In:
Circulation, Ovid Technologies (Wolters Kluwer Health), Vol. 102, No. 16 ( 2000-10-17), p. 1983-1989
Abstract:
Background —Although left ventricular end-systolic elastance (E es ) has often been used as an index of contractility, technical difficulties in measuring volume and in changing loading conditions have made its clinical application somewhat limited. By approximating the time-varying elastance curve by 2 linear functions (isovolumic contraction phase and ejection phase) and estimating the slope ratio of these, we developed a method to estimate E es on a single-beat basis from pressure values, systolic time intervals, and stroke volume. Methods and Results —In 11 anesthetized dogs, we compared single-beat E es with that obtained with caval occlusion. Although the decrease (but not the increase) in contractility (5.3 to 11.4 mm Hg/mL) and the change in loading conditions (3.7 to 34.0 mm Hg/mL) over wide ranges significantly altered the slope ratio, the estimation of E es was reasonably accurate ( y =0.97 x +0.46, r =0.929, SEE=2.1 mm Hg/mL). Conclusions —E es can be estimated on a single-beat basis from easily obtainable variables by approximating the time-varying elastance curve by a bilinear function.
Type of Medium:
Online Resource
ISSN:
0009-7322
,
1524-4539
DOI:
10.1161/01.CIR.102.16.1983
Language:
English
Publisher:
Ovid Technologies (Wolters Kluwer Health)
Publication Date:
2000
detail.hit.zdb_id:
1466401-X
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