Exploring the mechanisms underlying stroke volume variability reduction in a murine model of heart failure with reduced ejection fraction.

Heart failure with reduced ejection fraction (HFrEF) is accompanied by disregulation of cardiovascular function. Heart rate variability (HRV) is commonly used to assess autonomic dysfunction in HFrEF. However, analysis of stroke volume variability (SVV) may provide additional insights. We examined H...

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Main Authors: Gemma Fernández-Mendoza, Abraham Méndez-Fernández, Hugo J Alves-Figueiredo, Gerardo García-Rivas, Moisés Santillán
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0292687&type=printable
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author Gemma Fernández-Mendoza
Abraham Méndez-Fernández
Hugo J Alves-Figueiredo
Gerardo García-Rivas
Moisés Santillán
author_facet Gemma Fernández-Mendoza
Abraham Méndez-Fernández
Hugo J Alves-Figueiredo
Gerardo García-Rivas
Moisés Santillán
author_sort Gemma Fernández-Mendoza
collection DOAJ
description Heart failure with reduced ejection fraction (HFrEF) is accompanied by disregulation of cardiovascular function. Heart rate variability (HRV) is commonly used to assess autonomic dysfunction in HFrEF. However, analysis of stroke volume variability (SVV) may provide additional insights. We examined HRV and SVV in a mouse model of HFrEF. HFrEF mice exhibited reduced stroke volume and ejection fraction versus controls, confirming cardiac contractile dysfunction. HRV was preserved in HFrEF mice. However, SVV was markedly diminished, indicating dissociation between HRV and SVV regulation. Using a mathematical model, we propose that Frank-Starling mechanism abnormalities in HFrEF disrupt SVV independent of HRV. Assessing SVV could thus provide unique insights beyond HRV into cardiovascular control deficits in HFrEF.
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spelling doaj.art-61aef159235a4688b886a593be03da272023-11-03T05:32:51ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-011810e029268710.1371/journal.pone.0292687Exploring the mechanisms underlying stroke volume variability reduction in a murine model of heart failure with reduced ejection fraction.Gemma Fernández-MendozaAbraham Méndez-FernándezHugo J Alves-FigueiredoGerardo García-RivasMoisés SantillánHeart failure with reduced ejection fraction (HFrEF) is accompanied by disregulation of cardiovascular function. Heart rate variability (HRV) is commonly used to assess autonomic dysfunction in HFrEF. However, analysis of stroke volume variability (SVV) may provide additional insights. We examined HRV and SVV in a mouse model of HFrEF. HFrEF mice exhibited reduced stroke volume and ejection fraction versus controls, confirming cardiac contractile dysfunction. HRV was preserved in HFrEF mice. However, SVV was markedly diminished, indicating dissociation between HRV and SVV regulation. Using a mathematical model, we propose that Frank-Starling mechanism abnormalities in HFrEF disrupt SVV independent of HRV. Assessing SVV could thus provide unique insights beyond HRV into cardiovascular control deficits in HFrEF.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0292687&type=printable
spellingShingle Gemma Fernández-Mendoza
Abraham Méndez-Fernández
Hugo J Alves-Figueiredo
Gerardo García-Rivas
Moisés Santillán
Exploring the mechanisms underlying stroke volume variability reduction in a murine model of heart failure with reduced ejection fraction.
PLoS ONE
title Exploring the mechanisms underlying stroke volume variability reduction in a murine model of heart failure with reduced ejection fraction.
title_full Exploring the mechanisms underlying stroke volume variability reduction in a murine model of heart failure with reduced ejection fraction.
title_fullStr Exploring the mechanisms underlying stroke volume variability reduction in a murine model of heart failure with reduced ejection fraction.
title_full_unstemmed Exploring the mechanisms underlying stroke volume variability reduction in a murine model of heart failure with reduced ejection fraction.
title_short Exploring the mechanisms underlying stroke volume variability reduction in a murine model of heart failure with reduced ejection fraction.
title_sort exploring the mechanisms underlying stroke volume variability reduction in a murine model of heart failure with reduced ejection fraction
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0292687&type=printable
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