scholarly journals Aortic acceleration as a noninvasive index of left ventricular contractility in the mouse

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Jorge Enrique Tovar Perez ◽  
Jesus Ortiz-Urbina ◽  
Celia Pena Heredia ◽  
Thuy T. Pham ◽  
Sridhar Madala ◽  
...  

AbstractThe maximum value of the first derivative of the invasively measured left ventricular (LV) pressure (+ dP/dtmax or P′) is often used to quantify LV contractility, which in mice is limited to a single terminal study. Thus, determination of P′ in mouse longitudinal/serial studies requires a group of mice at each desired time point resulting in “pseudo” serial measurements. Alternatively, a noninvasive surrogate for P′ will allow for repeated measurements on the same group of mice, thereby minimizing physiological variability and requiring fewer animals. In this study we evaluated aortic acceleration and other parameters of aortic flow velocity as noninvasive indices of LV contractility in mice. We simultaneously measured LV pressure invasively with an intravascular pressure catheter and aortic flow velocity noninvasively with a pulsed Doppler probe in mice, at baseline and after the administration of the positive inotrope, dobutamine. Regression analysis of P′ versus peak aortic velocity (vp), peak velocity squared/rise time (vp2/T), peak (+ dvp/dt or v′p) and mean (+ dvm/dt or v′m) aortic acceleration showed a high degree of association (P′ versus: vp, r2 = 0.77; vp2/T, r2 = 0.86; v′p, r2 = 0.80; and v′m, r2 = 0.89). The results suggest that mean or peak aortic acceleration or the other parameters may be used as a noninvasive index of LV contractility.

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Sara L Hungerford ◽  
Audrey Adji ◽  
Nicole K Bart ◽  
Linda Lin ◽  
Andrew Jabbour ◽  
...  

Introduction: Valvuloarterial impedance (Z VA ) represents the valvular and arterial factors that oppose Left Ventricular (LV) ejection and is recognised as an important index to assess global LV load in patients with Aortic Stenosis (AS). Z VA is traditionally determined by Transthoracic Echocardiogram (TTE) and brachial cuff pressure. Hypothesis: Our study sought to compare Z VA-TTE with Z VA calculated using a simultaneous Cardiac Magnetic Resonance (CMR) and Applanation Tonometry (AT) (Z VA-CMR ) technique to determine whether TTE measurement of aortic flow velocity resulted in an underestimation of Z VA. Methods: Twenty AS patients underwent a protocol of CMR/AT followed by TTE. Z VA-CMR was determined as the relationship of derived aortic pressure (radial) to CMR aortic flow velocity in the frequency domain. Z VA-TTE was determined from digitised flow velocity within the left ventricular outflow tract (LVOT) on pulsed-wave Doppler and derived central pressure waveforms. Systemic vascular resistance (SVR) was calculated from mean pressure and flow. Values from both methods were compared. Results: Our study found that Z VA-TTE values (mean±SD, 638±381 dyne.s.cm -3 ) were consistently lower (p=0.07) than Z VA-CMR values (946±318 dyne.s.cm -3 ), and attribute this to an overestimation of LVOT flow velocity on TTE. SVR calculated by CMR/AT (2215±616 dyne.s.cm -5 ) was almost four times higher than TTE (618±245 dyne.s.cm -5 ) (p<0.001). This is due to more robust axi-symmetrical sampling of aortic flow across the entire cross-section of the ascending aorta (well above the stenotic jet) during CMR, than using operator-dependent TTE. Conclusions: Whilst Z VA -TTE is commonly performed in patients with AS to assess global LV load, newer methods to assess Z VA using simultaneous CMR/AT likely represent a more accurate non-invasive assessment.


1974 ◽  
Vol 1 (3) ◽  
pp. 233-241 ◽  
Author(s):  
F.A. Duck ◽  
C.J. Hodson ◽  
P.J. Tomlin

Heart ◽  
1976 ◽  
Vol 38 (1) ◽  
pp. 18-31 ◽  
Author(s):  
M Kolettis ◽  
B S Jenkins ◽  
M M Webb-Peploe

1982 ◽  
Vol 53 (3) ◽  
pp. 726-730 ◽  
Author(s):  
C. George ◽  
M. T. Kopetzky

Hearts from 32 male Sprague-Dawley rats were studied to determine effects of anoxia on ventricular contractility. Maximum rate of ventricular pressure changes with time (Pmax) were obtained from simultaneous recordings of right and left ventricular pressure curves. Peak aortic flow and heart rate were measured. Anoxia was produced by 100% N2 respiration. Statistical models were repeated-measures analysis of variance and randomized block factorial analysis of variance. Alpha was 0.05. Heart rate during anoxia was significantly lower than during the 1st min of recovery. Heart rate during both these periods was significantly lower than in preanoxia or the remainder of recovery. Peak aortic flow was not significantly altered. In left ventricles positive Pmax was significantly higher than negative Pmax. In right ventricles positive and negative Pmax were not significantly different. Left ventricular Pmax was significantly depressed during anoxia, whereas right ventricular Pmax was not. Significant differences in pressure developed per mass of tissue was a possible source of variation in right (0.12 +/- 0.002 mmHg/mg) and left (0.16 +/- 0.009 mmHg/mg) ventricular contractile maintenance.


2019 ◽  
Vol 46 (5) ◽  
pp. 2137-2144
Author(s):  
Sahmin Lee ◽  
Seunghyun Choi ◽  
Sehwan Kim ◽  
Yeongjin Jeong ◽  
Kyusup Lee ◽  
...  

2021 ◽  
Author(s):  
Bálint Károly Lakatos ◽  
Mihály Ruppert ◽  
Márton Tokodi ◽  
Attila Oláh ◽  
Szilveszter Braun ◽  
...  

2021 ◽  
Vol 22 (3) ◽  
pp. 1343
Author(s):  
Hye Hyeon Yun ◽  
Soon Young Jung ◽  
Bong Woo Park ◽  
Ji Seung Ko ◽  
Kyunghyun Yoo ◽  
...  

BCL-2 interacting cell death suppressor (BIS) is a multifunctional protein that has been implicated in cancer and myopathy. Various mutations of the BIS gene have been identified as causative of cardiac dysfunction in some dilated cardiomyopathy (DCM) patients. This was recently verified in cardiac-specific knock-out (KO) mice. In this study, we developed tamoxifen-inducible cardiomyocyte-specific BIS-KO (Bis-iCKO) mice to assess the role of BIS in the adult heart using the Cre-loxP strategy. The disruption of the Bis gene led to impaired ventricular function and subsequent heart failure due to DCM, characterized by reduced left ventricular contractility and dilatation that were observed using serial echocardiography and histology. The development of DCM was confirmed by alterations in Z-disk integrity and increased expression of several mRNAs associated with heart failure and remodeling. Furthermore, aggregation of desmin was correlated with loss of small heat shock protein in the Bis-iCKO mice, indicating that BIS plays an essential role in the quality control of cardiac proteins, as has been suggested in constitutive cardiac-specific KO mice. Our cardiac-specific BIS-KO mice may be a useful model for developing therapeutic interventions for DCM, especially late-onset DCM, based on the distinct phenotypes and rapid progressions.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Jorge Enrique Tovar Perez ◽  
Jesus Ortiz-Urbina ◽  
Celia Pena Heredia ◽  
Thuy T. Pham ◽  
Sridhar Madala ◽  
...  

An amendment to this paper has been published and can be accessed via a link at the top of the paper.


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