Different microcirculatory and interstitial matrix patterns in idiopathic dilated cardiomyopathy and Chagas' disease: a three dimensional confocal microscopy study
Md. Higuchi et al., Different microcirculatory and interstitial matrix patterns in idiopathic dilated cardiomyopathy and Chagas' disease: a three dimensional confocal microscopy study, HEART, 82(3), 1999, pp. 279-285
Citations number
33
Categorie Soggetti
Cardiovascular & Respiratory Systems","Cardiovascular & Hematology Research
Objective-To analyse the morphological aspects of the extracellular matrix
and microcirculation to clarify whether chronic Chagas' cardiopathy (CCC) i
s an accurate model to study the pathogenesis of idiopathic dilated cardiom
yopathy (IDCM).
Design-Thick histological myocardial sections were prepared to analyse coll
agen, and microcirculation was examined during confocal laser and light mic
roscopy.
Setting-The specimens were prepared at the pathology service of the Heart I
nstitute of Sao Paulo, Brazil.
Patients-Nine control hearts, eight IDCM hearts, and 10 CCC hearts were stu
died after necropsy.
Main outcome measures-The number of collagen struts per 100x field, the are
a of fibrosis (%), and the diameters of arterioles and capillaries were mea
sured in each heart to establish outcome.
Results-A smaller number (mean (SD)) of collagen struts was seen in the hea
rts in the IDCM group (9.1 (4.1)) than in the control (22.4 (3.2)) (p < 0.0
5) or CCC (15.7 (7.4)) (p > 0.05) groups. Fibrosis was greater in the CCC h
earts (13.8 (10.5)%) than in the IDCM hearts (5.9 (6.6)%) (p > 0.05). Major
increases in arteriole (65.4 (9.9) mu m) and capillary (9.9 (1.7) mu m) di
ameters were seen in the CCC hearts but not in the IDCM hearts (arteriole d
iameter 40.3 (7.9) mu m; capillary diameter 7.9 (1.3) mu m)
Conclusions-Hearts demonstrating CCC and IDCM present different extracellul
ar and microvessel alterations. This suggests that distinct pathogenic mech
anisms are responsible for each condition and that CCC is not an effective
model to study IDCM.