Should the mean left atrial pressure be the ultimate goal after TMVR?

2021 ◽  
Vol 97 (6) ◽  
pp. 1250-1251
Author(s):  
Mehmet Cilingiroglu ◽  
Konstantinos Marmagkiolis
Keyword(s):  
Left Atrial ◽  
Atrial Pressure ◽  
Left Atrial Pressure ◽  
The Mean

Effects of left atrial pressure on the pulmonary vascular response to hypoxic ventilation

1991 ◽  
Vol 70 (5) ◽  
pp. 1991-1995 ◽  
Author(s):  
S. A. Gu ◽  
J. Ducas ◽  
U. Schick ◽  
R. M. Prewitt
Keyword(s):  
Arterial Pressure ◽  
Left Atrial ◽  
Pulmonary Arterial Pressure ◽  
Mean Value ◽  
Atrial Pressure ◽  
Left Atrial Pressure ◽  
Vascular Response ◽  
Wide Range ◽  
Pulmonary Arterial ◽  
The Mean

We investigated the effects of hypoxic ventilation on the pulmonary arterial pressure- (P) flow (Q) relationship in an intact canine preparation. Mean pulmonary P-Q coordinates were obtained during hypoxic ventilation and during ventilation with 100% O2 at normal and at increased left atrial pressure. Specifically, we tested the hypothesis that, over a wide range, changes in left atrial pressure would alter the effects of hypoxic ventilation on pulmonary P-Q characteristics. Seven dogs were studied. When left atrial pressure was normal (5 mmHg), the mean value of the extrapolated intercept (PI) of the linear P-Q relationship was 10.9 mmHg and the slope (incremental vascular resistance, IR) of the P-Q relationship was 2.2 mmHg.l-1.min. Hypoxic ventilation increased PI to 18 mmHg (P less than 0.01) but did not affect IR. Subsequently, during ventilation with 100% O2, when left atrial pressure was increased to 14 mmHg by inflation of left atrial balloon, PI increased to 18 mmHg. IR was 1.6 mmHg.l-1.min. Again, hypoxic ventilation caused an isolated change in PI. Hypoxia increased PI from 18 to 28 mmHg (P less than 0.01). As in the condition of normal left atrial pressure, hypoxic ventilation did not affect IR. We conclude that, in an anesthetized intact canine preparation, hypoxic ventilation causes an isolated increase in the extrapolated pressure intercept of the pulmonary P-Q relationship. Furthermore the effects of hypoxic ventilation on pulmonary P-Q characteristics are not affected by the resting left atrial pressure.

Inhibition of hypoxic pulmonary vasoconstriction by increased left atrial pressure in dogs

1990 ◽  
Vol 259 (1) ◽  
pp. H93-H100 ◽  
Author(s):  
P. Lejeune ◽  
J. M. De Smet ◽  
P. de Francquen ◽  
M. Leeman ◽  
S. Brimioulle ◽  
...  
Keyword(s):  
Left Atrial ◽  
Hypoxic Pulmonary Vasoconstriction ◽  
Atrial Pressure ◽  
Left Atrial Pressure ◽  
Experimental Conditions ◽  
Mean Pulmonary Arterial Pressure ◽  
Pulmonary Vasoconstriction ◽  
Anesthetized Dogs ◽  
Pulmonary Arterial ◽  
The Mean

To further explore the mechanism of hypoxic pulmonary vasoconstriction, we studied the mean pulmonary arterial pressure (Ppa)/left atrial pressure (Pla) relationship at fixed cardiac index (Q) and the Ppa/Q relationship at several levels of fixed Pla in pentobarbital sodium-anesthetized dogs ventilated alternately in hyperoxia [fraction of inspired O2 (FIO2) 0.4 or 1.0] and in hypoxia (FIO2 0.1). In all experimental conditions, Ppa/Q plots were linear with extrapolated pressure intercepts (Pi) not significantly different from Pla. Hypoxia increased the slope of Ppa/Q plots and did not affect Pi. In hyperoxia, increasing Pla (3 to 26 mmHg) induced approximately equal increases in Ppa at fixed Q and shifted Ppa/Q plots toward higher pressures in a parallel manner. In hypoxia, increasing Pla (4 to 25 mmHg) did not affect Ppa at fixed Q until Pla exceeded 16 mmHg and shifted Ppa/Q plots toward higher pressures with a decrease in slope. Consequently, the hypoxia-induced increases in Ppa at constant Q and constant Pla were attenuated at higher Pla. Thus, in anesthetized dogs, hypoxia increases the slope of Ppa/Q plots without affecting Pi at fixed Pla, and an increase in Pla inhibits hypoxic pulmonary vasoconstriction. These results can be explained without invoking a hypoxia-induced Starling resistor mechanism in the pulmonary circulation.

