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Hopper SE, Weiss D, Mikush N, Jiang B, Spronck B, Cavinato C, Humphrey JD, Figueroa CA. Central Artery Hemodynamics in Angiotensin II-Induced Hypertension and Effects of Anesthesia. Ann Biomed Eng 2024; 52:1051-1066. [PMID: 38383871 PMCID: PMC11418744 DOI: 10.1007/s10439-024-03440-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Accepted: 12/30/2023] [Indexed: 02/23/2024]
Abstract
Systemic hypertension is a strong risk factor for cardiovascular, neurovascular, and renovascular diseases. Central artery stiffness is both an initiator and indicator of hypertension, thus revealing a critical relationship between the wall mechanics and hemodynamics. Mice have emerged as a critical animal model for studying effects of hypertension and much has been learned. Regardless of the specific mouse model, data on changes in cardiac function and hemodynamics are necessarily measured under anesthesia. Here, we present a new experimental-computational workflow to estimate awake cardiovascular conditions from anesthetized data, which was then used to quantify effects of chronic angiotensin II-induced hypertension relative to normotension in wild-type mice. We found that isoflurane anesthesia had a greater impact on depressing hemodynamics in angiotensin II-infused mice than in controls, which led to unexpected results when comparing anesthetized results between the two groups of mice. Through comparison of the awake simulations, however, in vivo relevant effects of angiotensin II-infusion on global and regional vascular structure, properties, and hemodynamics were found to be qualitatively consistent with expectations. Specifically, we found an increased in vivo vascular stiffness in the descending thoracic aorta and suprarenal abdominal aorta, leading to increases in pulse pressure in the distal aorta. These insights allow characterization of the impact of regionally varying vascular remodeling on hemodynamics and mouse-to-mouse variations due to induced hypertension.
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Affiliation(s)
- S E Hopper
- Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA
| | - D Weiss
- Department of Biomedical Engineering, Yale University, New Haven, CT, USA
| | - N Mikush
- Translational Research Imaging Center, Yale School of Medicine, New Haven, CT, USA
| | - B Jiang
- Department of Thyroid and Vascular Surgery, 1st Hospital of China Medical University, Shen Yang, China
| | - B Spronck
- Department of Biomedical Engineering, Maastricht University, Maastricht, The Netherlands
| | - C Cavinato
- LMGC, Universite' Montpellier, CNRS, Montpellier, France
| | - J D Humphrey
- Department of Biomedical Engineering, Yale University, New Haven, CT, USA.
| | - C A Figueroa
- Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA
- Department of Surgery, University of Michigan, Ann Arbor, MI, USA
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Marketou M, Papadopoulos G, Kontopodis N, Patrianakos A, Nakou E, Maragkoudakis S, Chlouverakis G, Stratakis S, Tavlas E, Parthenakis F, Ioannou CV. Early Left Ventricular Global Longitudinal Strain Deterioration After Aortic Aneurysm Repair: Impact of Aortic Stiffness. J Endovasc Ther 2020; 28:352-359. [PMID: 33412985 DOI: 10.1177/1526602820976636] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
PURPOSE To associate the impact of aortic reconstruction using currently available grafts and endografts on pulse wave velocity in patients with abdominal aortic aneurysm (AAA) and to evaluate its effect on early cardiac systolic function indices. MATERIALS AND METHODS Seventy-three consecutive patients with AAA (mean age 70±8 years; all men) who underwent open (n=12) or endovascular repair (EVAR; n=61) were prospectively enrolled in an observational cohort study. Left ventricular global longitudinal strain (GLS; an important diagnostic and prognostic index of early systolic dysfunction) and carotid-femoral pulse wave velocity (cf-PWV) were estimated 1 week preoperatively, as well as at 1 and 6 months postoperatively. RESULTS A significant time effect was found for cf-PWV, which showed an increase at 1 month that remained through 6 months (p=0.007). Additionally, a deterioration in GLS values was revealed, with a significant change at 1 month that persisted 6 months later (p<0.001). No significant group effect was observed between EVAR and open repair (p=0.98), and there was no significant interaction (p=0.96). Notably, the difference in GLS between baseline and 6 months significantly correlated with the corresponding changes in cf-PWV (r=0.494, p<0.001). CONCLUSION AAA repair leads not only to an increase in aortic stiffness, as measured by the increase in pulse wave velocity, but also to reduced cardiac systolic function. Our findings highlight the need for a more intense cardiac surveillance program after aortic reconstruction. Further studies are needed to investigate how this may translate into long-term manifestations of cardiovascular complications and symptomatology.
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Affiliation(s)
- Maria Marketou
- Cardiology Department, University Hospital of Heraklion, University of Crete Medical School, Heraklion, Crete, Greece
| | - George Papadopoulos
- Vascular Surgery Unit, Department of Cardiothoracic and Vascular Surgery, University Hospital of Heraklion, University of Crete Medical School, Crete, Greece
| | - Nikolaos Kontopodis
- Vascular Surgery Unit, Department of Cardiothoracic and Vascular Surgery, University Hospital of Heraklion, University of Crete Medical School, Crete, Greece
| | - Alexandros Patrianakos
- Cardiology Department, University Hospital of Heraklion, University of Crete Medical School, Heraklion, Crete, Greece
| | - Eleni Nakou
- Cardiology Department, University Hospital of Heraklion, University of Crete Medical School, Heraklion, Crete, Greece
| | - Spyros Maragkoudakis
- Cardiology Department, University Hospital of Heraklion, University of Crete Medical School, Heraklion, Crete, Greece
| | - Gregory Chlouverakis
- Division of Biostatistics, University Hospital of Heraklion, University of Crete Medical School, Crete, Greece
| | - Stavros Stratakis
- Nephrology Department, University Hospital of Heraklion, University of Crete Medical School, Crete, Greece
| | - Emmanouel Tavlas
- Vascular Surgery Unit, Department of Cardiothoracic and Vascular Surgery, University Hospital of Heraklion, University of Crete Medical School, Crete, Greece
| | - Fragiskos Parthenakis
- Cardiology Department, University Hospital of Heraklion, University of Crete Medical School, Heraklion, Crete, Greece
| | - Christos V Ioannou
- Vascular Surgery Unit, Department of Cardiothoracic and Vascular Surgery, University Hospital of Heraklion, University of Crete Medical School, Crete, Greece
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Tonar Z, Tomášek P, Loskot P, Janáček J, Králíčková M, Witter K. Vasa vasorum in the tunica media and tunica adventitia of the porcine aorta. Ann Anat 2016; 205:22-36. [DOI: 10.1016/j.aanat.2016.01.008] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2015] [Revised: 11/14/2015] [Accepted: 01/05/2016] [Indexed: 02/07/2023]
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Georgakarakos E, Ioannou CV, Georgiadis GS, Storck M, Trellopoulos G, Koutsias S, Lazarides MK. The ovation abdominal stent graft for the treatment of abdominal aortic aneurysms: current evidence and future perspectives. Expert Rev Med Devices 2016; 13:253-62. [DOI: 10.1586/17434440.2016.1147949] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Tonar Z, Kubíková T, Prior C, Demjén E, Liška V, Králíčková M, Witter K. Segmental and age differences in the elastin network, collagen, and smooth muscle phenotype in the tunica media of the porcine aorta. Ann Anat 2015; 201:79-90. [DOI: 10.1016/j.aanat.2015.05.005] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2014] [Revised: 05/26/2015] [Accepted: 05/26/2015] [Indexed: 12/18/2022]
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