Stroke Volume Generation of the Left Ventricle and Its Relation to Chamber Shape in Normal Subjects and Patients With Mitral or Aortic Regurgitation
スポンサーリンク
概要
- 論文の詳細を見る
The total stroke volume of the left ventricle(LV)is equal to the sum of the regional cavity shrinkage. Since nonuniformity of regional wall motion in LV has been well documented even in normal subjects, the extent of the contribution of each region to total stroke volume cannot be easily determined. To assess the left ventricular regional contributions to total stroke volume under normal conditions and in compensated chronic mitral or aortic regurgitation, LV cineangiograms were analyzed in 14 normal subjects(N), 8 patients with mitral regurgitation(MR)and 10 patients with aortic regurgitation(AR). We assumed that the LV cavity could be viewed as a stack of 30 half-cylindrical discs, 15 in the anterior and 15 in the inferior wall regions. LV chamber shape was more spherical in MR than in N, but was more conical in AR. Percent regional hemichordal shortening was significantly decreased in the anterobasal and anteroapical walls in AR, but was similar between N and MR. The regional contribution to total stroke volume showed a significant quadratic correlation with the end-diastolic regional shape index(N, r=0.87 ; MR, r=0.79 ; AR, r=0.90), which was defined as the regional hemiaxial length divided by the LV long-axis length, but was not correlated with percent regional hemichordal shortening. Therefore, stroke volume is generated mainly in the mid-ventricular portion in N and MR, but in the basal portion in AR due to the characteristic change in cavity shape.
- 社団法人日本循環器学会の論文
- 1996-03-20
著者
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Hiro Takafumi
Departments Of Internal Medicine And Cardiology Osaka City University Graduate School Of Medicine
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Miura Toshiro
Department Of Medicine And Clinical Science Yamaguchi University Graduate School Of Medicine
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Miura Toshiro
The Second Department Of Internal Medicine Yamaguchi University Hospital
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Kawamura K
Department Of Internal Medicine (iii) Osaka Medical College
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MATSUZAKI Masunori
the Second Department of Internal Medicine, Yamaguchi University School of Medicine
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Katayama Kazuhiro
Department Of Internal Medicine (iii) Osaka Medical College
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Katayama Kazuhiro
Second Department Of Internal Medicine Yamaguchi University School Of Medicine
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Katayama Kazuhiro
The Second Department of Interial Medicine, Yamaguchi University School of Medicine
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Hiro Junko
The Second Department Of Internal Medicine Yamaguchi University School Of Medicine
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Miura Toshiro
Second Department Of Internal Medicine Yamaguchi University School Of Mediciney
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Fujii Takashi
The Second Department of Internal Medicine, Yamaguchi University School of Medicine
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Hiro Takafumi
The Second Department of Internal Medicine, Yamaguchi University School of Medicine
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Kohno Michihiro
The Second Department of Internal Medicine, Yamaguchi University School of Medicine
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Kohno Michihiro
Division Of Cardiovascular Medicine Department Of Medical Bioregulation Yamaguchi University Graduat
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Kohno Michihiro
Second Division Department Of Internal Medicine Yamaguchi University
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Matsuzaki Masunori
The Second Department Of Internal Medicine University Of Yamaguchi
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Miyazaki Tsuyoshi
Department Of Rheumatology Sagamihara National Hospital National Hospital Organization (nho)
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Fujii Takasi
The Second Depertment Of Internal Medicine
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