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A comparison between left ventricular ejection time measurement methods during physiological changes induced by

Stefan Orter1,2, Stefan Möstl3, Martin Bachler1

  • 1Center for Health & Bioresources, AIT Austrian Institute of Technology, Vienna, Austria.

Experimental Physiology
|December 18, 2021
PubMed
Summary
This summary is machine-generated.

Easy-to-use oscillometric left ventricular ejection time (LVET) measurements closely matched echocardiographic LVET, proving useful for monitoring cardiovascular changes during spaceflight and in clinical settings for patients with altered ejection times.

Keywords:
head-down tilt bed restleft ventricular ejection timeoscillometrysystolic time intervalsvalidation

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Area of Science:

  • Cardiovascular Physiology
  • Space Medicine
  • Clinical Diagnostics

Background:

  • Systolic time intervals (STIs) may serve as indicators of cardiovascular deconditioning.
  • Assessing cardiovascular responses during prolonged head-down tilt (HDT) is crucial for spaceflight and clinical monitoring.

Purpose of the Study:

  • To validate oscillometric LVET (LVETosci) against echocardiographic LVET (LVETecho).
  • To investigate the progression of LVET index (LVETI), pre-ejection period index (PEPI), total electromechanical systole index (QS2I), and PEP/LVET ratio during 60 days of HDT.
  • To evaluate the potential of LVETosci for monitoring cardiovascular adaptation and deconditioning.

Main Methods:

  • Simultaneous measurement of LVET using oscillometry and echocardiography.
  • Assessment of STIs (LVETI, PEPI, QS2I, PEP/LVET) during 60 days of strict HDT bed rest in 24 subjects.
  • Correlation and concordance analysis between oscillometric and echocardiographic measurements.

Main Results:

  • LVETosci and LVETecho demonstrated good agreement in effect direction, with significant correlation (r=0.73, P<0.05) by the end of bed rest.
  • A high concordance rate (0.96) was observed for the shortening of LVET during HDT between both methods.
  • Significant changes in STIs were observed during HDT: decreased LVETI and QS2I, prolonged PEPI and PEP/LVET ratio. LVETI recovered to baseline within 4 days post-bed rest.

Conclusions:

  • Oscillometric LVET is a valid and easy-to-use method comparable to echocardiography for assessing cardiovascular changes.
  • LVETosci can effectively monitor cardiovascular deconditioning during prolonged HDT, relevant for spaceflight and clinical applications.
  • The study highlights the utility of STIs for tracking cardiovascular adaptation and potential deconditioning in simulated microgravity and clinical scenarios.