVENKA, Luděk
          MRÁZOVÁ, Iveta
          ŠKAROUPKOVÁ, Petra
          SADOWSKI, Janusz
        affil: Center for Experimental Medicine, Institute for Clinical and Experimental Medicine, Prague, Czech Republic
      sug:
      ab: An important harmful side effect of the prolonged support of the left ventricle (LV) with an LV assist device (LVAD) in patients with advanced heart failure (HF) is development of cardiac atrophy. Our first aim was to evaluate if implantation of the four-branch spring expander into LV of the rat will exhibit greater attenuation of unloading-induced cardiac atrophy as compared with the threebranch spring expander. The second aim was to assess if sex-related differences are present in the development of unloading-induced cardiac atrophy in the failing hearts with implanted either threebranch or four-branch spring expander into the LV. Heterotopic heart transplantation in the rat (HTx) served as the model of heart unloading after LVAD implantation. HF was induced by volume overload achieved by creation of the aorto-caval fistula. The degree of cardiac atrophy was assessed as the weight ratio of the heterotopically transplanted heart to the control native heart. We found that enhancement of isovolumic loading by implantation of either type of spring expander into the LV reduced the degree of post-HTx cardiac atrophy in the failing hearts but the four-branch variant was significantly more effective. In addition, we found that there were no sex-related differences in the development of unloading-induced cardiac atrophy or in the attenuation of this process in the failing hearts. We propose that enhancing cardiac work by increasing isovolumic loading via implantation of the spring expander might be a reasonable approach to attenuate the unloading-induced cardiac atrophy in the failing hearts in both sexes.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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