Abstract
Age is a major driver of the risk of acute myocardial infarction and malignant ventricular arrhythmias. However, age-related changes in the ischemic myocardium remain largely unclear. The present study aimed to evaluate electrophysiological responses of myocardium to experimental ischemia-reperfusion conditions in rats aged 3, 12, and 24 months. Epicardial map** (64 leads) was performed in a total of 34 anesthetized animals. In each lead, activation time (AT), end of repolarization time (RT), and activation-repolarization interval (ARI), were measured as dV/dt min during QRS, dV/dt max during T-wave, and RT – AT difference, respectively. Dispersion of repolarization (DOR) was determined as the RTmax – RTmin difference throughout all leads. Ischemia was induced by a 5-min ligation of the left anterior descending coronary artery. It was found that the 24-month-old rats had shorter baseline ATs and ARIs (p < 0.05), greater AT prolongation and less ARI shortening at ischemia (p < 0.05) and more complete recovery of the ARI at reperfusion (p < 0.001; all comparisons vs 3-month-old animals). At reperfusion, the absolute values of AT and DOR were lower in the old and middle-aged animals as compared to the young rats (p < 0.05); however, the absolute values of ARI durations did not differ between the groups. The data obtained suggest existence of age-related differences in the sensitivity of myocardium to ischemia-reperfusion conditions and that old animals are more susceptible to adverse changes regarding activation spread and more resilient regarding repolarization characteristics as compared to young adult animals.
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The study was supported by Russian Science Foundation (RSF 22-25-00843).
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E.V.M.: conducting experiments, data processing and analysis, writing a manuscript; A.V.D.: conceptualization, experimental design, conducting experiments, data analysis; J.E.A.: data analysis, writing and editing a manuscript; O.G.B.: conceptualization, experimental design, planning an experiment, conducting experiments, data analysis, writing and editing a manuscript.
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Translated by A. Polyanovsky
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Minnebaeva, E.V., Durkina, A.V., Azarov, J.E. et al. Myocardial Electrophysiological Response to Ischemia and Reperfusion Depends on the Age of Rats. J Evol Biochem Phys 58 (Suppl 1), S63–S73 (2022). https://doi.org/10.1134/S0022093022070079
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DOI: https://doi.org/10.1134/S0022093022070079