Table 1.
Serial Changes in Echocardiographically Derived Variables and Infarct Expansion After Myocardial Infarction: Effects of Saline or Fibrin-Alginate Injection at 7 Days After Myocardial Infarction
| Time Postmyocardial Infarction (days) | p Values from Analysis of Variance | |||||||
|---|---|---|---|---|---|---|---|---|
| Variable | Baseline | 7 | 14 | 21 | 28 | Within Group (Time) | Between Group | Interaction |
| Heart rate, beats/min | ||||||||
| Saline | 119 ± 6 | 117 ± 8 | 116 ± 4 | 118 ± 2 | 129 ± 24 | NS | … | … |
| Fibrin-alginate | 130 ± 9 | 123 ± 4 | 135 ± 6 | 123 ± 4 | 121 ± 7 | |||
| Posterior wall thickness at end-systole, cm | ||||||||
| Saline | 1.10 ± 0.05 | 0.73 ± 0.08a | 0.69 ± 0.07a | 0.73 ± 0.09a | 0.67 ± 0.08a | 0.004 | 0.001 | 0.228 |
| Fibrin-alginate | 1.13 ± 0.04 | 0.80 ± 0.06a | 1.07 ± 0.11bc | 0.90 ± 0.12 | 0.86 ± 0.11a | |||
| Septal wall thickness at end-systole, cm | ||||||||
| Saline | 1.10 ± 0.03 | 1.05 ± 0.03 | 1.09 ± 0.05 | 1.18 ± 0.05b | 1.23 ± 0.07ab | 0.001 | 0.625 | 0.914 |
| Fibrin-alginate | 1.04 ± 0.03 | 1.05 ± 0.04 | 1.10 ± 0.03 | 1.19 ± 0.04ab | 1.20 ± 0.04ab | |||
| End-diastolic volume, mL | ||||||||
| Saline | 47.5 ± 2.1 | 55.3 ± 1.9a | 59.4 ± 1.5a | 69.9 ± 2.2ab | 75.6 ± 3.2ab | <0.001 | 0.274 | 0.494 |
| Fibrin-alginate | 45.3 ± 1.0 | 55.5 ± 1.6a | 62.1 ± 2.7a | 64.9 ± 2.9ab | 71.7 ± 3.9ab | |||
| Ejection fraction (%) | ||||||||
| Saline | 67.0 ± 0.9 | 53.2 ± 1.1a | 49.8 ± 1.6a | 47.0 ± 1.9ab | 45.6 ± 3.2ab | <0.001 | 0.20 | 0.983 |
| Fibrin-alginate | 68.1 ± 1.0 | 54.7 ± 1.7a | 51.2 ± 1.2a | 48.2 ± 3.8ab | 49.0 ± 2.6a | |||
| LV mass/body weight, g/kg | ||||||||
| Saline | 4.4 ± 0.4 | 4.2 ± 0.3 | 3.8 ± 0.3 | 3.8 ± 0.3 | 3.5 ± 0.2 | NS | … | … |
| Fibrin-alginate | 3.7 ± 0.6 | 3.6 ± 0.5 | 3.6 ± 0.5 | 3.1 ± 0.4 | 3.4 ± 0.5 | |||
| End-diastolic marker area, infarct expansion, cm2 |
||||||||
| Saline | 1.00 ± … | 1.21 ± 0.05 | 1.11 ± 0.07 | 1.42 ± 0.08a | 1.71 ± 0.13ab | 0.018 | 0.322 | 0.320 |
| Fibrin-alginate | 1.00 ± … | 1.25 ± 0.10 | 1.22 ± 0.16 | 1.18 ± 0.17 | 1.44 ± 0.23a | |||
| Change in marker area from 7 days post-MI, mm2 |
||||||||
| Saline | … | 0 | −9.2 ± 9.0 | 21.4 ± 9.0b | 50.6 ± 14.0b | 0.072 | 0.018 | 0.056 |
| Fibrin-alginate | … | 0 | −2.5 13.0 | −22.4 ± 18.0* | 0.5 23.0c | |||
p < 0.05 vs baseline.
p < 0.05 vs 7 days post-MI.
p < 0.05 vs. saline.
Values presented as mean ±standard error of the mean.
Saline: n = 9; Fibrin-alginate: n = 8.
LV = left ventricular; MI = myocardial infarction; NS = not significant.