LV systolic function / 4 

Other M-mode indices of left ventricular systolic and diastolic function

 

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Time intervals
1  2  3  4  5
A
Copyright © 2001 Paolo Barbier

 

 

Isovolumetric contraction time &
Isovolumetric relaxation time

Superimposed and synchronized M-mode tracings of the left ventricle with mitral valve (upper panel) and aortic root (lower panel). Phonocardiographic tracing at upper end and ECG tracing at lower end of figure. 

A2: First high frequency component of second heart sound on phonocardiogram.
A-C:
Time interval between A (peak anterior movement of anterior leaflet during atrial contraction) and C (mitral valve closure) points of M-mode mitral valve tracing. 
IVCT
: Isovolumetric contraction time. 
IVRT:
Isovolumetric relaxation time. 
M1:
First high frequency component of first heart sound on phonocardiogram. 
P
: ECG P wave
QR: Q and R wave of the ECG. 

PR-AC interval

< 60 msec when pulmonary capillary wedge pressure > 14 mmHg.
(Wison et al, 1981)

Palomo formula
LVEDP= 21.6 x (Q-MVC / AVC-E) + 1.1
(Palomo et al., Circulation 1980)

LVEDP: left ventricular end-diastolic pressure. 
Q-MVC: Time interval between ECG Q wave and mitral valve closure point.
AVC-E: Time interval between aortic valve closure point and mitral valve E point (anterior early diastolic excursion of the mitral anterior leaflet). 


 

Web site created/ sito creato:    August 1999
Updated / aggiornato:      24/08/2005
Suggestions & criticisms,  email:
pbar@iol.it
Copyright © 1999-2005 by Paolo Barbier

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