Significance of left atrial pressure and left ventricular relaxation as determinants of left ventricular early diastolic filling flow in man.
We analyzed the relationships among parameters of left ventricular (LV) early diastolic filling flow (EDF) obtained with pulsed Doppler echocardiography, mean pulmonary wedge pressure (PCWP) and the time constant of LV pressure fall calculated by either Weiss' (Tw) or Thompson's (Tb) method. PCWP correlated with the peak velocity (R) (r = 0.537, p less than 0.05), acceleration (Ac) (r = 0.545, p less than 0.05) and deceleration (Dc) (r = 0.606, p less than 0.01) of LVEDF. In contrast, Tb correlated only with the time to the peak of LVEDF (TPF) (r = 0.487, p less than 0.05), and Tw did not correlate with the Doppler-derived indices significantly. After correcting for the effect of PCWP, significant partial correlations between R and Tw (r = -0.535, p less than 0.05), and between Ac and both Tw (r = -0.606, p less than 0.01) and Tb (r = -0.569, p less than 0.05) were found. Dc did not correlate with Tw or Tb. These results suggest that the level of left atrial pressure may mask the relationship between parameters of LVEDF and LV relaxation, and that the relations among these variables vary with individual indices of LVEDF.
Takahashi
T
T
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo, Japan.
Iizuka
M
M
Serizawa
T
T
Ohya
T
T
Sato
H
H
Kohmoto
O
O
Mochizuki
T
T
Sakamoto
T
T
Sugimoto
T
T
D000328:Adult; D000368:Aged; D016279:Atrial Function, Left; D001783:Blood Flow Velocity; D001794:Blood Pressure; D002908:Chronic Disease; D003971:Diastole; D015150:Echocardiography, Doppler; D005260:Female; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009200:Myocardial Contraction; D011669:Pulmonary Wedge Pressure; D013997:Time Factors; D016277:Ventricular Function, Left