Left ventricular inflow propagation velocity at pulsed wave Doppler analysis: An index of relaxation - 21/08/11
Résumé |
To test whether left ventricular inflow propagation velocity at the pulsed wave Doppler analysis (IPVpw) is a useful noninvasive index of relaxation, 21 patients under coronary angiography for chest pain were included for simultaneous catheter-based and Doppler studies. IPVpw was derived through the application of range ambiguity, and the time constant of isovolumic left ventricular pressure decline (τ) was acquired by a previously described method. At baseline status, IPVpw correlated significantly with the peak negative dP/dt and τ (r = −0.609, P = .003), but not with the peak velocity of transmitral early flow (E) wave. Sublingual application of nitroglycerin increased heart rate, decreased the transmitral E velocity and transmitral E-to-A velocity ratio, and prolonged the deceleration time of the transmitral E wave. However, there was no significant impact on IPVpw, peak negative dP/dt, or τ. IPVpw correlated with τ (r = −0.533, P < .001) at the combined analysis of the data before and after nitroglycerin application. In conclusion, IPVpw is a preload-independent, noninvasive index of left ventricular relaxation.
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Supported by National Science Committee (NSC-92-2314-B-037-107). |
Vol 18 - N° 4
P. 326-329 - avril 2005 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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