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Updated: Aug 19, 2026

Quantification of Mouse Heart Left Ventricular Function, Myocardial Strain, and Hemodynamic Forces by Cardiovascular Magnetic Resonance Imaging
Published on: May 24, 2021
Sequential changes of left ventricular function after cineangiography in normal heart and coronary artery disease
Insights
Contrast material temporarily affects left ventricular (LV) function, causing transient hypotension and altered relaxation. Elevated LV end-diastolic pressure (LVEDP) post-injection suggests acute volume overload, not impaired contractility.
Area of Science:
- Cardiology
- Cardiovascular Physiology
Background:
- Left ventricular (LV) function assessment is crucial in cardiology.
- Contrast agents used in procedures like LV cineangiography can impact cardiac hemodynamics.
Purpose of the Study:
- To evaluate the acute effects of contrast material on left ventricular (LV) function.
- To assess hemodynamic changes in normal subjects and patients with coronary artery disease (CAD) during and after LV cineangiography.
Main Methods:
- Continuous monitoring of LV pressure and its first derivative (dP/dt) using Mikro-tip angiocatheters.
- Study included 4 groups: normal subjects, and CAD patients with no, mild, and severe LV asynergy.
- Hemodynamic parameters were recorded during and after contrast material injection.
Main Results:
- Transient systolic hypotension and decreased negative dP/dt observed post-injection, returning to baseline within 2 minutes.
- LV end-diastolic pressure (EDP) elevated for up to 7 minutes, correlating with diastolic stiffness in normal subjects.
- LV contractility indexes (peak positive dP/dt, (dP/dt)/DP40) increased, indicating no intrinsic contractile impairment.
Conclusions:
- Systolic hypotension and prolonged relaxation are transient effects of contrast material.
- Elevated LVEDP post-contrast injection is likely due to acute volume overload.
- Contrast material does not appear to impair intrinsic LV contractility.
Abstract:
To evaluate the effect of contrast material on left ventricular (LV) function, LV pressure and its first derivative were continuously monitored during and after LV cineangiography with Mikro-tip angiocatheters in 15 normal subjects (Group 1) and patients with coronary artery disease (CAD) without LV asynergy (Group 2, n = 10), with mild asynergy (Group 3, n = 12) and severe asynergy (Group 4, n = 13). In all 4 groups, systolic hypotension, decrease of negative dP/dt, and prolonged time constant of LV pressure fall (T) were observed in 30 seconds after dye injection, and all these parameters returned to the control value in 2 minutes. LV end-diastolic pressure (EDP) began to elevate at one minute, reached its peak at 2 minutes, and stayed elevated for 7 minutes. Although significant decrease in LV systolic pressure was seen, indexes of LV contractility, peak positive dP/dt and (dP/dt)/DP40, showed increase in all groups. No different directional changes of these parameters were observed among 4 groups. The degree of LVEDP elevation was parallel to the diastolic elastic stiffness constant (K) in Group 1 (r = 0.64, (p less than 0.05). It is concluded that systolic hypotension and prolonged relaxation are only transient, and elevation of LVEDP after the contrast material injection seems to be the effect of only acute volume overload.
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