The impact of non-severe burn injury on cardiac function and long-term cardiovascular pathology

Severe burn injury significantly affects cardiovascular function for up to 3 years. However, whether this leads to long-term pathology is unknown. The impact of non-severe burn injury, which accounts for over 80% of admissions in developed countries, has not been investigated. Using a rodent model o...

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Main Authors: O'Halloran, E., Shah, A., Dembo, L., Hool, L., Viola, H., Grey, C., Boyd, James, O'Neill, T., Wood, F., Duke, J., Fear, M.
Format: Journal Article
Published: Nature Publishing Group 2016
Online Access:http://hdl.handle.net/20.500.11937/17145
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author O'Halloran, E.
Shah, A.
Dembo, L.
Hool, L.
Viola, H.
Grey, C.
Boyd, James
O'Neill, T.
Wood, F.
Duke, J.
Fear, M.
author_facet O'Halloran, E.
Shah, A.
Dembo, L.
Hool, L.
Viola, H.
Grey, C.
Boyd, James
O'Neill, T.
Wood, F.
Duke, J.
Fear, M.
author_sort O'Halloran, E.
building Curtin Institutional Repository
collection Online Access
description Severe burn injury significantly affects cardiovascular function for up to 3 years. However, whether this leads to long-term pathology is unknown. The impact of non-severe burn injury, which accounts for over 80% of admissions in developed countries, has not been investigated. Using a rodent model of non-severe burn injury with subsequent echocardiography we showed significantly increased left ventricular end systolic diameter (LVESD) and ventricular wall thickness at up to 3 months post-injury. Use of propranolol abrogated the changes in cardiac measures observed. Subsequently we investigated changes in a patient cohort with non-severe injury. Echocardiography measured at baseline and at 3 months post-injury showed increased LVESD at 3 months and significantly decreased posterior wall diameter. Finally, 32 years of Western Australian hospital records were used to investigate the incidence of cardiovascular disease admissions after burn injury. People who had experienced a burn had increased hospital admissions and length of stay for cardiovascular diseases when compared to a matched uninjured cohort. This study presents animal, patient and population data that strongly suggest non-severe burn injury has significant effects on cardiovascular function and long-term morbidity in some burn patients. Identification of patients at risk will promote better intervention and outcomes for burn patients.
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spelling curtin-20.500.11937-171452017-09-13T15:42:21Z The impact of non-severe burn injury on cardiac function and long-term cardiovascular pathology O'Halloran, E. Shah, A. Dembo, L. Hool, L. Viola, H. Grey, C. Boyd, James O'Neill, T. Wood, F. Duke, J. Fear, M. Severe burn injury significantly affects cardiovascular function for up to 3 years. However, whether this leads to long-term pathology is unknown. The impact of non-severe burn injury, which accounts for over 80% of admissions in developed countries, has not been investigated. Using a rodent model of non-severe burn injury with subsequent echocardiography we showed significantly increased left ventricular end systolic diameter (LVESD) and ventricular wall thickness at up to 3 months post-injury. Use of propranolol abrogated the changes in cardiac measures observed. Subsequently we investigated changes in a patient cohort with non-severe injury. Echocardiography measured at baseline and at 3 months post-injury showed increased LVESD at 3 months and significantly decreased posterior wall diameter. Finally, 32 years of Western Australian hospital records were used to investigate the incidence of cardiovascular disease admissions after burn injury. People who had experienced a burn had increased hospital admissions and length of stay for cardiovascular diseases when compared to a matched uninjured cohort. This study presents animal, patient and population data that strongly suggest non-severe burn injury has significant effects on cardiovascular function and long-term morbidity in some burn patients. Identification of patients at risk will promote better intervention and outcomes for burn patients. 2016 Journal Article http://hdl.handle.net/20.500.11937/17145 10.1038/srep34650 Nature Publishing Group fulltext
spellingShingle O'Halloran, E.
Shah, A.
Dembo, L.
Hool, L.
Viola, H.
Grey, C.
Boyd, James
O'Neill, T.
Wood, F.
Duke, J.
Fear, M.
The impact of non-severe burn injury on cardiac function and long-term cardiovascular pathology
title The impact of non-severe burn injury on cardiac function and long-term cardiovascular pathology
title_full The impact of non-severe burn injury on cardiac function and long-term cardiovascular pathology
title_fullStr The impact of non-severe burn injury on cardiac function and long-term cardiovascular pathology
title_full_unstemmed The impact of non-severe burn injury on cardiac function and long-term cardiovascular pathology
title_short The impact of non-severe burn injury on cardiac function and long-term cardiovascular pathology
title_sort impact of non-severe burn injury on cardiac function and long-term cardiovascular pathology
url http://hdl.handle.net/20.500.11937/17145