Morphometric analysis of the infarcted heart.

To determine whether left ventricular hypertrophy following myocardial infarction leads to a complete or incomplete reconstitution of myocardial mass, the left coronary artery in rats was ligated and the animals sacrificed 30 days later. Infarcts affecting an average 43% of the ventricle were characterized by a 90% hypertrophic growth of the remaining myocardium that was inadequate for a full restoration of ventricular tissue. Myocyte hypertrophy, evaluated by changes in mean cell volume per nucleus, was again insufficient for a total recovery of the myocyte compartment of the ventricle. These observations suggest that infarcts comprising nearly 50% of the ventricle produce a sufficiently large stress on the spared myocytes to stimulate their maximal hypertrophic reserve capacity. Cardiac muscle cells, however, appear to be unable to offset by cellular hypertrophy alone the loss of mass induced by infarcts of this size. The inadequate compensatory response of the myocytes could be the underlying structural mechanism responsible for impaired ventricular function in large infarcts.