1974
DOI: 10.1152/ajplegacy.1974.227.3.613
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Hemodynamic determinants of maximum negative dP-dt and periods of diastole

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Cited by 157 publications
(67 citation statements)
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“…during periods of induced ischemia, that was maintained at zero. The effects on myocardial contractility and left ventricle relaxation was measured by calculating the first positive temporal derivative (+dP/dt max ) [12] and negative (-dP/dt max ) [13] of the left ventricular pressure, from measures obtained from the ventricular pressure curves, according to the method described by Gottschall [14].…”
Section: Methodsmentioning
confidence: 99%
“…during periods of induced ischemia, that was maintained at zero. The effects on myocardial contractility and left ventricle relaxation was measured by calculating the first positive temporal derivative (+dP/dt max ) [12] and negative (-dP/dt max ) [13] of the left ventricular pressure, from measures obtained from the ventricular pressure curves, according to the method described by Gottschall [14].…”
Section: Methodsmentioning
confidence: 99%
“…25) The time of the maximum rate of LV pressure fall (ie, the minimum timederivative of pressure (dP/dt min )) has been employed as an index of activity of the relaxation system. 26) dP/dt min was first defined as the starting point of the relaxation pressure curve for monoexponential fitting, 14) and subsequently monoexponential fitting from the start of dP/dt min has been used widely. 16,17,27) However, it is evident that there is a considerable gap between the best-fit monoexponential curve and the actual relaxation curve near dP/dt min .…”
mentioning
confidence: 99%
“…Many factors influence the left ventricle in diastole, but the completeness of ventricular relaxation and external diastolic constraints of the ventricle are among the most important.5' [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] With regard to external constraints, attention has focused on the influence of the pericardium, right ventricular loading, and coronary perfusion pressure" [18][19][20][21][22][23][24][25]30 on left ventricular diastolic compliance. Glantz and Parmley have suggested that during ischemia induced by atrial pacing, increased rightsided volume and pressure cause the left ventricular diastolic pressure-volume curve to shift upward as a result of "direct mechanical coupling between the two ventricles," enhanced by the intact pericardium.5 They cite data of Weiss et al 26 as being inconsistent with the concept that impaired relaxation is playing a major role in causing the altered left ventricular diastolic pressures, as had been suggested by several investigators.4 ' 6, 12, 13, 15, 16 The present study was designed to examine the role of altered right ventricular loading and pericardial influences on the increased left ventricular diastolic pressure during angina.…”
mentioning
confidence: 99%