在急性缺血性左心室衰竭中,延迟顶部填充的机制
K Steine1, M Stugaard, O A Smiseth
1Institute for Surgical Research, Rikshospitalet, Oslo, Norway.
Circulation
|April 20, 1999
概括
缺血期间左心室 (LV) 顶部填充的延迟与部至顶部压力降低有关. 这表明LV放松速度较慢,填充模式发生变化.
科学领域:
- 心血管生理学心血管生理学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
- 心脏衰竭研究研究
背景情况:
- 使用多普勒心声扫描评估左心室 (LV) 顶腔填充.
- 研究顶填充和心室内压力梯度之间的关系.
研究的目的:
- 测试患病的LV中顶填充速度减慢是否表明头至顶压力梯度降低.
- 在缺血期间探索LV填充受损背后的生理机制.
主要方法:
- 在9只开放胸部的狗中使用了彩色M模式多普勒回声心脏学和微观心仪.
- 通过冠状动脉微栓塞诱导的急性缺血性LV衰竭.
- 流量传播和LV压力衰减的测量时间延迟 (TD) (tau).
主要成果:
- 缺血症显著增加了 LV 末端透析压力,并降低了喷射分数.
- mitra-to-apical 压力梯度 (DeltaPLVmitral-apex) 降低,TD显著增加.
- TD与压力梯度降低和TAU增加有很强的相关性,这表明放松速度减慢.
结论:
- 降低中枢至顶端的驱动压力导致缺血性LV衰竭的顶端填充减慢,反映了放松受损.
- 在缺血期间,改变的流量传播从柱子运动转移到对流主导的填充.
相关概念视频
Pathophysiology of Heart Failure
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
Imbalances in Cardiac Output
The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send blood...
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send blood...
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...
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...
Aortic Regurgitation I: Introduction
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
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...


