Ventricular diastolic impedance Z(t): validation of a new, model-based image processing derived index of global diastolic function

The quest for a noninvasive, global index of left ventricular (LV) diastolic function has not yet been attained. Current echocardiographic methods extract components of diastolic function from selected aspects of transmitral flow velocity, ventricular geometry and wall motion. Diastolic left ventric...

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Hauptverfasser: Milde, J.M., Sessoms, M.W., Lisauskas, J.B., Courtois, M., Singh, J., Kovacs, S.J.
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container_start_page 234 vol.1
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creator Milde, J.M.
Sessoms, M.W.
Lisauskas, J.B.
Courtois, M.
Singh, J.
Kovacs, S.J.
description The quest for a noninvasive, global index of left ventricular (LV) diastolic function has not yet been attained. Current echocardiographic methods extract components of diastolic function from selected aspects of transmitral flow velocity, ventricular geometry and wall motion. Diastolic left ventricular pressure P(t) and transmitral flow Q(t) define global diastolic impedance as Z(t)=P(t)/Q(t). Since P(t) requires cardiac catherization, we expressed P(t) via the nonsteady Bernoulli equation using Doppler echocardiographically measurable transmitral flow velocity v(t) and acceleration v=dv/dt. For validation we compared catheterization (invasively) derived Z/sub inv/(t) with echo (noninvasively) derived Z/sub noninv/(t) and found excellent agreement. We conclude that the echocardiographically determined LV diastolic impedance Z/sub noninv/(t) provides a physiologically sound quantitative index of global LV diastolic function.
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source IEEE Electronic Library (IEL) Conference Proceedings
subjects Acceleration
Biophysics
Cardiology
Catheterization
Electrocardiography
Equations
Equations of motion
Filling
Graphics
Hemodynamics
Image color analysis
Image processing
Impedance
Mathematical models
title Ventricular diastolic impedance Z(t): validation of a new, model-based image processing derived index of global diastolic function
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