Monitoring of the Mean Right and Left Atrial Pressure in Patients with Atrial Fibrillation Undergoing Pulmonary Vein Isolation

2011 ◽  
Vol 27 (Supplement) ◽  
pp. OP12_1
Author(s):  
Yuji Konishi ◽  
Shingo Maeda ◽  
Hiroyuki Okada ◽  
Susumu Tao ◽  
Nobuyuki Kagiyama ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Pulmonary Vein ◽  
Pulmonary Vein Isolation ◽  
Left Atrial ◽  
Atrial Pressure ◽  
Left Atrial Pressure ◽  
The Mean

Responses of pulmonary C-fibre and rapidly adapting receptor afferents to pulmonary congestion and edema in dogs

1992 ◽  
Vol 70 (1) ◽  
pp. 68-76 ◽  
Author(s):  
K. Ravi ◽  
C. T. Kappagoda
Keyword(s):  
Pulmonary Edema ◽  
Extravascular Lung Water ◽  
Left Atrial ◽  
Atrial Pressure ◽  
Left Atrial Pressure ◽  
Lung Water ◽  
Control Value ◽  
Significant Stimulation ◽  
C Fibre ◽  
The Mean

The effects of cardiogenic and noncardiogenic pulmonary edema on the activities of rapidly adapting receptors (RARs) and pulmonary C-fibre receptors were investigated in dogs anaesthetized with chloralose. Cardiogenic pulmonary edema was produced by elevating the mean left atrial pressure by 25 mmHg (1 mmHg = 133.32 Pa) above the control value for a period of 45 min, by partial obstruction of the mitral valve. Noncardiogenic pulmonary edema was produced by injecting alloxan (100 mg/kg) intravenously. The effect of the latter was examined on RARs alone. Cardiogenic edema activated RARs (n = 8) and the activity was greatest during the first few minutes after elevation of mean left atrial pressure. The pulmonary C-fibre receptors (n = 6) were also activated by cardiogenic edema, but these responses were variable. Noncardiogenic pulmonary edema also activated RAR (n = 6), and this response was maintained during the entire recording period (20 min). The extravascular lung water (%), measured 15 min (n = 5) and 45 min (n = 5) after the elevation of the mean left atrial pressure, was significantly elevated above control values. However, these two values were not significantly different from each other. The extravascular lung water increased significantly after the injection of alloxan also (n = 5). These results show that during pulmonary edema, there is significant stimulation of the RARs and the pulmonary C-fibre receptors. It is suggested that the reflex respiratory responses observed in pulmonary edema may be due to the activation of both the RARs and the pulmonary C-fibre receptors.Key words: alloxan, cardiogenic edema, vagus.

scholarly journals LEFT ATRIAL PRESSURE CORRELATION WITH PERSISTENT IATROGENIC ATRIAL SEPTAL DEFECT AFTER MITRACLIP IMPLANTATION

2021 ◽  
Vol 77 (18) ◽  
pp. 1200
Author(s):  
Prince Sethi ◽  
Nikhil Parimi ◽  
Prakash Acharya ◽  
Amandeep Goyal ◽  
Emmanuel Daon ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Left Atrial ◽  
Septal Defect ◽  
Atrial Pressure ◽  
Left Atrial Pressure ◽  
Iatrogenic Atrial Septal Defect

scholarly journals The Effect of Furosemide on Left Atrial Pressure in Dogs with Mitral Valve Regurgitation

2011 ◽  
Vol 25 (2) ◽  
pp. 244-250 ◽  
Author(s):  
S. Suzuki ◽  
T. Ishikawa ◽  
L. Hamabe ◽  
D. Aytemiz ◽  
H. Huai-Che ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Left Atrial ◽  
Mitral Valve Regurgitation ◽  
Atrial Pressure ◽  
Left Atrial Pressure ◽  
Valve Regurgitation

Relationship of Pulmonary Venous Flow Pattern to Mean Left Atrial Pressure and Phasic Pressure Change

Cardiology ◽  
1996 ◽  
Vol 87 (3) ◽  
pp. 224-229 ◽  
Author(s):  
Jer-Min Lin ◽  
Yi-Heng Li ◽  
Kwan-Lih Hsu ◽  
Juey-Jen Hwang ◽  
Yung-Zu Tseng
Keyword(s):  
Flow Pattern ◽  
Left Atrial ◽  
Pressure Change ◽  
Atrial Pressure ◽  
Left Atrial Pressure ◽  
Venous Flow ◽  
Pulmonary Venous Flow ◽  
Relationship Of

scholarly journals Continuous Left Atrial Pressure Monitoring During MitraClip

2015 ◽  
Vol 8 (7) ◽  
pp. e117-e119 ◽  
Author(s):  
Mackram F. Eleid ◽  
Saurabh Sanon ◽  
Guy S. Reeder ◽  
Rakesh M. Suri ◽  
Charanjit S. Rihal
Keyword(s):  
Left Atrial ◽  
Atrial Pressure ◽  
Left Atrial Pressure ◽  
Pressure Monitoring
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