Onset of pulsatile waves in the heart walls at end-systole.

We have previously developed a novel ultrasonic method, namely, the phased tracking method, for accurately tracking the movement of the heart wall based on both the phase and magnitude of the demodulated signals to determine the instantaneous position of an object. With this method, it is possible to accurately detect small-amplitude velocity signals of less than a few micrometers of the heart wall that are superimposed on the motion of the heart wall due to the heart beat. There are several remarkable pulsatile waves during one cardiac cycle in the resultant velocity signals, some of them being commonly obtained for both healthy subjects and patients. These pulsatile waves cannot be recognized in standard echocardiography M-mode images. In this paper, by focusing on one pulsatile wave that occurs around the end-systole, the physiological meaning of these is considered based on various in-vivo experiments. The pulsatile wave measured by this novel ultrasonic method will offer potential for a quantitative assessment of myocardial viability.