Background. The threefold aim of this experimental study was to test the co
rrelation of cardiac troponin I released to myocardial infarction size and
myocardial fixation of anticardiac troponin I antibody and to determine how
long after myocardial infarction the measure of cardiac troponin I concent
ration can evaluate myocardial infarction size.
Methods. Forty rabbits mere assigned either to a control group or to an exp
erimental preconditioned group. Infarction was obtained by tightening a sna
re around the left anterior descending artery. Serial venous blood samples
mere drawn for measurement of cardiac troponin I. The rabbits were sacrific
ed at 72 hours and a histological study was performed to determine the infa
rct size and the size of the area void of fixation of anticardiac troponin
I antibody.
Results. There was a linear correlation between the total amount of CTn I r
eleased and both infarct size (r=0.45, p<0.02) and the size of the area voi
d of anti-cardiac troponin I antibody (r=0.47, p<0.02), These two sizes wer
e strongly correlated (r=0.95, p<0.02). The hour 9 CTn I sample was the bes
t correlated with both the infarct size (r=0.47, p<0.02) and the size of ar
ea void of anticardiac troponin I antibody (r=0.45, p<0.02).
Conclusions. Our study shows that: 1) cardiac troponin I release is correla
ted to both myocardial infarction size and the size of area void of fixatio
n of anticardiac troponin I antibody, 2) the area void of anticardiac tropo
nin I antibody fixation includes the whole ischemic area, and 3) evaluation
of myocardial infarction size can be obtained by CTn I concentration as ea
rly as the ninth hour.