Thermodynamic phase plane analysis of ventricular contraction and relaxation

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Thermodynamic phase plane analysis of ventricular contraction and relaxation

BACKGROUND Ventricular function has conventionally been characterized using indexes of systolic (contractile) or diastolic (relaxation/stiffness) function. Systolic indexes include maximum elastance or equivalently the end-systolic pressure volume relation and left ventricular ejection fraction. Diastolic indexes include the time constant of isovolumic relaxation - and the end-diastolic pressur...

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Contraction-relaxation coupling mechanism characterization in the thermodynamic phase plane: normal vs. impaired left ventricular ejection fraction.

Using simultaneous pressure-volume measurements obtained during cardiac catheterization, we employ the thermodynamic phase-plane (TPP) method to characterize global contraction-relaxation coupling (CRC) between normal and impaired left ventricular (LV) ejection fraction (LVEF) groups. The cardiac cycle inscribes a closed loop in the TPP defined by the coordinates "potential" power [V(dP/dt), er...

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Diastolic ventricular-vascular stiffness and relaxation relation: elucidation of coupling via pressure phase plane-derived indexes.

Because systole and diastole are coupled and systolic ventricular-vascular coupling has been characterized, we hypothesize that diastolic ventricular-vascular coupling (DVVC) exists and can be characterized in terms of relaxation and stiffness. To characterize and elucidate DVVC mechanisms, we introduce time derivative of pressure (dP/dt) vs. time-varying pressure [P(t)] (pressure phase plane, ...

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• As early as 1915 it was known that an increase in systolic pressure is accompanied by a greater myocardial oxygen cost than a proportionate increase in stroke volume. Recent investigators have related myocardial oxygen consumption to the product of the mean systolic pressure and the heart rate, or to the integral of systolic pressure in time. In the isovolumetrically contracting ventricle, my...

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ژورنال

عنوان ژورنال: BioMedical Engineering OnLine

سال: 2004

ISSN: 1475-925X

DOI: 10.1186/1475-925x-3-6