Background: Supravalvar aortic stenosis (SVAS) is used to study overload-induced cardiac remodeling (CR). In this model, neither CR behavior since beginning stage nor the best parameters to identify ventricular dysfunction are clearly stated.Objective: ) Characterizing, early and evolutively, morphological and functional modifications during CR in rats with SVAS and ) identifying the most sensitive index for detecting the moment when the diastolic and systolic dysfunction first appeared in the left ventricle (LV).
Methods
IntroductionCardiac remodeling (CR) refers to an alteration in gene expression in response to an aggression, resulting in molecular changes, cellular changes and myocardial interstitial alterations, expressed in variations of the heart size, shape and function 1 . This is also a mechanism in adaptation to hemodynamic overload, allowing the heart to keep its functions in view of load increase 2-4 . This is deemed as a risk factor for development of ventricular dysfunction and heart failure (HF) 5 .Several experimental models have been proposed for the study of CR due to pressure overload, such as supravalvar aortic stenosis (SVAS) in rats [6][7][8] . When young animals are subject to aortic constriction, pressure overload is low at the beginning, being increased proportionally with their growth. SVAS advantages are: gradual development of CR, associated in short term to the improvement of systolic function; absence of severe lesions in myocardial anatomy; and low maintenance cost 9 . Around the 20 th week of SVAS, deterioration of systolic performance and HF [10][11][12][13] begin. This model is partially similar to SVAS in men 11 .Experiments in our lab with rats with SVAS assessed morphological and functional cardiac aspects, by means of echocardiogram (ECHO), in different periods of CR, finding out supranormal systolic function in 6 th or 8 th week 4,9,12 , diastolic dysfunction as of the 12nd week 9 and deterioration of systolic performance in the 21 st week. This last group of animals also had signs of heart failure 9 . Some authors, using hemodynamic evaluation, verified increase in left ventricular end-diastolic pressure after the 6 th week -in contrast, evaluation of diastolic function by means of ECHO has been found inaltered 13 . Litwin et al 8 assessed rats with SVAS by means of ECHO during 6 th , 12 th and 18 th weeks, and observed diastolic dysfunction as of the 6 th week and deterioration of systolic performance in the 18 th week.Analysis of mentioned studies has shows controversial results and absence of evaluation in an earlier post-induction of SVAS. The study aimed at characterizing, early and evolutively,
Original ArticleArq Bras Cardiol 2010; 94(1) : 59-66