Title Exploring the mechanisms underlying stroke volume variability reduction in a murine model of heart failure with reduced ejection fraction.
Author Fernandez-Mendoza, Gemma; Mendez-Fernandez, Abraham; Alves-Figueiredo, Hugo J; Garcia-Rivas, Gerardo; Santillan, Moises
Journal PLoS One Publication Year/Month 2023
PMID 37883390 PMCID PMC10602350
Affiliation + expend 1.Departamento de Fisica, Escuela Superior de Fisica y Matematicas, Instituto Politecnico Nacional, Ciudad de Mexico, Mexico.

Heart failure with reduced ejection fraction (HFrEF) is accompanied by disregulation of cardiovascular function. Heart rate variability (HRV) is commonly used to assess autonomic dysfunction in HFrEF. However, analysis of stroke volume variability (SVV) may provide additional insights. We examined HRV and SVV in a mouse model of HFrEF. HFrEF mice exhibited reduced stroke volume and ejection fraction versus controls, confirming cardiac contractile dysfunction. HRV was preserved in HFrEF mice. However, SVV was markedly diminished, indicating dissociation between HRV and SVV regulation. Using a mathematical model, we propose that Frank-Starling mechanism abnormalities in HFrEF disrupt SVV independent of HRV. Assessing SVV could thus provide unique insights beyond HRV into cardiovascular control deficits in HFrEF.

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