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Conductance measurements in the left ventricle: a pressure-flow approach
KTH, Tidigare Institutioner                               , KTH Syd.
2002 (Engelska)Ingår i: IFMBE proc., 2002, s. 1012-3Konferensbidrag, Publicerat paper (Refereegranskat)
Ort, förlag, år, upplaga, sidor
2002. s. 1012-3
Nationell ämneskategori
Medicinsk laboratorie- och mätteknik
Identifikatorer
URN: urn:nbn:se:kth:diva-6519OAI: oai:DiVA.org:kth-6519DiVA, id: diva2:11254
Konferens
2nd Eur. Medical and Biological Engineering Conf., EMBEC '02
Anmärkning
QC 20100922Tillgänglig från: 2006-12-06 Skapad: 2006-12-06 Senast uppdaterad: 2010-09-22Bibliografiskt granskad
Ingår i avhandling
1. New approaches to monitoring of cardiac function
Öppna denna publikation i ny flik eller fönster >>New approaches to monitoring of cardiac function
2006 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

Left ventricular pumping performance may be described by intraventricular pressure and volume variables, usually presented as a pressure-volume plot. However, on-line monitoring of left ventricular pressure and volume with high temporal resolution requires the use of an invasive catheter technique such as, for example, the conductance catheter method. On the other hand, the very invasiveness and complexity of this approach makes it less suitable for clinical use. It is then not surprising that there has been long-felt need to make the conductance method less invasive and attempts have been made to adjust the method to clinical demands and routine in order to extract more information from pressure-volume interplay and possibly translate relevant data to their non-invasive estimates.

In the present studies, a standard five segmental conductance catheter was used in animal (pig) experiments. Segmental conductances were compared to global conductance. Since the mid-ventricular segment was shown to reflect global volume, which was also shown on theoretical basis, it was concluded that a single segmental catheter most probably could be used to estimate global left ventricular volume.

Subsequently, a thin and flexible single segmental conductance catheter was constructed and applied to an animal (pig) experimental model. Results were reproducible and very few arrythmias were detected.

At the next stage, left ventricular isovolumic phases were investigated using the standard conductance catheter method, as well as echocardiographically derived tissue velocity doppler. Conductance was shown to decrease during isovolumic contraction, and an adjustment method was proposed in order to account for the subsequent decrease in pressure-volume loop area.

In separate experiments, the left ventricular pressure wave form during left ventricular systole was examined, and an algorithm was proposed to discriminate between the changes in afterload, preload and contractility. Results showed clearly discernible patterns of the respective load and contractility alternation.

Finally, the left ventricular continuous area was monitored continuously during the entire cardiac cycle as a measure of left ventricular volume dynamics in normal subjects and three patients with left ventricular abnormalities using echocardiographic automatic boundary detection. The left ventricular area thus obtained was plotted against its first derivative, to form a flow-volume estimates loop, in accordance with the flow-volume examinations used in respiratory physiology. Data obtained from the abnormal ventricles were presented as flow-volume estimates loops, exemplifying the possible use of the method.

Ort, förlag, år, upplaga, sidor
Stockholm: KTH, 2006. s. 77
Serie
Trita-STH : report, ISSN 1653-3836 ; 2006:04
Nyckelord
left ventricle, pressure and volume
Nationell ämneskategori
Medicinsk laboratorie- och mätteknik
Identifikatorer
urn:nbn:se:kth:diva-4211 (URN)978-91-7178-507-7 (ISBN)
Disputation
2006-12-15, 4X, plan 4, Nobels allé 8, Huddinge, 09:00
Opponent
Handledare
Anmärkning
QC 20100922Tillgänglig från: 2006-12-06 Skapad: 2006-12-06 Senast uppdaterad: 2010-09-22Bibliografiskt granskad

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Av författaren/redaktören
Söderqvist, EmilBrodin, Lars-Åke
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KTH Syd
Medicinsk laboratorie- och mätteknik

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