Effects of deep sedation or general anesthesia on cardiac function in mice undergoing cardiovascular magnetic resonance

Christopher J. Berry, Daniel R. Thedens, Kelly Ann Light-McGroary, Jordan D Miller, William Kutschke, Kathy A. Zimmerman, Robert M. Weiss

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Background: Genetically engineered mouse models of human cardiovascular disease provide an opportunity to understand critical pathophysiological mechanisms. Cardiovascular magnetic resonance (CMR) provides precise reproducible assessment of cardiac structure and function, but, in contrast to echocardiography, requires that the animal be immobilized during image acquisition. General anesthetic regimens yield satisfactory images, but have the potential to significantly perturb cardiac function. The purpose of this study was to assess the effects of general anesthesia and a new deep sedation regimen, respectively, on cardiac function in mice as determined by CMR, and to compare them to results obtained in mildly sedated conscious mice by echocardiography. Results: In 6 mildly sedated normal conscious mice assessed by echo, heart rate was 615 ± 25 min-1 (mean ± SE) and left ventricular ejection fraction (LVEF) was 0.94 ± 0.01. In the CMR studies of normal mice, heart rate was slightly lower during deep sedation with morphine/midazolam (583 ± 30 min-1), but the difference was not statistically significant. General anesthesia with 1% inhaled isoflurane significantly depressed heart rate (468 ± 7 min-1, p < 0.05 vs. conscious sedation). In 6 additional mice with ischemic LV failure, trends in heart rate were similar, but not statistically significant. In normal mice, deep sedation depressed LVEF (0.79 ± 0.04, p < 0.05 compared to light sedation), but to a significantly lesser extent than general anesthesia (0.60 ± 0.04, p < 0.05 vs. deep sedation). In mice with ischemic LV failure, ejection fraction measurements were comparable when performed during light sedation, deep sedation, and general anesthesia, respectively. Contrast-to-noise ratios were similar during deep sedation and during general anesthesia, indicating comparable image quality. Left ventricular mass measurements made by CMR during deep sedation were nearly identical to those made during general anesthesia (r2 = 0.99, mean absolute difference < 4%), indicating equivalent quantitative accuracy obtained with the two methods. The imaging procedures were well-tolerated in all mice. Conclusion: In mice with normal cardiac function, CMR during deep sedation causes significantly less depression of heart rate and ejection fraction than imaging during general anesthesia with isoflurane. In mice with heart failure, the sedation/anesthesia regimen had no clear impact on cardiac function. Deep sedation and general anesthesia produced CMR with comparable image quality and quantitative accuracy.

Original languageEnglish (US)
Article number16
JournalJournal of Cardiovascular Magnetic Resonance
Volume11
Issue number1
DOIs
StatePublished - 2009
Externally publishedYes

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Deep Sedation
General Anesthesia
Magnetic Resonance Spectroscopy
Heart Rate
Isoflurane
Stroke Volume
Echocardiography
Conscious Sedation
Light
General Anesthetics
Midazolam
Morphine
Noise

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology
  • Family Practice
  • Medicine(all)

Cite this

Berry, C. J., Thedens, D. R., Light-McGroary, K. A., Miller, J. D., Kutschke, W., Zimmerman, K. A., & Weiss, R. M. (2009). Effects of deep sedation or general anesthesia on cardiac function in mice undergoing cardiovascular magnetic resonance. Journal of Cardiovascular Magnetic Resonance, 11(1), [16]. https://doi.org/10.1186/1532-429X-11-16

Effects of deep sedation or general anesthesia on cardiac function in mice undergoing cardiovascular magnetic resonance. / Berry, Christopher J.; Thedens, Daniel R.; Light-McGroary, Kelly Ann; Miller, Jordan D; Kutschke, William; Zimmerman, Kathy A.; Weiss, Robert M.

In: Journal of Cardiovascular Magnetic Resonance, Vol. 11, No. 1, 16, 2009.

Research output: Contribution to journalArticle

Berry, Christopher J. ; Thedens, Daniel R. ; Light-McGroary, Kelly Ann ; Miller, Jordan D ; Kutschke, William ; Zimmerman, Kathy A. ; Weiss, Robert M. / Effects of deep sedation or general anesthesia on cardiac function in mice undergoing cardiovascular magnetic resonance. In: Journal of Cardiovascular Magnetic Resonance. 2009 ; Vol. 11, No. 1.
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abstract = "Background: Genetically engineered mouse models of human cardiovascular disease provide an opportunity to understand critical pathophysiological mechanisms. Cardiovascular magnetic resonance (CMR) provides precise reproducible assessment of cardiac structure and function, but, in contrast to echocardiography, requires that the animal be immobilized during image acquisition. General anesthetic regimens yield satisfactory images, but have the potential to significantly perturb cardiac function. The purpose of this study was to assess the effects of general anesthesia and a new deep sedation regimen, respectively, on cardiac function in mice as determined by CMR, and to compare them to results obtained in mildly sedated conscious mice by echocardiography. Results: In 6 mildly sedated normal conscious mice assessed by echo, heart rate was 615 ± 25 min-1 (mean ± SE) and left ventricular ejection fraction (LVEF) was 0.94 ± 0.01. In the CMR studies of normal mice, heart rate was slightly lower during deep sedation with morphine/midazolam (583 ± 30 min-1), but the difference was not statistically significant. General anesthesia with 1{\%} inhaled isoflurane significantly depressed heart rate (468 ± 7 min-1, p < 0.05 vs. conscious sedation). In 6 additional mice with ischemic LV failure, trends in heart rate were similar, but not statistically significant. In normal mice, deep sedation depressed LVEF (0.79 ± 0.04, p < 0.05 compared to light sedation), but to a significantly lesser extent than general anesthesia (0.60 ± 0.04, p < 0.05 vs. deep sedation). In mice with ischemic LV failure, ejection fraction measurements were comparable when performed during light sedation, deep sedation, and general anesthesia, respectively. Contrast-to-noise ratios were similar during deep sedation and during general anesthesia, indicating comparable image quality. Left ventricular mass measurements made by CMR during deep sedation were nearly identical to those made during general anesthesia (r2 = 0.99, mean absolute difference < 4{\%}), indicating equivalent quantitative accuracy obtained with the two methods. The imaging procedures were well-tolerated in all mice. Conclusion: In mice with normal cardiac function, CMR during deep sedation causes significantly less depression of heart rate and ejection fraction than imaging during general anesthesia with isoflurane. In mice with heart failure, the sedation/anesthesia regimen had no clear impact on cardiac function. Deep sedation and general anesthesia produced CMR with comparable image quality and quantitative accuracy.",
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AU - Kutschke, William

AU - Zimmerman, Kathy A.

AU - Weiss, Robert M.

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