REDUCED HIGH HARMONIC POWER SPECTRA IN PATIENTS WITH OLD MYOCARDIAL INFARCTION
スポンサーリンク
概要
- 論文の詳細を見る
Acceleration of blood flow ejected from the ventricle into the aorta and the hydraulic power state of blood flow in the aorta may be affected by asynchronous or locally depressed contraction of the left ventricle as well as by arterial impedance. In order to evaluate the effect of an infarcted heart on the hydraulic power state of blood flow, the aortic input impedance spectrum and the hydraulic power spectrum were calculated from simultaneous recordings of pulsatile aortic pressure and flow velocity at the aortic root in 6 normal controls (group 1), 6 patients with old myocardial infarction (OMI) without aneurysm (group 2), and 6 patients of OMI with aneurysm (group 3). The ratios (Rh) of power in high harmonics to that of fundamental harmonics, that is, Rh=(E2+E3+ ・・・E10)/E1, where E represents hydraulic power and the numbers represent harmonic numbers, were 0.64±0.17, 0.23±0.09, and 0.22±0.10 in groups 1, 2 and respectively (p<0.001 between groups 1 and 2; p<0.001,between groups 1 and 3). As the acceleration of ejecting flow of blood by the left ventricle is inversely related with arterial impedance, Rh will be also inversely related with arterial impedance. Then, the product of Rh and the characteristic impedance (Zc) would be an indicator of the left ventricular contractility. In fact, the products were 64±15, 32±14, and 31±13 dyne・sec・cm^<-5> in groups 1, 2, and 3 respectively (p<0.005, between groups 1 and 2; p<0.005, between groups 1 and 3). These results suggest that asynchronous or locally depressed contractions of the left ventricular wall are closely related to depressed Rh and further to depressed values of the products of Rh and Zc. It is con-cluded that analysis of the power spectrum of blood flow in the root of the aorta provides information of the left ventricular contractility in connection with arterial impedance.
- 社団法人日本循環器学会の論文
- 1991-01-20
著者
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MARUMO FUMIAKI
Second Department of Internal Medicine, Tokyo Medical and Dental University
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Taniguchi Koichi
Second Department of Internal Medicine, Tokyo Medical And Dental University
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Hiroe Michiaki
Department Of Medicine Tokyo Medical And Dental University
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Taniguchi Koichi
群馬大学 医学系研究科臓器病態内科学
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Taniguchi Koichi
The 2nd Department Of Internal Medicine Tokyo Medical And Dental University
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Marumo Fumiaki
Department Of Nephrology Tokyo Medical And Dental University
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Marumo Fumiaki
Second Department Of Internal Medicine Faculty Of Medicine Tokyo Medical And Dental University
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Hiroe Michiaki
The Department Of Medicine International Medical Center Of Japan
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MAESHIMA MICHIHIRO
The Cardiovascular Division, Department of medicine, Hokushin General Hospital
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Taniguchi Koichi
Second Department Of Medicine Tokyo Medical And Dental University
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Taniguchi Koichi
Second Department Of Internal Medicine Tokyo Medical And Dental University
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Marumo Fumiaki
Second Department Of Medicine Tokyo Medical And Dental University
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Marumo Fumiaki
Institute Of Geriatrics Department Of Cardiology Department Of Radiology And Departement Of Patholog
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Maeshima Michihiro
The Cardiovascular Division Department Of Medicine Hokushin General Hospital
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Marumo Fumiaki
Institute Of Geriatrics Department Of Cardiology Department Of Radiology And Departement Of Patholog
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