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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1975-5-17
pubmed:abstractText
An attempt was made to derive a useful noninvasive index to evalute a change in myocardial contractile state using transcutaneous Doppler flow-velocity curve from the carotid artery. In 5 mongrel dogs and in 43 patients with various heart disease, Doppler flow velocity curves were obtained from the ascending aorta intravascularly using a Doppler catheter and/or from carotid artery transcutaneously using a Doppler probe. The first derivative of left ventricular pressure (dp/dt) and electrocardiogram (ECG) were recorded simultaneously. The following 3 indices were measured from the Doppler flow-velocity curves: (1) macimum acceleration of blood flow (dv/dt), (2) time from onset of ejection to peak flow (time-to-peak), (3) time interval between the beginning of Q wave of ECG to the peak of Doppler flow velocity curve (ECG Q-Doppler peak). Among these 3 indices, only ECG Q-Doppler peak demonstrated a significant correlation between the values measured intravascularly and transcutaneously. Also, only ECG Q-Doppler peak showed significant correlation with maximum of dp/dt (max dp/dt). Since ECG Q-Doppler peak showed correlation with heart rate, the difference between observed and predicted ECG Q-Doppler peak (delta ECG Q-Doppler peak) was calculated to exclude the effect of heart rate. Predicted value of ECG Q-Doppler peak was calculated from the regression equation between heart rate and ECG Q-Doppler peak in the separate experiments. There was significant correlation between delta ECG Q-Doppler peak and max dp/dt. In 15 patients with coronary artery disease and in 16 healthy subjects, delta ECG Q-Doppler peak and the other noninvasive method (systolic time intervals) were measured. Delta ECG Q-Doppler peak showed better result in the separation of 2 groups than by systolic timeintervals. It was concluded that delta ECG Q-Doppler peak is a useful index to evaluate the myocardial contractile state since this index is readily obtained noninvasively.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0021-4868
pubmed:author
pubmed:issnType
Print
pubmed:volume
16
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
22-35
pubmed:dateRevised
2009-11-3
pubmed:meshHeading
pubmed-meshheading:123016-Adolescent, pubmed-meshheading:123016-Adult, pubmed-meshheading:123016-Aged, pubmed-meshheading:123016-Angina Pectoris, pubmed-meshheading:123016-Animals, pubmed-meshheading:123016-Blood Flow Velocity, pubmed-meshheading:123016-Carotid Arteries, pubmed-meshheading:123016-Child, pubmed-meshheading:123016-Child, Preschool, pubmed-meshheading:123016-Dogs, pubmed-meshheading:123016-Electrocardiography, pubmed-meshheading:123016-Female, pubmed-meshheading:123016-Heart, pubmed-meshheading:123016-Heart Catheterization, pubmed-meshheading:123016-Heart Rate, pubmed-meshheading:123016-Humans, pubmed-meshheading:123016-Male, pubmed-meshheading:123016-Middle Aged, pubmed-meshheading:123016-Myocardial Infarction, pubmed-meshheading:123016-Pressure, pubmed-meshheading:123016-Rheology, pubmed-meshheading:123016-Ventricular Function
pubmed:year
1975
pubmed:articleTitle
Blood flow velocity in the carotid artery as a measure of myocardial contractility.
pubmed:publicationType
Journal Article, Comparative Study