F. Keller et G. Leutert, TO THE AGE-DEPENDENCE OF THE COLLAGENEOUS STRUCTURES OF THE HUMAN HEART, Zeitschrift fur Gerontologie, 27(3), 1994, pp. 186-193
Polarization-microscopical measurements combined with silver-staining
methods and morphometrical estimations (countings) were used to study
the collagen fiber structures of the fibrosa of human atrioventricular
valves as well as of the chordae tendineae of the right and left hear
t with regard to age and sex differences. Measurements and countings w
ere performed on histological sections of the tricuspid valve, bicuspi
d valve and the chordae tendineae from a total of 87 subjects of both
sexes, who were divided into three age groups (lst and 2nd, 3rd to 5th
and > 6th decade) with six to seven persons in each group. Difference
s were found between the right and left atrioventricular valve and ana
logously between the chordae tendineae of the right and left heart in
middle-aged persons with regard to the frequency-distribution H(Q) of
the quotients of path differences and the proportion of silver stained
collagen fibers as compared to unstained. These differences can be in
terpreted as an expression of different functional load (low-pressure
vs. high-pressure system). Under higher pressure, the proportion of un
silvered fibers with a higher mean value of quotient (mainly assigned
to type I collagen) at the expense of the silvered fibers (classified
as type III collagen) becomes greater.