Document Detail


Influence of timing and magnitude of arterial wave reflection on left ventricular relaxation.
MedLine Citation:
PMID:  11247800     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The influence of timing and magnitude of arterial wave reflection (WR) on afterload-dependent relaxation was evaluated in patients with a variety of heart diseases (group 1, age < 30 yr; group 2, age > 40 yr) and in dogs. While both femoral arteries were compressed (FC), WR returned just after the dicrotic notch (early diastole) in group 1 but before the dicrotic notch (late systole) in group 2. The time constant of the left ventricular pressure decay (tau) was shortened during FC in group 1, whereas it was prolonged in group 2. In dogs, a constriction of the thoracic aorta induced a late systolic augmentation of WR with a prolongation of tau (cf. group 2), whereas constriction of the lower abdominal aorta induced an early diastolic augmentation of WR with a shortening of tau (cf. group 1). With aortic constriction, coronary flow increased, and there was a close correlation between the peak change in backward aortic pressure and that in coronary flow regardless of the timing of WR. Thus the time at which WR returns during the cardiac cycle may have an important effect on left ventricular relaxation and coronary flow.
Authors:
M Yano; M Kohno; S Kobayashi; M Obayashi; K Seki; T Ohkusa; T Miura; T Fujii; M Matsuzaki
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of physiology. Heart and circulatory physiology     Volume:  280     ISSN:  0363-6135     ISO Abbreviation:  Am. J. Physiol. Heart Circ. Physiol.     Publication Date:  2001 Apr 
Date Detail:
Created Date:  2001-03-15     Completed Date:  2001-04-19     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100901228     Medline TA:  Am J Physiol Heart Circ Physiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  H1846-52     Citation Subset:  IM    
Affiliation:
Second Department of Internal Medicine, Yamaguchi University School of Medicine, Ube, Yamaguchi 755-8505, Japan. yanoma@po.cc.yamaguchi-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Animals
Aorta, Abdominal / physiology
Aorta, Thoracic / physiology
Blood Pressure
Coronary Circulation / physiology
Coronary Disease / physiopathology*
Dogs
Femoral Artery / physiology,  physiopathology*
Heart Diseases / physiopathology*
Heart Rate
Hemodynamics / physiology*
Humans
Middle Aged
Pulse
Regression Analysis
Vasoconstriction
Ventricular Function, Left / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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