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Functioning of the Human Heart in the Pron-Position
V P Nuzhny1, B F Dernowoy2, N A Kibler1
1Institute of Physiology of the Komi Scientific Center, Syktyvkar.
Kardiologiia
|February 7, 2023
Summary
Changing to a prone position alters heart hemodynamics in healthy men. These changes in intracardiac blood flow may impact heart function with prolonged positioning.
Area of Science:
- Cardiology
- Physiology
- Echocardiography
Background:
- Understanding intracardiac hemodynamics is crucial for cardiovascular health.
- Positional changes can influence cardiac function and blood flow dynamics.
- Limited research exists on the specific hemodynamic effects of the prone position.
Purpose of the Study:
- To investigate the impact of the prone position on intracardiac hemodynamics in healthy adult males.
- To quantify changes in heart rate, blood flow velocities, and valve function.
- To assess the potential implications for cardiac function.
Main Methods:
- Echocardiography was utilized to assess intracardiac hemodynamics.
- The study included 14 healthy adult males with a mean age of 38 years.
- Measurements were taken in both supine and prone positions.
Main Results:
- The prone position altered heart configuration and thoracic location.
- Heart rate increased by 7.3%, while transaortic flow velocity decreased by 13.7%.
- Right ventricular diastolic filling velocities and pulmonary artery flow velocity increased significantly. Tricuspid valve regurgitation pressure gradient decreased by 14.2%.
Conclusions:
- Spatial changes in heart position during prone positioning affect intracardiac blood flow velocities.
- These hemodynamic alterations may pose a risk for heart failure development with sustained prone positioning.
- Further research is warranted to explore long-term effects and clinical significance.
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