Methods for Assessing Left Ventricular Diastolic Distensibility

IF 0.6 4区 生物学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Journal of Evolutionary Biochemistry and Physiology Pub Date : 2024-03-14 DOI:10.1134/s0022093024010290
V. I. Kapelko, V. L. Lakomkin, A. A. Abramov, A. V. Prosvirnin
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Abstract

The major property of the myocardium that determines left ventricular (LV) filling is its distensibility. The simplest measure for its assessment is the LV end-diastolic pressure–volume ratio, although it can vary within a wide range and is highly dependent on inflow and resistance boundary conditions, making distensibility difficult to assess. Here, we consider six calculated indices of LV diastolic stiffness, most of which are based on Hooke’s law, comparing their stability, variation, and correlation coefficients with different hemodynamic parameters. The diastolic stiffness index No. 4 proved to be the only measure that takes into account an increase in LV stiffness over diastole. It shows a weak dependence on LV ejection fraction, heart rate, and other parameters of LV hemodynamics, and hence can be used to assess LV diastolic distensibility in various cardiac pathologies.

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评估左心室舒张性的方法
摘要心肌决定左心室充盈的主要特性是其扩张性。最简单的评估指标是左心室舒张末期压力-容积比值,但它的变化范围很大,而且高度依赖于流入和阻力边界条件,这使得舒张性难以评估。在此,我们考虑了六种计算得出的左心室舒张僵硬度指数,其中大多数都是基于胡克定律,比较它们的稳定性、变化以及与不同血液动力学参数的相关系数。事实证明,舒张僵硬度指数 4 是唯一考虑到左心室僵硬度随舒张增加而增加的指标。它对左心室射血分数、心率和左心室血流动力学的其他参数显示出微弱的依赖性,因此可用于评估各种心脏病变的左心室舒张扩张性。
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来源期刊
自引率
33.30%
发文量
110
审稿时长
6-12 weeks
期刊介绍: Journal of Evolutionary Biochemistry and Physiology  publishes original experimental and theoretical and review articles related to evolution of the main forms of metabolism in connection with life origin; comparative and ontogenetic physiology and biochemistry, biochemical evolution of animal world; as well as evolution of functions; morphology, pharmacology, pathophysiology and ecological physiology. The journal welcomes manuscripts from all countries in the English or Russian language.
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