Objective This study attempted to seek a new Doppler-derived index for estimating ventricularsystolic function. Methods With custom - made software the aortic and pulmonic flow profiles were digitized andconverted to ...Objective This study attempted to seek a new Doppler-derived index for estimating ventricularsystolic function. Methods With custom - made software the aortic and pulmonic flow profiles were digitized andconverted to their 4V2 curves, their maximum value of the first derivative, max (dk/dt) were obtained separately in23 and 25patients with congenital heart disease (mean age 4.5 years). Aortic max(dk/dt) and pulmonic max(dk/dt)measured by Doppler were compared with left ventricular max(dp/dt) and right ventricular max(dp/dt) measuredby cardiac catheterization. Results Aortic max(dk/dt) correlated well with LV max(dp/dt) (r=0.817, P<0.001).An excellent correlation of pulmonic max(dk/dt) with RV max(dp/dt) was established (r=0.926, P<0.0001). Therewas a significant correlation between RVSP and RV max(dp/dt) (r= 0.839, P<0.0001). Conclusion Doppler - derived aortic max(dk/dt) and pulmonic max(dk/dt) could be reliable index of left ventricular contractility and rightventricular contractility respectively. When max(dp/dt) is used for assessing RV systolic function, the impact ofRVSP on that should be taken into consideration.展开更多
The present study aims to establish a reproducible large animal experimental unit using a minipig model to monitor cardiac function changes.A 90-min closed-chest bal-loon occlusion of the left anterior descending bran...The present study aims to establish a reproducible large animal experimental unit using a minipig model to monitor cardiac function changes.A 90-min closed-chest bal-loon occlusion of the left anterior descending branch of the coronary artery was used to induce myocardial infarction in Pannon minipigs.To monitor the cardiac function,measurements were made by cardiac magnetic resonance imaging(cMRI),invasive pressure monitoring,and a Pulse index Continuous Cardiac Output(PiCCO)hemo-dynamic system at 0,72,and 720 h during the follow-up period.End-diastolic and end-systolic volumes(EDV,ESV),left ventricular ejection fraction(LVEF)obtained by cMRI evaluation,global ejection fraction and aortic dP/dt_(max)obtained by the invasive method,were recorded and compared.The 72-and 720-h EDV data showed a signifi-cant increase(p=0.012,<0.001)compared to baseline,and the Day 30 data showed a significant increase compared to Day 3(p=0.022).The ESV 72 h after the infarction showed a significant increase(p=0.001)compared to baseline,which did not change significantly by Day 30(p=0.781)compared to Day 3.EDV and ESV were signifi-cantly negatively correlated with aortic dp_(max),and ESV was significantly correlated with LVEF.For LVEF and dP_(max),a significant(p<0.001 and p=0.002)worsening was demonstrated at Day 3 compared to baseline,which was no longer statistically de-tectable for LVEF at Day 30(p=0.141),while the difference for dP_(max)was maintained(p=0.002).The complementary use of PiCCO hemodynamic measurements in large animal models makes the previously used methodologies more robust and reliable.展开更多
文摘Objective This study attempted to seek a new Doppler-derived index for estimating ventricularsystolic function. Methods With custom - made software the aortic and pulmonic flow profiles were digitized andconverted to their 4V2 curves, their maximum value of the first derivative, max (dk/dt) were obtained separately in23 and 25patients with congenital heart disease (mean age 4.5 years). Aortic max(dk/dt) and pulmonic max(dk/dt)measured by Doppler were compared with left ventricular max(dp/dt) and right ventricular max(dp/dt) measuredby cardiac catheterization. Results Aortic max(dk/dt) correlated well with LV max(dp/dt) (r=0.817, P<0.001).An excellent correlation of pulmonic max(dk/dt) with RV max(dp/dt) was established (r=0.926, P<0.0001). Therewas a significant correlation between RVSP and RV max(dp/dt) (r= 0.839, P<0.0001). Conclusion Doppler - derived aortic max(dk/dt) and pulmonic max(dk/dt) could be reliable index of left ventricular contractility and rightventricular contractility respectively. When max(dp/dt) is used for assessing RV systolic function, the impact ofRVSP on that should be taken into consideration.
基金This research did not receive any specific grant from funding agen-cies in the public,commercial,or not-for-profit sectors.
文摘The present study aims to establish a reproducible large animal experimental unit using a minipig model to monitor cardiac function changes.A 90-min closed-chest bal-loon occlusion of the left anterior descending branch of the coronary artery was used to induce myocardial infarction in Pannon minipigs.To monitor the cardiac function,measurements were made by cardiac magnetic resonance imaging(cMRI),invasive pressure monitoring,and a Pulse index Continuous Cardiac Output(PiCCO)hemo-dynamic system at 0,72,and 720 h during the follow-up period.End-diastolic and end-systolic volumes(EDV,ESV),left ventricular ejection fraction(LVEF)obtained by cMRI evaluation,global ejection fraction and aortic dP/dt_(max)obtained by the invasive method,were recorded and compared.The 72-and 720-h EDV data showed a signifi-cant increase(p=0.012,<0.001)compared to baseline,and the Day 30 data showed a significant increase compared to Day 3(p=0.022).The ESV 72 h after the infarction showed a significant increase(p=0.001)compared to baseline,which did not change significantly by Day 30(p=0.781)compared to Day 3.EDV and ESV were signifi-cantly negatively correlated with aortic dp_(max),and ESV was significantly correlated with LVEF.For LVEF and dP_(max),a significant(p<0.001 and p=0.002)worsening was demonstrated at Day 3 compared to baseline,which was no longer statistically de-tectable for LVEF at Day 30(p=0.141),while the difference for dP_(max)was maintained(p=0.002).The complementary use of PiCCO hemodynamic measurements in large animal models makes the previously used methodologies more robust and reliable.
