BACKGROUND: The time constant of ventricular relaxation (tau) is a quantitative measure of diastolic performance requiring intraventricular pressure recording. This study validates in humans an equation relating tau to left ventricular pressure at peak -dP/dt (P0), pressure at mitral valve opening (PMV), and isovolumic relaxation time (IVRTinv). The clinically obtainable parameters peak systolic blood pressure (Ps), mean left atrial pressure (PLA), and Doppler-derived IVRT (IVRTDopp) are then substituted into this equation to obtain tau Dopp noninvasively. METHODS AND RESULTS: High-fidelity left atrial and left ventricular pressure recordings with simultaneous Doppler by transesophageal echocardiography were obtained from 11 patients during cardiac surgery. Direct curve fitting to the left ventricular pressure trace by Levenberg-Marquardt regression assuming a zero asymptote generated tau LM, the "gold standard" against which tau calc (IVRT inv/[ln(P0)-ln(PMV)]) and tau Dopp [IVRTDopp/[ln(Ps)-ln(PLA)]] were compared. For 123 cycles analyzed in 18 hemodynamic states, mean tau LM was 53.8 +/- 12.9 ms. tau calc (51.5 +/- 11 ms) correlated closely with this standard (r = .87, SEE = 5.5 ms). Noninvasive tau Dopp (43.8 +/- 11 ms) underestimated tau LM but exhibited close linear correlation (n = 88, r = .75, SEE = 7.5 ms). Substituting PLA = 10 mm Hg into the equation yielded tau 10 (48.7 +/- 15 ms), which also closely correlated with the standard (r = .62, SEE = 11.6 ms). CONCLUSIONS: The previously obtained analytical expression relating IVRT, invasive pressures, and tau is valid in humans. Furthermore, a more clinically obtainable, noninvasive method of obtaining tau also closely predicts this important measure of diastolic function.
BACKGROUND: The time constant of ventricular relaxation (tau) is a quantitative measure of diastolic performance requiring intraventricular pressure recording. This study validates in humans an equation relating tau to left ventricular pressure at peak -dP/dt (P0), pressure at mitral valve opening (PMV), and isovolumic relaxation time (IVRTinv). The clinically obtainable parameters peak systolic blood pressure (Ps), mean left atrial pressure (PLA), and Doppler-derived IVRT (IVRTDopp) are then substituted into this equation to obtain tau Dopp noninvasively. METHODS AND RESULTS: High-fidelity left atrial and left ventricular pressure recordings with simultaneous Doppler by transesophageal echocardiography were obtained from 11 patients during cardiac surgery. Direct curve fitting to the left ventricular pressure trace by Levenberg-Marquardt regression assuming a zero asymptote generated tau LM, the "gold standard" against which tau calc (IVRT inv/[ln(P0)-ln(PMV)]) and tau Dopp [IVRTDopp/[ln(Ps)-ln(PLA)]] were compared. For 123 cycles analyzed in 18 hemodynamic states, mean tau LM was 53.8 +/- 12.9 ms. tau calc (51.5 +/- 11 ms) correlated closely with this standard (r = .87, SEE = 5.5 ms). Noninvasive tau Dopp (43.8 +/- 11 ms) underestimated tau LM but exhibited close linear correlation (n = 88, r = .75, SEE = 7.5 ms). Substituting PLA = 10 mm Hg into the equation yielded tau 10 (48.7 +/- 15 ms), which also closely correlated with the standard (r = .62, SEE = 11.6 ms). CONCLUSIONS: The previously obtained analytical expression relating IVRT, invasive pressures, and tau is valid in humans. Furthermore, a more clinically obtainable, noninvasive method of obtaining tau also closely predicts this important measure of diastolic function.
Authors: Graeme Carrick-Ranson; Jeffrey L Hastings; Paul S Bhella; Shigeki Shibata; Naoki Fujimoto; M Dean Palmer; Kara Boyd; Benjamin D Levine Journal: Am J Physiol Heart Circ Physiol Date: 2012-06-01 Impact factor: 4.733
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Authors: Zoran B Popović; Milind Y Desai; Adisai Buakhamsri; Chirapa Puntawagkoon; Allen Borowski; Benjamin D Levine; Wilson W H Tang; James D Thomas Journal: Eur J Echocardiogr Date: 2011-08-23
Authors: Mallory K Tate; William S Lawrence; Randy L Gourley; Diana L Zavala; Lori E Weaver; Scott T Moen; Johnny W Peterson Journal: BMC Res Notes Date: 2011-09-05
Authors: Adisai Buakhamsri; Zoran B Popovic; Jingna Lin; Pascal Lim; Neil L Greenberg; Allen G Borowski; W H Wilson Tang; Allan L Klein; Harry M Lever; Milind Y Desai; James D Thomas Journal: Eur Heart J Date: 2009-03-20 Impact factor: 29.983
Authors: Christopher E Hann; J Geoffrey Chase; Michael F Ypma; Jos Elfring; Noorhafiz Mohd Nor; Piers Lawrence; Geoffrey M Shaw Journal: Open Med Inform J Date: 2008-05-27