Characterization of Obesity-related Cardiomyopathy Through Exploration of Human Atrial Trabeculae Contraction
Characterization of Obesity-related Cardiomyopathy Through Exploration of Human Atrial Trabeculae Contraction
The investigators aim to explore obese cardiomyopathy by studying contractile twitch force,
 sarcomere sensitivity to calcium and mitochondrial function in atrial myocardial samples of
 patients grouped according to their body mass index, i.e. normal weight, overweight and
 obese.
Obesity is associated with the development of heart failure, regardless of coronary artery
 disease or other comorbidities.

 Right atrial samples obtained from patients undergoing cardiac surgery and presenting no sign
 of clinical cardiomyopathy will be grouped according to patient's body mass index. Atrial
 trabeculae will be explored to dissect out the respective contribution of (i) sarcoplasmic
 reticulum dysfunction (isometric twitch force contraction analysis), (ii) abnormal sarcomere
 sensitivity to calcium assessed in permeabilized fibers and (iii) mitochondrial dysfunction
 to intrinsec contractile dysfunction of myocardium in obese patients.
Inclusion Criteria:

 -  patient schedulled for coronary artery bypass graft surgery or aortic valve
 replacement surgery with extracorporeal circulation

 -  must be over 18 years of age

 -  must be able to read and understand the consent form in French

 -  must be in sinus rhythm at inclusion time

 Exclusion Criteria:

 -  medical history of type 1 diabetes

 -  medical history of sustained atrial arrhythmia

 -  pregnancy

 -  class III anti-arhythmic drug