Abstract

BackgroundTo determine whether intermittent hypoxia (IH) can reduce the infarct size (IS) after acute myocardial infarction (AMI) in rats.MethodsArticles were identified in PubMed, EMBASE and the Web of Science and were included if they evaluated the effect of IH on the changes in the infarcted area after AMI in rats.ResultsA preliminary search identified 3633 articles and 29 data sets from 23 articles (12 in vivo, 16 in vitro). The IS decreased after AMI in IH rats both in vitro (SMD -1.46, 95% CI [− 2.37, − 0.55]; I2 = 85.6%, P = 0.000) and in vivo (SMD -1.43, 95% CI [− 2.05, − 0.82], I2 = 73.6%, P = 0.000). Sensitivity analysis indicated that IH had a strong protective effect against myocardial infarction, and the hypoxia concentration was significantly correlated with the change in IS after AMI.ConclusionIH can reduce IS after AMI in rats. This effect of IH may be related to the dose of hypoxia, and the oxygen concentration may be one of the most important influencing factors.

Highlights

  • To determine whether intermittent hypoxia (IH) can reduce the infarct size (IS) after acute myocardial infarction (AMI) in rats

  • The search included literature that investigated the effect of IH on infarct size in either in vivo and in vitro models after AMI

  • Meta-analysis The meta-analysis showed that IH reduced IS after AMI both in vitro group (SMD -1.46, 95% confidence intervals (CI) [− 2.37, − 0.55]; I2 = 85.6%, P = 0.000; Fig. 2) and in vivo group (SMD -1.43,CI [− 2.05, − 0.82], I2 = 73.6%,P = 0.000; Fig. 3)

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Summary

Introduction

To determine whether intermittent hypoxia (IH) can reduce the infarct size (IS) after acute myocardial infarction (AMI) in rats. An increasing number of studies show that IH can help reduce the area of myocardial infarction in patients with coronary heart disease [5,6,7] or in animal models of acute myocardial infarction [8, 9]. IH can reduce IS and increase the ejection fraction of the heart and reduce the occurrence of arrhythmia after AMI [8, 10, 11], IH has protective effects on other organs of the body, such as lowering blood pressure, improving glucose tolerance, improving blood lipid levels, reducing the infarct area after acute cerebral infarction, and improving cognitive dysfunction and renal fibrosis after ischemia [1, 2, 12,13,14,15]

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