DETERMINANTS OF LEFT ATRIAL SYSTOLIC TIME INTERVALS : Assessment by Pulsed Doppler Echocardiography
スポンサーリンク
概要
- 論文の詳細を見る
To evaluate the responsible factors for left atrial ejection, the left atrial pre-ejection period (LAPEP), i.e., the time interval between atrial pacing pulse and onset of atrial ejection, and left atrial ejection time (LAET), i.e., the duration of atrial ejection, were determined from mitral inflow velocity patterns in 35 patients with various heart diseases using pulsed Doppler echocardiography. LAPEP ranged from 75 to 157 (mean 110±18) msec and LAET from 80 to 169 (mean 124±19) msec. The left atrial dimension before atrial contraction showed no significant correlation with LAPEP or LAET. Peak velocity during atrial contraction was negatively correlated with LAPEP (r=-0.42, p<0.05) and positively with LAET (r=0.56, p<0.01). Left ventricular end-diastolic pressure (LVEDP) indicated a significant negative linear correlation with LAET (r=-0.44, p<0.05). LAPEP showed no significant linear correlation with LVEDP, but a significant curvilinear relationship was observed between them (LAPEP=169-9・LVEDP+0.28・LVEDP^2, r=0.63, p<0.001). Mean pulmonary capillary wedge pressure (mPCWP) was curvilinearly related to LAPEP (LAPEP=168-11・mPCWP+0.42・mPCWP^2, r=0.72, p<0.001) and LAET (111+4.1・mPCWP-0.22・mPCWP^2, r=0.63, p<0.001). Although LAPEP decreased and LAET increased with increase in mPCWP up to about 15mmHg, the reverse situation was noted for greater mPCWP. Thus, the major determinants of left atrial systolic time intervals are left atrial and ventricular pressures, and peak velocity during atrial contraction.
- 社団法人日本循環器学会の論文
- 1991-03-20
著者
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Hondo Tatsuya
First Department Of Internal Medicine Hiroshima University School Of Medicine
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Kajiyama Goro
The First Department Of Internal Medicine Hiroshima University School Of Medicine
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Kajiyama Goro
Hiroshima University
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Kawagoe Takuji
First Department Of Internal Medicine Hiroshima University School Of Medicine
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Matsuura Hideo
Hiroshima University
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TATEISHI Hironobu
Hiroshima City Hospital
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NAKAGAWA HIROSHI
University of Okurahoma Health Center
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OKAMOTO MITSUNORI
The Department of Cardiology, Hiroshima Prefectural Hospital
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Kawagoe Takuji
Hiroshima City Hospital
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Yamagata Togo
The First Department Of Internal Medicine Hiroshima University School Of Medicine
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Amioka Hideyo
Hiroshima University School Of Medicine
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Morishima Nobuyuki
First Department Of Internal Medicine Hiroshima University
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Tsubukura Tokuo
The Department Of Clinical Pathology And First Department Of Internal Medicine
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Yamagata Togo
Hiroshima University Faculty of Medicine
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TSUBOKURA TOKUO
The Department of Clinical Pathology and First Department of Internal Medicine
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TSUCHIOKA YUKIKO
Hiroshima University School of Medicine
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NAKAGAWA HIROSHI
Hiroshima University School of Medicine
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MORICHIKA NAOKO
Hiroshima University School of Medicine
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HONDO TATSUYA
Hiroshima University School of Medicine
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Tateishi Hironobu
The Department Of Internal Medicine Hiroshima City Hospital Hiroshima Japan
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Tateishi Hironobu
Dept. Of Intern. Med. Div. I Hiroshima Univ. School Of Med
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Tsuchioka Yukiko
First Department Of Internal Medicine Hiroshima University
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Tateishi Hironobu
Department Of Internal Medicine Hiroshima City Hospital
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