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1 Institute Biomedical Technology, Ghent University, 9000 Gent, Belgium; 2 Cardiovascular Imaging Center, Cleveland Clinic Foundation, Cleveland, Ohio 44195; and 3 Heart Center Limburg, 3600 Genk, Belgium
The objective of this
study was to use high-fidelity animal data and numerical simulations to
gain more insight into the reliability of the estimated relaxation
constant derived from left ventricular pressure decays, assuming a
monoexponential model with either a fixed zero or free moving pressure
asymptote. Comparison of the experimental data with the results of the
simulations demonstrated a trade off between the fixed zero and the
free moving asymptote approach. The latter method more closely fits the
pressure curves and has the advantage of producing an extra coefficient
with potential diagnostic information. On the other hand, this method
suffers from larger standard errors on the estimated coefficients. The method with fixed zero asymptote produces values of the time constant of isovolumetric relaxation (
) within a narrow confidence interval. However, if the pressure curve is actually decaying to a nonzero pressure asymptote, this method results in an inferior fit of the
pressure curve and a biased estimation of
.
hemodynamics; left ventricular relaxation constant; simulation
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