Evaluation of cardiac function during left ventricular assist by a centrifugal blood pump

In this study the effects on varying cardiac function during a left ventric ular (LV) bypass from the apex to the descending aorta using a centrifugal blood pump were evaluated by analyzing the left ventricular pressure and th e motor current of the centrifugal pump in a mock circulatory loop. Failing heart models (preload 15 mm ng, afterload 40 mm Hg) and normal heart model s (preload 5 mm Hg, afterload 100 mm Hg) were simulated by adjusting the co ntractility of the latex rubber left ventricle. In Study 1, the bypass flow rate, left ventricular pressure, aortic pressure, and motor current levels were measured in each model as the centrifugal pump rpm were increased fro m 1,000 to 1,500 to 2,000. In Study 2, the pump rpm were fixed at 1,300, 1, 500, and 1,700, and at each rpm, the left ventricular peak pressure was inc reased from 40 to 140 mm Hg by steps of 20 mm Hg. The same measurements as in Study 1 were performed. In Study 1, the bypass flow rate and mean aortic pressure both increased with the increase in pump rpm while the mean left ventricular pressure decreased. In Study 2, a fairly good correlation betwe en the left ventricular pressure and the motor current of the centrifugal p ump was obtained. These results suggest that cardiac function as indicated by left ventricular pressure may be estimated from a motor current analysis of the centrifugal blood pump during left heart bypass.