Abstract

Cardiovascular disease continues to be the leading cause of morbidity and mortality in the United States and thousands of manuscripts each year are aimed at elucidating mechanisms underlying cardiac disease. The methods for quantifying cardiac performance are quite varied, with each technique assessing unique features of cardiac muscle mechanical properties. Accordingly, in this review, we discuss current ex vivo methods for quantifying cardiac muscle performance, highlighting what can be learned from each method, and how each technique can be used in conjunction to complement others for a more comprehensive understanding of cardiac function. Importantly, cardiac function can be assessed at several different levels, from the whole organ down to individual protein-protein interactions. Here, we take a reductionist view of methods that are commonly used to measure the distinct aspects of cardiac mechanical function, beginning with whole heart preparations and finishing with the in vitro motility assay. While each of the techniques are individually well-documented in the literature, there is a significant need for a comparison of the techniques, delineating the mechanical parameters that can are best measured with each technique, as well as the strengths and weaknesses inherent to each method. Additionally, we will consider complementary techniques and how these methods can be used in combination to improve our understanding of cardiac mechanical function. By presenting each of these methods, with their strengths and limitations, in a single manuscript, this review will assist cardiovascular biologists in understanding the existing literature on cardiac mechanical function, as well as designing future experiments.

Highlights

  • The ultimate metric of cardiac function is its ability to pump blood to the entire body

  • The heart continues to beat spontaneously, and contractility is measured using either a pressure transducer attached to the cardiac apex or a balloon transducer inserted into the left ventricle (LV)

  • The trabeculae can be iontophoretically loaded with a calcium indicator for measurements of intracellular calcium (Gao et al, 1994) or studies can be conducted on skinned trabeculae which involves permeating the sarcolemmal membrane (Kentish et al, 1986; Gwathmey and Hajjar, 1990; Gao et al, 1994) for measurement of sarcomeric mechanics at fixed calcium levels

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Summary

INTRODUCTION

The ultimate metric of cardiac function is its ability to pump blood to the entire body. One of the most understood aspect of cardiac function is contraction during systole where the ventricle performs a synchronized development of force, thereby decreasing the ventricular chamber volume in such a way to push blood out to the circulatory system. If this contraction is decreased, the results are apparent, often catastrophic, and are evidenced by decreased cardiac output; when studying the physiology of different cardiac diseases and mutations, an immediate functional measurement or output relays information about contraction.

Methods to Assess Cardiac Function
METHODS
Basic Methods in Working Heart Preparation
Findings
DISCUSSION
CONCLUSION
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