Intracavitary contrast intensity after transpulmonary transmission of a second-generation contrast agent at normal and reduced myocardial contractility

In this closed-chest preparation in 10 anesthetized pigs, we determined the effects of left ventricular (LV) contractility changes on the echocardiogr aphic contrast intensity variation of a second-generation contrast agent wi thin the LV cavity. The peak positive rate of change in LV pressure (dP/dt( max)), as an index of the isovolumetric phase, was gradually reduced by adm inistration of halothane and propranolol, and the velocity of circumferenti al fiber shortening (Vcfs) was referenced as an index for the LV ejection p hase. Contrast intensity-time curves of the LV cavity were obtained after t ranspulmonary transmission of the contrast agent. An off-line densitometric method was performed to determine peak maximum and minimum intensities (I- max, I-min) and their difference (I-amp). Compared with baseline values, at reductions in dP/dt(max) of 50% and 75%, the contrast intensity parameters I-max, I-min, and I-amp were decreased by 23% +/- 6% and 44% +/- 5%, 24% /- 5% and 44% +/- 3%, and 31% +/- 6% and 45% +/- 3%, respectively (P < .05) . Significant correlations were observed between I-amp and dp/dt(max) (r = 0.82, P < .003, n = 30) and their changes (r = 0.59, P < .03, n = 20), but correlations between contrast indexes and Vcfs were only moderate. The sens itivity of I-amp to indicate changes in dP/dt(max) and Vcfs was 0.95 and 0. 83, respectively. The cyclic variation of LV intracavitary contrast intensi ty reflects the isovolumetric contraction phase better than the ejection ph ase. The results suggest that measurements of cyclic intensity changes may contribute to the assessment of myocardial contractility changes. Underlyin g biophysical mechanisms and load dependency of this phenomenon require fur ther investigation.