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Related Concept Videos

Mitral Regurgitation I: Introduction01:20

Mitral Regurgitation I: Introduction

Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
Cardiac Cycle01:29

Cardiac Cycle

The cardiac cycle refers to the sequence of events that occur in the heart from the beginning of one heartbeat to the next. It's characterized by alternating periods of contraction (systole) and relaxation (diastole) of the heart muscles.
During the cardiac cycle, blood flow through the heart is regulated entirely by changing pressure gradients. This sequence of events begins with the heart in a state of total relaxation, known as mid-to-late diastole, during which blood passively flows from...
Chambers of the Heart01:16

Chambers of the Heart

The human heart is a complex organ made up of four chambers: the right and left atria and the right and left ventricles. These internal chambers are separated by partitions known as the interatrial and interventricular septa. The exterior of the heart features a groove known as the coronary sulcus that demarcates the atria from the ventricles, while the anterior and posterior interventricular sulci distinguish between the two ventricles.
Deoxygenated blood from the body is received in the right...

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Echocardiographic Assessment of Cardiac Anatomy and Function in Adult Rats
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Echocardiographic Assessment of Cardiac Anatomy and Function in Adult Rats

Published on: December 13, 2019

Atrium electromechanical interval in left ventricular diastolic dysfunction.

Tze-Fan Chao1, Kang-Ling Wang, Chi-Fang Chuang

  • 1Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.

European Journal of Clinical Investigation
|July 14, 2011
PubMed
Summary

The P wave to peak atrial longitudinal strain (PA-TDI) interval is longer in patients with left ventricular (LV) diastolic dysfunction. This prolonged interval may indicate the severity of left atrial remodeling due to impaired LV diastolic function.

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Murine Echocardiography of Left Atrium, Aorta, and Pulmonary Artery
08:17

Murine Echocardiography of Left Atrium, Aorta, and Pulmonary Artery

Published on: February 20, 2017

Area of Science:

  • Cardiology
  • Cardiac Electrophysiology
  • Echocardiography

Background:

  • Left ventricular (LV) diastolic dysfunction significantly impacts the left atrium (LA).
  • The electromechanical interval (PA-TDI) measures LA electrical-mechanical coupling.
  • PA-TDI reflects LA electrophysiological properties.

Purpose of the Study:

  • To evaluate the association between the PA-TDI interval and LV diastolic function.
  • To determine if PA-TDI can serve as a marker for LV diastolic dysfunction.

Main Methods:

  • 224 consecutive patients were enrolled.
  • LV diastolic dysfunction was classified using E/A and E/E' ratios.
  • PA-TDI intervals were measured and compared between groups.

Main Results:

  • 56% of patients exhibited abnormal diastolic function.
  • The PA-TDI interval was significantly longer in patients with diastolic dysfunction (147.8 ± 18.2 ms) compared to those without (130.4 ± 17.0 ms).
  • PA-TDI intervals progressively increased with the severity of diastolic dysfunction.

Conclusions:

  • The PA-TDI interval is significantly prolonged in patients with LV diastolic dysfunction.
  • Prolonged PA-TDI may indicate the degree of left atrial remodeling secondary to LV diastolic dysfunction.