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Aims:  Microvascular alterations occurring after myocardial infarction (MI) may represent a risk factor for multi-organ failure. Here we used  in vivo  photoacoustic (PA) imaging to track and define the changes in vascular oxygen saturation (sO 2 ) occurring over time after experimental MI in multiple peripheral organs and in the brain.   Methods and Results:  Experimental MI was obtained in BALB/c mice by permanent ligation of the left anterior descending artery. PA imaging (Vevo LAZR-X) allowed tracking mouse-specific sO 2  kinetics in the cardiac left ventricular (LV) anterior wall, brain, kidney, and liver at 4 h, 1 day, and 7 days post-MI. Here we reported a correlation between LV sO 2  and longitudinal anterior myocardial strain after MI ( r  = −0.44,  p  < 0.0001,  n  = 96). Acute LV dysfunction was associated with global hypoxia, specifically a decrease in sO 2  level in the brain (−5.9%), kidney (−6.4%), and liver (−7.3%) at 4 and 24 h post-MI. Concomitantly, a preliminary examination of capillary NG2DsRed pericytes indicated cell rarefication in the heart and kidney. While the cardiac tissue was persistently impacted, sO 2  levels returned to pre-MI levels in the brain and in peripheral organs 7 days after MI.   Conclusions:  Collectively, our data indicate that experimental MI elicits precise trajectories of vascular hypoxia in peripheral organs and in the brain. PA imaging enabled the synchronous tracking of oxygenation in multiple organs and occurring post-MI, potentially enabling a translational diagnostic modality for the identification of vascular modifications in this disease setting.

Experimental Myocardial Infarction Elicits Time-Dependent Patterns of Vascular Hypoxia in Peripheral Organs and in the Brain