Circulation, Vol 89, 1282-1290, Copyright © 1994 by American Heart Association
BQ Zhu, YP Sun, RE Sievers, SA Glantz, WW Parmley and CL Wolfe
BACKGROUND: Exposure to environmental tobacco smoke (ETS) has been
epidemiologically linked to death from ischemic heart disease in
nonsmokers. In this study, we evaluated the influence of 3 days, 3 weeks,
and 6 weeks of ETS exposure on myocardial infarct size in a rat
ischemia/reperfusion model. METHODS AND RESULTS: Sprague-Dawley rats
exposed to ETS (four Marlboro cigarettes per 15 minutes, 6 hours per day, 5
days per week) for 3 days (n = 24), 3 weeks (n = 21), or 6 weeks (n = 12)
and control rats (n = 24, n = 21, and n = 12, respectively) were subjected
to 35 minutes of left coronary artery occlusion and 2 hours of reperfusion.
Infarct size and risk area were determined by triphenyltetrazolium chloride
and phthalocyanine blue staining, respectively. Air nicotine, carbon
monoxide, and total particulates were measured during ETS exposure. Serum
lipids, plasma carbon monoxide hemoglobin (COHb), nicotine, and cotinine
concentrations were measured in additional groups (6 to 13 rats each)
exposed to 3 days, 3 weeks, or 6 weeks of ETS and controls. Average air
nicotine, carbon monoxide, and total particulate concentrations were 1103
micrograms/m3, 92 ppm, and 60 mg/m3 for the ETS-exposed rats. Infarct size
(infarct mass/risk area x 100%) increased significantly in the ETS groups
compared with the control groups in a dose-dependent manner (P = .023),
with longer exposure associated with larger infarct size. Infarct size
nearly doubled with 6 weeks of ETS exposure (61 +/- 5% versus 34 +/- 3% for
control, mean +/- SEM). Plasma COHb, nicotine, and cotinine levels
increased significantly in the ETS groups in a dose-dependent manner (all P
< .001). CONCLUSIONS: Exposure to passive smoking increases myocardial
infarct size in a rat model of ischemia and reperfusion. This increase of
infarct size exhibited a dose-response relation. These results are
consistent with epidemiological studies demonstrating that ETS increases
the risk of heart death.
ARTICLES
Exposure to environmental tobacco smoke increases myocardial infarct size in rats
Department of Medicine, University of California, San Francisco 94143- 0124.
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