Table 2.
Measurement | Information Provided |
---|---|
Infarct size | Infarct size (MI) |
Infarct size per area at risk (MI/reperfusion) | |
Initial ischemic stimulus | |
Final area of damage | |
Effect of therapy or intervention | |
Plasma biomarkers | Ischemia: creatine kinase, troponins |
Inflammation: cytokines and chemokines | |
Scar formation: growth factors and the ECM | |
Neovascularization: angiogenic factors | |
Left ventricular physiology (echocardiography, MRI, positron emission tomography imaging) | Geometry and function: dimensions, wall thickness, left ventricular dimensions and volumes, fractional shortening, ejection fraction, remodeling index |
Electrophysiological function: PR, QRS, and QT intervals/morphology; spontaneous and inducible arrhythmias | |
Inflammation | Immunohistochemistry and immunoblot analysis for cell numbers and inflammatory protein expression |
Flow cytometry analysis of the digested myocardium for individual cell phenotypes | |
Gene expression | |
Systemic and circulating inflammation | |
ECM scar | Picrosirius red for collagen deposition |
Immunohistochemistry and immunoblot analysis for ECM proteins and cross-linking enzymes | |
Gene expression | |
Scar strength assessment | |
Neovascularization | Blood vessel numbers |
Vessel type and quality | |
Microvascular damage | Microvascular plugging |
Hyperpermeability/edema | |
Hemorrhage |
MI, myocardial infarction; ECM, extracellular matrix; MRI, magnetic resonance imaging.