经皮冠状动脉栓塞法建立猪急性心肌梗死模型及缺血修饰白蛋白水平的动态变化
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Swine Model of Acute Myocardial Infarction Established by Percutaneous Coronary Artery Embolism and Dynamic Changes of Ischemia Modified Albumin
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    目的 探讨经皮冠状动脉明胶海绵栓塞法建立猪心肌梗死模型,观察猪急性心肌梗死(AMI)早期血清缺血修饰白蛋白(IMA)的动态变化。方法 选用中华小型猪16只,麻醉后经股动脉穿刺,行冠状动脉造影后经微导管注入明胶海绵堵闭猪钝缘支。分别在术前及术后10、30 min和1、2、3、4、6、8、10、12、24、48 h抽血观察IMA的动态演变。于术后1、3、5、7、10天处死猪,取出心脏,取心肌组织做病理学检查。结果 15头猪心肌梗死造模成功,心电图、心脏标本、病理切片均显示典型心肌梗死改变。IMA在猪心肌梗死后10 min后即开始升高,6 h达峰值,48 h降至正常范围。结论 经皮冠状动脉明胶海绵栓塞法建立猪AMI模型科学可靠,简单易行,可重复性强。IMA是AMI早期的敏感指标,血清IMA水平的动态检测对AMI的早期诊断有一定的临床意义。

    Abstract:

    Aim To establish the swine model of myocardial infarction by percutaneous coronary artery embolism with gelatin sponge, and to observe the dynamic changes of early serum ischemia modified albumin (IMA) in swine with acute myocardial infarction (AMI). Methods 16 Chinese mini-swines were via femoral artery puncture after anesthesia, and obtuse marginal branch was blocked by injecting gelatin sponge via micro catheter after coronary artery angiography. The dynamic changes of IMA were observed by continuously measuring serum IMA in the preoperative and postoperative 10, 30 min and 1, 2, 3, 4, 6, 8, 10, 12, 24, 48 h. The swines were sacrificed at 1, 3, 5, 7, 10 days after the AMI, and specimens of the myocardium were taken for histopathological examination. Results The 15 mini-swine models of myocardial infarction were established successfully, and AMI was confirmed by electrocardiogram, cardiac specimen and histopathological examination. IMA began to rise after 10 min and arrived the highest serum concentration in 6 h, and decreased to normal range in 48 h after AMI. Conclusions The method of swine AMI model established by percutaneous coronary artery embolism with gelatin sponge is scientifically reliable, simple, and repeatable. IMA is sensitive marker in the early of AMI, and dynamic detection of serum IMA level has certain clinical significance in early diagnosis of AMI.

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王丽平,王绍欣,段娜娜,程建新,汪砚雨,王 可,刘相勇,魏利娟,孟雅丽.经皮冠状动脉栓塞法建立猪急性心肌梗死模型及缺血修饰白蛋白水平的动态变化[J].中国动脉硬化杂志,2015,23(04):374~378.

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  • 收稿日期:2014-09-14
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