AJP - Heart BIOPAC complete lab solutions
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
 QUICK SEARCH:   [advanced]


     


Am J Physiol Heart Circ Physiol (May 26, 2006). doi:10.1152/ajpheart.00257.2006
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
291/5/H2415    most recent
00257.2006v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Chung, C. S
Right arrow Articles by Kovacs, S. J
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Chung, C. S
Right arrow Articles by Kovacs, S. J
Submitted on March 13, 2006
Accepted on May 25, 2006

The Diastolic Ventricular-Vascular Stiffness and Relaxation Relation: Elucidation of Coupling via Pressure Phase-Plane Derived Indexes

Charles S Chung1, Audrey Strunc2, Rachel Oliver2, and Sandor J Kovacs1*

1 Physics, Washington University, St Louis, Missouri, United States; Cardiovascular Biophysics Laboratory, Cardiovascular Division, Internal Medicine, Washington University School of Medicine, St. Louis, Missouri, United States
2 Electrical and Systems Engineering, Washington University, St. Louis, Missouri, United States; Cardiovascular Biophysics Laboratory, Cardiovascular Division, Internal Medicine, Washington University School of Medicine, St. Louis, Missouri, United States

* To whom correspondence should be addressed. E-mail: sjk{at}wuphys.wustl.edu.

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 dP/dt vs P(t) (pressure phase-plane, PPP) derived analogs of ventricular and vascular 'stiffness' parameters. Although dV=0 during isovolumic periods, and time-varying LV stiffness expressed as dP/dV is undefined, our formulation allows determination of PPP derived stiffness-analog during isovolumic contraction and relaxation. Similarly, an aortic stiffness-analog is also derivable from the PPP. LV relaxation was characterized via {tau}, the time-constant of isovolumic relaxation, and vascular (aortic) relaxation was characterized in terms of its equivalent (Windkessel) exponential decay time-constant {kappa}. Results show that systolic (ejection phase) and diastolic ventricular and vascular stiffness are coupled (KAo+=1.7(KLV+)+154.1 r=0.86, KAo-=0.7(KLV-)-5.5 r=0.86). In support of the DVVC hypothesis, a strong linear correlation between relaxation (rate of pressure decay) indexes {kappa} and {tau} ({kappa}=9.9{tau}-90.3 r=0.81) was also observed. The correlations observed underscore the role of long term, steady-state DVVC as a diastolic function determinant. Our validation of the PPP derived DVVC parameters provides insight into mechanisms, and facilitates quantification of arterial stiffening and associated increase in diastolic chamber stiffness. The PPP method provides a tool for quantitative assessment and determination of the functional coupling of the vasculature to diastolic function.




This article has been cited by other articles:


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
W. Zhang and S. J. Kovacs
The diastatic pressure-volume relationship is not the same as the end-diastolic pressure-volume relationship
Am J Physiol Heart Circ Physiol, June 1, 2008; 294(6): H2750 - H2760.
[Abstract] [Full Text] [PDF]


Home page
HypertensionHome page
B. P. Shapiro, C. S.P. Lam, J. B. Patel, S. F. Mohammed, M. Kruger, D. M. Meyer, W. A. Linke, and M. M. Redfield
Acute and Chronic Ventricular-Arterial Coupling in Systole and Diastole: Insights From an Elderly Hypertensive Model
Hypertension, September 1, 2007; 50(3): 503 - 511.
[Abstract] [Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Visit Other APS Journals Online
Copyright © 1977 by the American Physiological Society.