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Circulation. 2000;102:2028-2030

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(Circulation. 2000;102:2028.)
© 2000 American Heart Association, Inc.


Brief Rapid Communications

Altered Myocardial Microvascular 3D Architecture in Experimental Hypercholesterolemia

Martin Rodriguez-Porcel; Amir Lerman, MD; Erik L. Ritman, MD, PhD; Stephanie H. Wilson, MD; Patricia J. M. Best, MD; Lilach O. Lerman, MD, PhD

From the Department of Internal Medicine, Divisions of Cardiovascular Diseases (M.R.-P., A.L., E.L.R., S.H.W., P.J.M.B.) and Hypertension (L.O.L.), and the Department of Physiology and Biophysics (E.L.R.), Mayo Clinic, Rochester, Minn.

Correspondence to Lilach O. Lerman, MD, PhD, Division of Hypertension, Mayo Clinic, 200 First St SW, Rochester, MN 55905. E-mail lerman.lilach{at}mayo.edu

Background—Experimental hypercholesterolemia (HC) impairs intramyocardial microvascular function. However, whether this is associated with alterations in microvascular architecture remained unknown. Using a novel 3D micro-CT scanner, we tested the hypothesis that HC is associated with an alteration in the microvascular architecture.

Methods and Results—Pigs were euthanized after 12 weeks of either normal (n=6) or 2% HC (n=6) diet. The hearts were excised and the coronary arteries injected with a radiopaque contrast material. Myocardial samples were scanned with micro-CT, and 3D images were reconstructed with 21-µm cubic voxels. The myocardium was tomographically subdivided into subepicardium and subendocardium, and microvessels (<500 µm in diameter) were counted in situ within each region. In the subendocardium of HC pigs, the intramyocardial density of microvessels was significantly higher than in normal animals (1221.4±199.7 versus 758.3±90.8 vessels/cm3, P<0.05) because of an increase in the number of microvessels <200 µm in diameter (1214.4±199.7 versus 746.6±101.5 vessels/cm3, P<0.05). The subepicardial vascular density was similar in both groups.

Conclusions—HC has differential effects on the spatial density of the subendocardial microvasculature that may play a role in regulation and/or spatial distribution of myocardial blood flow. This study also demonstrates the feasibility of studying myocardial microvascular architecture with micro-CT in pathophysiological states.


Key Words: hypercholesterolemia • tomography • microcirculation




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