We describe a series of investigations that used transesophageal echo-Doppl
er observations during cardiac arrest and cardiopulmonary resuscitation. Re
gular contractions of the left atrium persisted during the initial 7 mins o
f untreated ventricular fibrillation, Ventricular chamber deformation and m
itral valve closing and opening followed precordial compression and relaxat
ion, Stroke volumes computed from differences between diastolic and systoli
c areas of the left ventricle were predictive of the success of the resusci
tation, Progressive decreases in left ventricular compliance were associate
d with decreases In left ventricular diastolic and stroke volumes and progr
essed to a stone heart.