Abstract
Ventricular compliance alterations can affect cardiac performance and adaptations. Moreover, diastolic mechanics are important in assessing both diastolic and systolic function, since any filling impairment can compromise systolic function. A sigmoidal passive filling pressure–volume relationship, developed using chronically instrumented, awake-animal disease models, is clinically adaptable to evaluating diastolic dynamics using subject-specific micromanometric and volumetric data from the entire filling period of any heartbeat(s). This innovative relationship is the global, integrated expression of chamber geometry, wall thickness, and passive myocardial wall properties. Chamber and myocardial compliance curves of both ventricles can be computed by the sigmoidal methodology over the entire filling period and plotted over appropriate filling pressure ranges. Important characteristics of the compliance curves can be examined and compared between the right and the left ventricle and for different physiological and pathological conditions. The sigmoidal paradigm is more accurate and, therefore, a better alternative to the conventional exponential pressure–volume approximation.
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Acknowledgments
Research support, for work in the author’s Laboratory surveyed in this Review, was provided by the National Heart, Lung, and Blood Institute [grant number R01 NIH 50446]; the National Science Foundation [grant number CDR 8622201]; and the North Carolina Supercomputing Center and Cray Research.
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The author declares that he has no conflict of interest.
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Pasipoularides, A. Right and Left Ventricular Diastolic Pressure–Volume Relations: A Comprehensive Review. J. of Cardiovasc. Trans. Res. 6, 239–252 (2013). https://doi.org/10.1007/s12265-012-9424-1
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DOI: https://doi.org/10.1007/s12265-012-9424-1