AJP - Heart  AJP: Regulatory, Integrative and Comparative Physiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
 QUICK SEARCH:   [advanced]


     


Am J Physiol Heart Circ Physiol (August 10, 2007). doi:10.1152/ajpheart.00645.2007
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
293/5/H2738    most recent
00645.2007v1
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 Jaber, W. A.
Right arrow Articles by Redfield, M. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Jaber, W. A.
Right arrow Articles by Redfield, M. M.
Submitted on June 5, 2007
Accepted on August 9, 2007

Revisiting Methods for Assessing and Comparing Left Ventricular Disastolic Stiffness: Impact of Relaxation, External Forces, Hypertrophy and Comparators

Wissam A. Jaber1, Carolyn S.P. Lam2, Donna M. Meyer3, and Margaret M. Redfield1*

1 Cardiovascular Diseases, Mayo Clinic and Foundation, 55905, Minnesota, United States
2 Cardiovascular Diseases, Mayo Clinic and Foundation, Rochester, Minnesota, United States; Yong Loo Lin School of Medicine, National University of Singapore, Singapore
3 Cardiovascular Diseases, Mayo Clinic and Foundation, Rochester, Minnesota, United States

* To whom correspondence should be addressed. E-mail: redfield.margaret{at}mayo.edu.

Understanding diastolic function mandates feasible and accurate methods to construct and compare the diastolic pressure (P)-volume (V) relationship (PVR). This study compared the relaxation-corrected single beat (RC-SB) to the multiple-beat (MB) (vena cava occlusion) method for constructing the diastolic PVR in 26 young normal (YN) or old hypertensive (OH) dogs before and after increases in afterload (phenylephrine) or acute volume expansion in the presence (n=14) or absence (n=12) of the pericardium. The PVR data were fit to P = {alpha} e({beta})(V). Derived stiffness indices compared included {beta}, {alpha}, and the end-diastolic volume (EDV) at P=10, 20, or 30 mmHg (EDVx=Ln(Px/{alpha})/{beta}) to account for covariance in {alpha} and {beta}. In pericardium intact YN and OH dogs studied over varying afterloads, the MB and RC-SB PVR appeared identical. The {beta} (r=0.62) and {alpha} (r=0.69) derived from the RC-SB vs MB PVR showed moderate correlation but poor agreement. In contrast, the EDV10-30 derived from RC-SB vs MB PVR showed excellent correlation (r=0.97) and agreement. The uncorrected SB method underestimated stiffness. As expected, after acute volume expansion, the RC-SB PVR was shifted upward from the MB PVR (decreased EDV10-30, p<0.05) in the pericardium intact but not pericardium absent dogs. The RC-SB method can substitute for MB technique in construction of PVR in absence of acute volume expansion. The concordance between these two methods was poorly reflected by comparing the derived &#945; and {beta} but apparent when using EDV10-30 which provides information regarding the position of the PVR in a single number.




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