Normal systolic and diastolic functions of the left ventricle and left atrium by cine magnetic resonance imaging. 2002

Wen-Yih Isaac Tseng, and Ta-Yu Liao, and Jaw-Lin Wang
Department of Medical Imaging, Center for Optoelectronic Biomedicine, National Taiwan University Medical College, Taipei, Taiwan.

Volume and phase characteristics of the left ventricle (LV) and left atrium (LA) were assessed in 31 healthy Asian adults (19 males and 12 females) using cine magnetic resonance imaging (MRI) and an automated boundary detection algorithm. Volume indexes of the LV and LA were smaller than published results obtained mostly from Westerners. Other than LV mass index and percent emptying of the LA, there was no gender difference in all LV/LA indexes. In associating LV/LA functions with the body size and heart rate (HR), we found that LV mass and the minimum LA volume correlated strongly with the body surface area, the maximum LA volume and the reservoir volume correlated strongly with the body weight, and the time to LV peak-filling rate (LVPFRt) and the time to LA peak-emptying rate (LAPERt) correlated strongly with the HR. In associating LV with LA functions, we found that LA conduit volume contributed more than 50% of the LV stroke volume, and correlated with both systolic and diastolic functions of the LV. Moreover, LVPFRt and LAPERt were virtually identical, indicating a mechanical coupling between LV and LA during diastole. In conclusion, using time-resolved, three-dimensional volume data obtained from cine MRI, we have established normative values of LV and LA functions and their functional relationships in healthy Asian adults. The imaging acquisition protocol, data analysis algorithms, and the established normative values provide the basis for the study of left heart function in patients.

UI MeSH Term Description Entries
D008297 Male Males
D012016 Reference Values The range or frequency distribution of a measurement in a population (of organisms, organs or things) that has not been selected for the presence of disease or abnormality. Normal Range,Normal Values,Reference Ranges,Normal Ranges,Normal Value,Range, Normal,Range, Reference,Ranges, Normal,Ranges, Reference,Reference Range,Reference Value,Value, Normal,Value, Reference,Values, Normal,Values, Reference
D001835 Body Weight The mass or quantity of heaviness of an individual. It is expressed by units of pounds or kilograms. Body Weights,Weight, Body,Weights, Body
D003627 Data Interpretation, Statistical Application of statistical procedures to analyze specific observed or assumed facts from a particular study. Data Analysis, Statistical,Data Interpretations, Statistical,Interpretation, Statistical Data,Statistical Data Analysis,Statistical Data Interpretation,Analyses, Statistical Data,Analysis, Statistical Data,Data Analyses, Statistical,Interpretations, Statistical Data,Statistical Data Analyses,Statistical Data Interpretations
D003971 Diastole Post-systolic relaxation of the HEART, especially the HEART VENTRICLES. Diastoles
D005260 Female Females
D006325 Heart Atria The chambers of the heart, to which the BLOOD returns from the circulation. Heart Atrium,Left Atrium,Right Atrium,Atria, Heart,Atrium, Heart,Atrium, Left,Atrium, Right
D006339 Heart Rate The number of times the HEART VENTRICLES contract per unit of time, usually per minute. Cardiac Rate,Chronotropism, Cardiac,Heart Rate Control,Heartbeat,Pulse Rate,Cardiac Chronotropy,Cardiac Chronotropism,Cardiac Rates,Chronotropy, Cardiac,Control, Heart Rate,Heart Rates,Heartbeats,Pulse Rates,Rate Control, Heart,Rate, Cardiac,Rate, Heart,Rate, Pulse
D006352 Heart Ventricles The lower right and left chambers of the heart. The right ventricle pumps venous BLOOD into the LUNGS and the left ventricle pumps oxygenated blood into the systemic arterial circulation. Cardiac Ventricle,Cardiac Ventricles,Heart Ventricle,Left Ventricle,Right Ventricle,Left Ventricles,Right Ventricles,Ventricle, Cardiac,Ventricle, Heart,Ventricle, Left,Ventricle, Right,Ventricles, Cardiac,Ventricles, Heart,Ventricles, Left,Ventricles, Right
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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