The isolated heart is used to study vascular reactivity, endothelial and smooth muscle function and the effect of a variety of interventions on coronary flow and its distribution. Researchers investigate the response of the heart to agonists or antagonists added to the perfusate, and study the inotropic, lusitropic or chronotropic responses, generating a Concentration Response Curve (CRC).
Two techniques are used to study the isolated heart, Langendorff heart (LH) and working heart (WH), both using the left side of the heart.
Vascular reactivity studies are performed preferentially using the Langendorff perfused heart mode, measuring coronary flow variations in response to vasoactive substances.
Ischemia-reperfusion (I/R) injury can be experimented using the isolated heart retrieved from healthy or diseased animals in order to study the impact of I/R on the myocardial tissue and its function. A period of global (blocked flow from aorta) or regional (occluded or ligated coronary artery) ischemia can be induced for some period followed by reperfusion.
Studies on vascular biology are based on variations in the coronary flow that will be related to vasodilation or vasoconstriction in response to different stimuli. I/R studies allow researchers to document the susceptibility of the endothelium to myocardial infarction.