Left ventricular inflow propagation velocity at pulsed wave Doppler analysis: an index of relaxation.
To test whether left ventricular inflow propagation velocity at the pulsed wave Doppler analysis (IPVpw) is a useful noninvasive index of relaxation, 21 patients under coronary angiography for chest pain were included for simultaneous catheter-based and Doppler studies. IPVpw was derived through the application of range ambiguity, and the time constant of isovolumic left ventricular pressure decline (tau) was acquired by a previously described method. At baseline status, IPVpw correlated significantly with the peak negative dP/dt and tau ( r = -0.609, P = .003), but not with the peak velocity of transmitral early flow (E) wave. Sublingual application of nitroglycerin increased heart rate, decreased the transmitral E velocity and transmitral E-to-A velocity ratio, and prolonged the deceleration time of the transmitral E wave. However, there was no significant impact on IPVpw, peak negative dP/dt, or tau. IPVpw correlated with tau ( r = -0.533, P < .001) at the combined analysis of the data before and after nitroglycerin application. In conclusion, IPVpw is a preload-independent, noninvasive index of left ventricular relaxation.
Voon
Wen-Chol
WC
Department of Internal Medicine, Kaohsiung Medical University, Taiwan. wcvoon@giga.net.tw
Su
Ho-Ming
HM
Lin
Tsung-Hsien
TH
Lee
Ming-Yi
MY
Lin
Chien-Tsai
CT
Yen
Hsueh-Wei
HW
Lai
Wen-Ter
WT
Sheu
Sheng-Hsiung
SH
D001783:Blood Flow Velocity / Q000502:physiology; D006328:Cardiac Catheterization; D018619:Echocardiography, Doppler, Pulsed; D005260:Female; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D005996:Nitroglycerin / Q000008:administration & dosage; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging* / Q000503:physiopathology*
D005996:Nitroglycerin