The evaluation of left ventricular function by pressure-volume loop in patients with different extents of coronary stenosis
- VernacularTitle:利用压力-容积环评价不同冠脉病变冠心病病人的左心室功能
- Author:
Xiaohong FU
;
Rijing DAI
;
Guoxian QI
- Publication Type:Journal Article
- Keywords:
Pressure volume loop;
Left ventriculography;
Left ventricular function;
Energy indexes
- From:
Chinese Journal of Interventional Cardiology
2001;0(S1):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the left ventricular function in patients with different extents of coronary stenosis by the left ventricular pressure volume loop Methods In 65 patients who were undergoing coronary angiography and left ventriculography examinations, materials of clinical and cardiac catheter examinations were collected In right anterior oblique 30 degrees the left ventriculography was progressed The pressure curves of the left ventricle and the aorta were recorded continuously and volumes of the left ventricles were measured with the dot tracing method Pressure volume loop was set up and ventricular energy indexes embodied by the pressure volume loop were measured and calculated Results In normal group, pressure volume loop was located in the left and lower portion of the coordinate system Along with the levels of the coronary stenosis becoming more severe, pressure volume loops moved to the right and upper portion of the coordinate system Little changes occurred in ejection fraction except that there was a decreasing in patients with lesions of three branches; Stroke work showed no obvious changes; Filling energy became larger; Total energy increased obviously in both groups with lesions of double branches and three branches; End systolic energy increased gradually while energy efficiency decreased gradually Conclusion The ventricular pressure volume loop can be obtained in routine ventriculography which can reflect many indexes of ventricular function quantitatively The ventricular energy indexes change correspondingly with coronary artery lesions and may be useful to assess ventricular function in patients with different levels of coronary stenosis
