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首页> 外文期刊>Journal of cardiac failure >Electrical and hemodynamic correlates of the maximal rate of pressure increase in the human left ventricle.
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Electrical and hemodynamic correlates of the maximal rate of pressure increase in the human left ventricle.

机译:人体左心室最大压力增加率的电学和血液动力学相关性。

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BACKGROUND: The rate of left ventricular (LV) pressure increase (LV + dP/dt) may be related to QRS duration, as well as to a number of hemodynamic parameters. METHODS AND RESULTS: We studied the relation between basal LV + dP/dt and QRS duration in 43 patients with normal LV function and 81 patients with heart failure undergoing diagnostic catheterization. We also examined the relationship between LV + dP/dt and heart rate, as well as measures of both LV preload and afterload. In patients with normal LV function, there was a strong relationship between basal LV + dP/dt and resting heart rate, whereas the relationship with QRS duration was of borderline significance. In patients with heart failure, the relationship with heart rate was lost; however, LV systolic pressure, QRS duration, and LV end-diastolic pressure all made significant contributions to a model predicting LV + dP/dt. CONCLUSIONS: These data show a strong relationship between resting heart rate and LV + dP/dt in the healthy human LV. In patients with heart failure, the relationship with heart rate is not maintained; however, there is a systematic relationship between LV + dP/dt and both the time-course of the electrical activation and measures of LV loading conditions.
机译:背景:左心室(LV)压力增加率(LV + dP / dt)可能与QRS持续时间以及许多血液动力学参数有关。方法和结果:我们研究了43例LV功能正常的患者和81例心力衰竭的诊断性导管插入术的基础LV + dP / dt与QRS持续时间的关系。我们还检查了LV + dP / dt与心率之间的关系,以及LV前负荷和后负荷的测量方法。 LV功能正常的患者,基础LV + dP / dt与静息心率之间有很强的关系,而与QRS持续时间的关系则具有临界意义。心力衰竭患者失去与心率的关系;然而,LV收缩压,QRS持续时间和LV舒张末期压均对预测LV + dP / dt的模型做出了重要贡献。结论:这些数据表明健康人左心室静息心率与左心室LV + dP / dt有很强的关系。心力衰竭患者无法维持与心率的关系;但是,LV + dP / dt与电激活的时间过程以及LV负载条件的度量之间存在系统的关系。

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