NONINVASIVE COMPUTERIZED ASSESSMENT OF LEFT-VENTRICULAR PERFORMANCE AND SYSTEMIC HEMODYNAMICS BY STUDY OF AORTIC ROOT PRESSURE AND FLOW ESTIMATES IN HEALTHY-MEN, AND MEN WITH ACUTE AND HEALED MYOCARDIAL-INFARCTION
S. Aakhus et al., NONINVASIVE COMPUTERIZED ASSESSMENT OF LEFT-VENTRICULAR PERFORMANCE AND SYSTEMIC HEMODYNAMICS BY STUDY OF AORTIC ROOT PRESSURE AND FLOW ESTIMATES IN HEALTHY-MEN, AND MEN WITH ACUTE AND HEALED MYOCARDIAL-INFARCTION, The American journal of cardiology, 72(3), 1993, pp. 260-267
Aortic root pressure and flow data can be used to assess left ventricu
lar (LV) performance and properties of the systemic arterial tree. The
calibrated subclavian arterial pulse trace was combined with echocard
iographic imaging and Doppler velocity recordings to obtain noninvasiv
e estimates of aortic root pressure and flow in 8 healthy subjects (gr
oup A), 12 patients with recent myocardial infarction (group B), and 8
with healed myocardial infarction and a dilated left ventricle (group
C). The pressure and flow data were transferred to a computer and pro
cessed in specially designed software, including a new procedure for e
stimation of 3-element windkessel model parameters. There were no sign
ificant group differences for either aortic root pressure estimates or
heart rate. In groups B and C, stroke and cardiac indexes were lower
and total peripheral resistance higher than in group A. There were no
group differences in the model estimates of total arterial compliance,
whereas the characteristic impedance was greater in group C than in A
, indicating a less compliant aorta in C. Both LV total and steady pow
er were less in groups B and C than in A, whereas no group difference
was found for percent oscillatory power. The reproducibility for recor
ding was good for the aortic root pressure estimates, and lower for th
e derived parameters (stroke and cardiac indexes, windkessel model par
ameters and LV power), whereas that for interpretation was generally g
ood. This method provides a unique noninvasive access to important par
ameters of LV function and the systemic circulation.