Annals of Biomedical Engineering

, Volume 20, Issue 1, pp 63–80 | Cite as

Right ventricular-pulmonary arterial interactions

  • William G. Kussmaul
  • Abraham Noordergraaf
  • Warren K. Laskey


The application of pulsatile models to hemodynamic data has made possible a more complete understanding of the relationship of pulmonary pressure and flow. To review the genesis of these concepts, the unique characteristics of the pulmonary artery and right ventricle are outlined as a basis for understanding why differences in their pulsatile properties from the systemic circuit must exist. The pulmonary impedance spectrum is introduced and the concept of optimal right ventricular-pulmonary artery coupling is explored based on a review of extensive experimental data. Finally, available studies of normal pulmonary impedance in man and abnormal impedance in human disease states are reviewed, with emphasis on disturbances in optimal ventricular-vascular coupling. The important implications of these concepts for understanding and treatment of cardiovascular disease are developed.


Pulmonary impedance Right ventricle function Ventricular-vascular coupling 


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Copyright information

© Pergamon Press plc 1992

Authors and Affiliations

  • William G. Kussmaul
    • 1
    • 2
  • Abraham Noordergraaf
    • 1
    • 2
  • Warren K. Laskey
    • 1
    • 2
  1. 1.Cardiology Section, Department of MedicineUniversity of Pennsylvania School of MedicineUSA
  2. 2.Cardiovascular Studies Unit, Department of BioengineeringUniversity of pennsylvaniaPhiladelphia

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